Acute Kidney Injury In Care Transitions (ACT): Pragmatic Clinical Trial

Acute Kidney Injury In Care Transitions (ACT): Pragmatic Clinical Trial

The purpose of this study is to determine the effect of a multidisciplinary intervention at care transitions for acute kidney injury survivors on patient-centered outcomes.

Inclusion Criteria:

• Clinician subjects

  • Hospital clinicians including physicians and advanced practice providers employed by Mayo Clinic and practicing at one of the four study sites
  • Provide care for hospitalized patients with stage 2 or stage 3 acute kidney injury (AKI) who are expected to be discharged home and are not receiving dialysis

• Patient subjects:

  • Adults ≥18 years old
  • Meet KDIGO consensus criteria for stage 2 (moderate) or 3 (severe) AKI
  • Residence within the study catchment area (southern Minnesota, northern Iowa, or western Wisconsin)

Exclusion Criteria:

• Clinician subjects: Physicians and advanced practice providers who:

  • Care exclusively for pediatric patients (<18 years)
  • Care exclusively for patients on palliative care

• Patient subjects

  • Discharged to hospice care
  • Require outpatient dialysis at discharge
  • Are admitted from or expected to be discharged to a skilled nursing facility
  • Dementia Diagnosis
  • Have undergone solid organ transplant within the past 100 days
  • Decline authorization for use of their medical records for research