利用电子警报识别急性肾损伤患者。
Use of an electronic alert to identify patients with acute kidney injury.
机构信息
Royal Cornwall Hospital, Truro, UK.
出版信息
Clin Med (Lond). 2014 Feb;14(1):22-6. doi: 10.7861/clinmedicine.14-1-22.
Early intervention in the management of acute kidney injury (AKI) has been shown to improve outcomes. To facilitate early review we have introduced real time reporting for AKI. An algorithm using the laboratory computer system was implemented to report AKI for inpatients. Over 6 months there were 1,906 AKI reports in 1,518 patients: 56.3% AKI1, 26.9% AKI2 and 16.8% AKI3. 51.0% were male. Median age was 78 (interquartile range [IQR] 17) years. 62.6% were from general medical wards, 16.9% from surgical wards, 6.9% from orthopaedic wards and 5.3% from specialty wards. 8.3% were from peripheral hospitals. 31% of patients with AKI reports were clinically coded for AKI. 9% (n = 139) showed progression of AKI (mortality 42%). Patients with AKI had a significantly higher length of stay and mortality than those that did not. 4% of patients with AKI received acute renal replacement therapy (RRT). An e-alert system is feasible, allowing early identification of inpatients with AKI.
早期干预急性肾损伤（AKI）的管理已被证明可以改善预后。为了便于早期审查，我们已经引入了 AKI 的实时报告。我们使用实验室计算机系统实施了一个算法，以便为住院患者报告 AKI。在 6 个月的时间里，有 1518 名患者中的 1906 名患者出现了 AKI 报告：56.3%为 AKI1，26.9%为 AKI2，16.8%为 AKI3。51.0%为男性。中位年龄为 78（四分位间距[IQR] 17）岁。62.6%来自普通内科病房，16.9%来自外科病房，6.9%来自矫形外科病房，5.3%来自专科病房。8.3%来自外围医院。31%的 AKI 报告患者被临床编码为 AKI。9%（n=139）显示 AKI 进展（死亡率为 42%）。有 AKI 报告的患者的住院时间和死亡率明显高于没有 AKI 报告的患者。4%的 AKI 患者接受了急性肾脏替代治疗（RRT）。电子警报系统是可行的，可以早期识别患有 AKI 的住院患者。
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