Table 5.
Considerations for future trials in survivors of AKI
Population | Intervention | Outcomes |
---|---|---|
Target the highest risk patients (i.e., severe AKI, preexisting CKD, nonrecovery at discharge) | Flexible follow-up pathways that do not rely solely on in-person clinic visits with a level of intensity tailored to the patient’s needs | Longer follow-up period for major adverse kidney events |
Randomize patients as close to discharge as possible to ensure engagement | Early remote risk stratification by nurse/discharge planners to reach patients as soon as possible after discharge | For rehospitalization/recurrent AKI, intervention must reach patients early (i.e., ≤7 days from discharge) |
More prescriptive direction on when to use ACEi/ARB | Patient-reported outcomes (e.g., symptom burden, frailty, anxiety) |
ACEi, angiotensin-converting enzyme inhibitor; ARB, angiotensin receptor blocker.