Table 2.
Possible outcome measures for use in tracking episodes of AKI
Entity resolution | Initial encounter | Subsequent encounters | |||
---|---|---|---|---|---|
Kidney Health | Overall health | Kidney Health | Overall health | ||
Population | Name Unique identifier Gender Date of birth |
AKI detection results/tag. Serum creatinine measurements (baseline, during AKI and recovery). |
ICD codes Comorbidities Complications Resource utilization e.g. length of stay, critical care admission. |
All subsequent AKI episodes, stages and timing. eGFR. Albuminuria. CKD stage. Need for RRT. |
Re-hospitalization. New diagnoses, ICD codes: CV events, cancer, infection, fracture, MAKE, MARCE. Time and cause of death. |
Patient | Name Unique identifier Sex Date of birth |
AKI detection results/tag AKI stage, duration and setting AKI etiology Need for acute RRT Nephrology consult |
Setting of AKI, exposures and co-existing illness. Blood pressure. Procedures. |
eGFR. Albuminuria. CKD stage. Need for RRT. Blood pressure. |
Comorbidities. Complications. Quality of life/dependency. |
Management | Name Unique identifier Gender Date of birth |
Treatment given for AKI. AKI follow up plans. Medications. Discharge quality indicators. Education (including patient). |
Medications (including those stopped/temporarily suspended). Frailty measures. Patient reported outcomes and symptoms. |
CKD care. Secondary prevention of AKI episodes. Medications. |
Functional recovery. Cardiovascular risk. Frailty measures. Patient reported outcomes and symptoms. |
Research | Biomarkers. | Specific therapies. Improved methods of capturing patient reported data. |
Therapies to facilitate recovery. Use of biomarkers to predict risk/recovery. |
Therapies to improve systemic outcomes. |
AKI acute kidney injury, ICD International Classification of Diseases, eGFR estimated glomerular filtration rate, CKD chronic kidney disease, RRT renal replacement therapy, MAKE major adverse kidney events, MARCE major adverse renal and cardiovascular events