The economic impact of acute kidney injury in England

Kerr, Marion; Bedford, Michael; Matthews, Beverley; O’Donoghue, Dónal

doi:10.1093/ndt/gfu016

Cited by 244 publications

(213 citation statements)

References 25 publications

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“…13 Most studies that have explored the costs related to hospitalizations complicated by AKI have been single-center or local studies in specialized patient populations. 4,5,[14][15][16][17][18] Very few studies have used data after the year 2000, when the incidence of AKI began to increase, likely related to a combination of patient age, comorbidity burden, sepsis, heart failure, and nephrotoxic medications. 10,11 Moreover, it is unclear which patient and hospital characteristics contribute most to the cost of an AKI hospitalization, and how the costs of AKI compare to those for other acute medical conditions.…”

Section: Discussionmentioning

confidence: 99%

Cost of Acute Kidney Injury in Hospitalized Patients

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Zheng

et al. 2017

Journal of Hospital Medicine

180

113

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BACKGROUND:The economic burden of acute kidney injury (AKI) is not well understood. OBJECTIVE:To estimate the effects of AKI on hospitalization costs and length of stay (LOS).DESIGN: Using data from the 2012 National Inpatient Sample, we compared hospitalization costs and LOS with and without AKI. We used a generalized linear model with a gamma distribution and a log link fitted to AKI to adjust for demographics, hospital differences, and comorbidities.

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Section: Discussionmentioning

confidence: 99%

Cost of Acute Kidney Injury in Hospitalized Patients

Silver

Long

Zheng

et al. 2017

Journal of Hospital Medicine

180

113

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“…The greater acuity, use of advanced clinical support, and increased length of stay result in increased costs for hospital services. According to data from the National Health Service of England (25) , the expenditures for patients with AKI in ICU exceeded 1 billion euros in 2011. In addition to the obvious costs, there is also an increase in care provided by the nursing team to these individuals, related to higher nursing workload.…”

Section: Resultsmentioning

confidence: 99%

Nursing Activities Score and Acute Kidney Injury

et al. 2017

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Objective: to evaluate the nursing workload in intensive care patients with acute kidney injury (AKI). Method: A quantitative study, conducted in an intensive care unit, from April to August of 2015. The Nursing Activities Score (NAS) and Kidney Disease Improving Global Outcomes (KDIGO) were used to measure nursing workload and to classify the stage of AKI, respectively. Results: A total of 190 patients were included. Patients who developed AKI (44.2%) had higher NAS when compared to those without AKI (43.7% vs 40.7%), p <0.001. Patients with stage 1, 2 and 3 AKI showed higher NAS than those without AKI. A relationship was identifi ed between stage 2 and 3 with those without AKI (p = 0.002 and p <0.001). Conclusion: The NAS was associated with the presence of AKI, the score increased with the progression of the stages, and it was associated with AKI, stage 2 and 3. Descriptors: Workload; Intensive Care Unit; Acute Renal Injury; Nursing; Nephrology. RESUMO Objetivo: avaliar a carga de trabalho de enfermagem em pacientes de terapia intensiva com lesão renal aguda (LRA). Método: estudo quantitativo, em Unidade de Terapia Intensiva, no período de abril a agosto de 2015. O Nursing Activities Score (NAS) e o Kidney Disease Improving Global Outcomes (KDIGO) foram utilizados para medir a carga de trabalho de enfermagem e classifi car o estágio da LRA, respectivamente. Resultados: foram incluídos 190 pacientes. Os pacientes que desenvolveram LRA (44,2%) possuíam NAS superiores quando comparados aos sem LRA (43,7% vs 40,7%), p<0,001. Os pacientes com LRA nos estágios 1, 2 e 3 de LRA demonstraram NAS superiores aos sem LRA, houve relação entre os estágios 2 e 3 com os sem LRA, p=0,002 e p<0,001. Conclusão: o NAS apresentou associação com a existência de LRA, visto que seu valor aumenta com a progressão dos estágios, tendo associação com os estágios 2 e 3 de LRA. Descritores: Carga de Trabalho; Unidades de Terapia Intensiva; Lesão Renal Aguda; Enfermagem; Nefrologia. RESUMEN Objetivo: evaluar la carga de trabajo de enfermería en pacientes de cuidados intensivos con lesión renal aguda (AKI -acute kidney injury). Método: un estudio cuantitativo en la Unidad de Cuidados Intensivos en el período desde abril hasta agosto de 2015. El Nursing Activities Score (NAS) y el Kidney Disease Improving Global Outcomes (KDIGO) fueron utilizados para medir la carga de trabajo de enfermería y clasifi car el estadio de AKI, respectivamente. Resultados: en total, se incluyeron 190 pacientes. Los pacientes que desarrollaron AKI (44,2%) tenían NAS superior en comparación con los pacientes sin AKI (43,7% vs 40,7%), p<0,001. Los pacientes con AKI en los estadios 1, 2 y 3 de AKI mostraron NAS más alto que aquellos sin AKI. Hubo una relación entre los estadios 2 y 3 y los pacientes sin AKI, p=0,002 y p<0,001. Conclusión: NAS se asoció con la existencia de AKI porque su valor aumenta con la progresión de los estadios y tiene asociación con los estadios 2 y 3 de AKI.

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“…This renal complication is associated with high morbidity, high short-term and longterm mortality and a tremendous economic impact [1,2]. Prevention and treatment of AKI mainly rely on hemodynamic optimization and avoidance of nephrotoxic agents [3].…”

Section: Akimentioning

confidence: 99%