Table 3.
Kidney Follow-Up Components
| Component | Usual Care N=13 |
Education Alone N=18 |
ACT N=15 |
P Value |
|---|---|---|---|---|
| 14-d provider and laboratory follow-upa | 0 (0) | 2 (11) | 12 (80) | <0.001 |
| 30-d provider and laboratory follow-upa | 0 (0) | 4 (22) | 12 (80) | <0.001 |
| Laboratory monitoring | ||||
| Serum creatinine | ||||
| 14-d | 9 (69) | 11 (61) | 13 (87) | 0.27 |
| 30-d | 11 (85) | 14 (78) | 14 (93) | 0.52 |
| 90-d | 12 (92) | 17 (94) | 15 (100) | 0.74 |
| Time to first assessment, d | 9 (7, 19) | 7 (4, 16) | 7 (2, 6) | 0.03 |
| Urine protein assessmentb | ||||
| 14-d | 0 (0) | 3 (17) | 13 (87) | <0.001 |
| 30-d | 2 (15) | 5 (28) | 13 (87) | <0.001 |
| 90-d | 5 (39) | 9 (50) | 14 (93) | 0.004 |
| Time to first assessment, d | 35 (28, 78) | 20 (7, 52) | 5.5 (2, 9) | 0.001 |
| Clinician follow-up | ||||
| PCPc | ||||
| 14-d | 11 (85) | 8 (44) | 14 (93) | 0.003 |
| 30-d | 12 (92) | 11 (61) | 14 (93) | 0.03 |
| Time to PCP follow-up, d | 9.5 (4, 12.5) | 4 (2, 16) | 5 (1, 8) | 0.29 |
| Nephrologist | ||||
| 14-d | 0 (0) | 1 (6) | 3 (20) | 0.23 |
| 30-d | 1 (8) | 3 (17) | 5 (33) | 0.22 |
| Time to nephrology follow-up, d | 27 | 20 (6, 21) | 14 (13, 22) | 0.50 |
| Pharmacistd | ||||
| 14-d | 1 (8) | 1 (6) | 9 (60) | <0.001 |
| 30-d | 1 (8) | 1 (6) | 11 (73) | <0.001 |
| Time to pharmacist follow-up, d | 13 | 10 | 7 (4, 13) | 0.53 |
Note: Data reported as n (%) for nominal/discrete data or median (IQR) for continuous data.
Abbreviations: ACT, AKI in Care Transition; PCP, primary care provider.
Cumulative incidence of provider (PCP or nephrologist) and laboratory (SCr and urine study) follow-up.
Includes urinalysis with microscopy, urine dipstick, and urine albumin-to-creatinine ratio. Of the 42 urine evaluations performed across the groups within 90 days, 88% were urinalyses or urine dipsticks. In cases where results revealed an elevated protein osmolality ratio or hematuria on screening evaluation with a urinalysis with microscopy or urine dipstick, a repeat assessment and urine albumin-to-creatinine ratio were recommended within 3 months of discharge.
Telehealth visit occurred in 1 and 4 participants in the Usual Care and Education Alone groups, respectively.
Telehealth visit occurred in 1 participant in the ACT group.