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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
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1 to 3 of 3 Research Studies DisplayedGiles C, Novakovic M, Hopman W
The quality of discharge summaries after acute kidney injury.
The objectives of this retrospective chart review were to determine the quality of discharge summaries in acute kidney injury (AKI) patients and to identify predictors for higher quality summaries. Researchers examined the discharge summaries for 300 randomly selected adult patients who survived a hospitalization with AKI at a tertiary care hospital in Ontario. Results showed that most discharge summaries were missing key AKI elements, even for patients with severe AKI. The researchers concluded that these gaps indicated opportunities for improving discharge summary communication following AKI.
AHRQ-funded; HS028060.
Citation: Giles C, Novakovic M, Hopman W .
The quality of discharge summaries after acute kidney injury.
Can J Kidney Health Dis 2023 Jan-Dec; 10:20543581231199018. doi: 10.1177/20543581231199018..
Keywords: Kidney Disease and Health, Injuries and Wounds, Hospital Discharge
Herges JR, May HP, Meade L
Pharmacist-provider collaborative visits after hospital discharge in a comprehensive acute kidney injury survivor model.
This pilot study’s objective was to describe pharmacist contributions to a comprehensive postdischarge acute kidney injury (AKI) survivorship program in primary care (the AKI in Care Transitions [ACT] program). The program was piloted from May to December of 2021 at Mayo Clinic as a bundled care strategy for patients who survived an episode of AKI and were discharged home without the need for hemodialysis. Predischarge patients received education and care coordination from nurses and later completed postdischarge laboratory assessment and clinician follow-up in primary care. During follow-up, patients completed a 30-minute comprehensive medication management visit with a pharmacist focusing on AKI survivorship considerations. Pharmacists made 28 medication therapy recommendations (median 3 per patient) and identified 14 medication discrepancies for the 11 patients who completed the pilot program, with 86% of the medication therapy recommendations being acted on by the PCP within 7 days. Six recommendations were made to initiate renoprotective medications, and 5 were acted on.
AHRQ-funded; HS028060.
Citation: Herges JR, May HP, Meade L .
Pharmacist-provider collaborative visits after hospital discharge in a comprehensive acute kidney injury survivor model.
J Am Pharm Assoc 2023 May-Jun; 63(3):909-14. doi: 10.1016/j.japh.2022.12.029..
Keywords: Provider: Pharmacist, Kidney Disease and Health, Hospital Discharge
Barreto EF, Schreier DJ, May HP
Incidence of serum creatinine monitoring and outpatient visit follow-up among acute kidney injury survivors after discharge: a population-based cohort study.
This study evaluated the frequency of follow-up after hospital discharge among acute kidney injury (AKI) survivors. This population-based cohort study included adult residents of Olmsted County hospitalized from an episode of stage II or II AK between 2006 and 2014. Follow-up visits at 30-days, 90 days, and 1 year were included. In the 627 included AKI survivors, the cumulative incidence of a follow-up serum creatinine (SCr) level was 80%, a healthcare visit 82%, or both was 70%. At 90 days and 1 year after discharge, cumulative incidents of meeting both follow-up criteria rose to 82 and 91% respectively. Independent predictors of receiving both were not related to demographic or socioeconomic factors but to lower estimated glomerular filtration rate at discharge, higher comorbidity burden, longer length of hospitalization, and greater maximum AKI severity.
AHRQ-funded; HS028060.
Citation: Barreto EF, Schreier DJ, May HP .
Incidence of serum creatinine monitoring and outpatient visit follow-up among acute kidney injury survivors after discharge: a population-based cohort study.
Am J Nephrol 2021;52(10-11):817-26. doi: 10.1159/000519375..
Keywords: Kidney Disease and Health, Hospital Discharge, Care Management, Healthcare Utilization