Acute Kidney Injury In Care Transitions (ACT): Pragmatic Clinical Trial
Mayo Clinic
Summary
The purpose of this study is to determine the effect of a multidisciplinary intervention at care transitions for acute kidney injury survivors on patient-centered outcomes.
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Clinician subjects * Hospital clinicians including physicians and advanced practice providers employed by Mayo Clinic and practicing at one of the four study sites * Provide care for hospitalized patients with stage 2 or stage 3 acute kidney injury (AKI) who are expected to be discharged home and are not receiving dialysis * Patient subjects: * Adults ≥18 years old * Meet KDIGO consensus criteria for stage 2 (moderate) or 3 (severe) AKI * Residence within the study catchment area (southern Minnesota, northern Iowa, or western Wisconsin) Exclusion Criteria:…
Interventions
- BehavioralAcute Kidney Injury in Care Transitions (ACT)
Clinicians will assign risk-individualized kidney health care prior to hospital discharge for acute kidney injury survivors. Low risk acute kidney injury survivors will receive education prior to hospital discharge, moderate risk acute kidney injury survivors will receive a referral to primary care for laboratory and clinical follow-up within approximately 14-days including a medication review by a pharmacist, and high risk acute kidney injury survivors will be referred to nephrologist-directed care including remote monitoring program (RPM) where available and aligned with the patients goals/values/preferences for up to 90 days after discharge for the highest risk patients.
- BehavioralUsual Care
Physicians and nurse practitioners will provide standard of care education, labs, and clinical follow-up after discharge.
Locations (3)
- Mayo Clinic Health System-MankatoMankato, Minnesota
- Mayo Clinic in RochesterRochester, Minnesota
- Mayo Clinic Health System-Eau Claire ClinicEau Claire, Wisconsin