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Since 2009, adult patients with acute kindney injury (AKI) at the department of Nephrology, Danderyd University Hospital and Karolinska Institutet, have been included in a prospective cohort. All patients were treated and evaluated according to a detailed clinical memorandum, and data collected prospectively.
By 2020, 1861 patiens have been included of which 1519 fulfill current AKI criteria (as defined by KDIGO AKI guidelines) and will be evaluated regarding the following main research questions:
Acure kidney injury (AKI) remains a complex clinical challenge associated with high risk for short-term and long-term adverse events. Since 2009 patients with AKI at the department of Nephrology, Danderyd University Hospital and Karolinska Institutet, have been included in a prospective cohort. Adult patients with either s-creatinine >130 micromol/L and previously unknown level, or 30% increase from previous known level were included; patients on dialysis were not included. All patients were treated and evaluated according to a detailed clinical memorandum, and data collected prospectively.
By 2020, 1861 patiens have been included of which 1519 fulfill current AKI criteria and will be evaluated regarding the following main research questions:
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| Measure | Description | Time Frame |
|---|---|---|
| In-hospital outcome | Death | From admission until discharge or death, assessed for a period of up to 3 months |
| 1-year outcome | Descriptive study on Major Adverse Renal or Cardiovascular Events (death, new dialysis, worsened renal function, myocardial infarction, stroke, or heart failure; MARCE) | From admission until 1 year |
| Long-term outcome | Descriptive study on Major Adverse Renal or Cardiovascular Events (MARCE) | From admission until 10 years |
| Measure | Description | Time Frame |
|---|---|---|
| In-hospital partial renal recovery | Renal recovery by 30% at the time of discharge or death | From admission until discharge or death, assessed for a period of up to 3 months |
| In-hospital renal recovery |
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Inclusion Criteria (one of the following):
Exclusion Criteria:
Ongoing dialysis treatment.
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Prospective observational study, where all patients (aged 18 or above) with AKI admitted to the Department of nephrology at Danderyd University Hospital, Stockholm, Sweden, between 2009 and 2018 were included.
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| Name | Affiliation | Role |
|---|---|---|
| Christina Montgomerie, MD | Karolinska Institutet and Danderyd University Hospital | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Karolinska Institute at Danderyd University Hospital | Danderyd | Stockholm County | 18288 | Sweden | ||
| Danderyd University Hospital |
Data may be shared, pending application and approval for the specific research question from the Swedish Ethical Review Authority
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| ID | Term |
|---|---|
| D058186 | Acute Kidney Injury |
| D006947 | Hyperkalemia |
| ID | Term |
|---|---|
| D051437 | Renal Insufficiency |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
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Renal recovery by 50% at the time of discharge or death
| From admission until discharge or death, assessed for a period of up to 3 months |
| In-hospital biomarkers | Changes in biomarkers with focus on potassium, malnutrition, inflammation and acidosis | From previous values or values at admission until discharge or death, assessed for a period of up to 3 months |
| Stockholm |
| 18288 |
| Sweden |
| D005261 |
| Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D014883 | Water-Electrolyte Imbalance |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |