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AHRQ Research Studies
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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 DisplayedMay HP, Griffin JM, Herges JR
Comprehensive acute kidney injury survivor care: protocol for the Randomized Acute Kidney Injury in Care Transitions Pilot trial.
The researchers developed the multidisciplinary acute kidney injury (AKI) in Care Transitions (ACT) program, which incorporates post-AKI care in patients' primary care clinic. The purpose of this pilot trial, which received funding from the Agency for Health Care Research and Quality on April 21, 2021, and was approved by the Institutional Review Board on December 14, 2021, is to test the feasibility and acceptability of the ACT program and related study protocol, including recruitment and retention, procedures, and outcome measures. The study will include individuals who have stage 3 AKI during hospitalization, do not need dialysis upon discharge, have a local primary care provider, and are discharged to their home. Recipients of any transplant within 100 days of enrollment are excluded. As of March 14, 2023, seventeen participants each have been enrolled in the intervention and usual care groups. Patients who provide consent are randomized to receive the ACT program intervention or usual care. The ACT program includes predischarge kidney health education and coordinated postdischarge laboratory monitoring and follow-up with a primary care provider and pharmacist within 14 days. The usual care group receives no study-related intervention. This study includes qualitative interviews and surveys with patients and staff and will explore the feasibility of the ACT program. Notes of clinical encounters will be reviewed for dialogue and care plans related to kidney health. Quantitative measures of the feasibility and acceptability of ACT will be summarized via descriptive analyses.
AHRQ-funded; HS028060.
Citation: May HP, Griffin JM, Herges JR .
Comprehensive acute kidney injury survivor care: protocol for the Randomized Acute Kidney Injury in Care Transitions Pilot trial.
JMIR Res Protoc 2023 May 22; 12:e48109. doi: 10.2196/48109..
Keywords: Kidney Disease and Health, Transitions of Care
May HP, Krauter AK, Finnie DM
Optimising transitions of care for acute kidney injury survivors: protocol for a mixed-methods study of nephrologist and primary care provider recommendations.
Gaps in proper kidney care after acute kidney injury (AKI) in hospital patients can contribute to long term complications for those individuals. The purpose of this study is to provide an in-depth assessment of nephrologists’ and primary care providers’ approaches to follow-up care after in-hospital acute kidney injury (AKI). The researchers will utilize a mixed-methods study to assess provider recommendations and decision-making for post-AKI care.
AHRQ-funded; HS028060.
Citation: May HP, Krauter AK, Finnie DM .
Optimising transitions of care for acute kidney injury survivors: protocol for a mixed-methods study of nephrologist and primary care provider recommendations.
BMJ Open 2022 Jun 22;12(6):e058613. doi: 10.1136/bmjopen-2021-058613..
Keywords: Kidney Disease and Health, Transitions of Care
Barreto EF, May HP, Schreier DJ
Development and feasibility of a multidisciplinary approach to AKI survivorship in care transitions: research letter.
The purpose of this study was to observe and describe the development and feasibility of a multidisciplinary approach to caring for acute kidney injury (AKI) survivors at care transitions (ACT). The studied population were adults with stage 3 AKI who were not discharging on dialysis and were established with a primary care provider at the authors’ academic medical center in the U.S. Preliminary data indicated that AKI survivors of interest could primarily be identified, educated, and followed up with using the multidisciplinary approach model, which also maximized the unique expertise of each team member. The authors concluded that this multidisciplinary ACT workflow supported by clinical decision support was feasible, scalable, and addressed gaps in existing care transition models.
AHRQ-funded; HS028060.
Citation: Barreto EF, May HP, Schreier DJ .
Development and feasibility of a multidisciplinary approach to AKI survivorship in care transitions: research letter.
Can J Kidney Health Dis 2022 Mar 6; 9:20543581221081258. doi: 10.1177/20543581221081258..
Keywords: Kidney Disease and Health, Transplantation, Transitions of Care