Dataset Information

What Do Acute Kidney Injury Survivors Want to Know About Their Condition: A Qualitative Study.

ABSTRACT:

Rationale & objective

Acute kidney injury (AKI) in the hospital often occurs with other serious illnesses that take medical priority. Despite a persistent risk of adverse outcomes following hospital discharge, AKI survivors often receive inadequate education about how best to mitigate risks once home. We sought to identify AKI survivors' perceived barriers to shared and informed decision-making regarding their AKI diagnosis and self-management.

Study design

Semistructured phone interviews were used to assess patients' perceived barriers and facilitators to AKI self-management after a hospital-related AKI event.

Setting & participants

AKI survivors discharged from Duke University Hospital in Durham, NC, were recruited for interviews to discuss their AKI experiences. Those who received dialysis for AKI were excluded because their perceptions of AKI care were hypothesized to be much different from those of patients not requiring dialysis.

Analytical approach

Twenty-four interviews were conducted between May and August 2018. Interviews were recorded, transcribed, and analyzed by study team members to identify common themes and discrepancies and reach a final consensus.

Results

Five consistent themes emerged after thematic saturation: (1) patients were unaware of their AKI diagnosis; (2) patients lacked information about AKI and how to manage it at home; (3) patients identified a lack of understanding about AKI; (4) patients were concerned about dialysis; and (5) patients wanted to know how to prevent AKI in the future.

Limitations

Limitations include recruitment from a single center, all study participants receiving a nephrology consultation, and several patients being unable to participate because of persistent illness following hospitalization.

Conclusions

AKI survivors are unaware of their diagnosis, receive suboptimal education while hospitalized, and are not equipped with tools to mitigate risks following discharge. Patient-centered interventions promoting AKI awareness and self-management may improve long-term outcomes for high-risk AKI survivors.

SUBMITTER: Diamantidis CJ

PROVIDER: S-EPMC9044096 | biostudies-literature | 2022 Apr

REPOSITORIES: biostudies-literature

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Publications

What Do Acute Kidney Injury Survivors Want to Know About Their Condition: A Qualitative Study.

Diamantidis Clarissa J CJ Burks Erin E Mohottige Dinushika D Riley Jennie J Bowman Cassandra C Lunyera Joseph J St Clair Russell Jennifer J

Kidney medicine 20220201 4

<h4>Rationale & objective</h4>Acute kidney injury (AKI) in the hospital often occurs with other serious illnesses that take medical priority. Despite a persistent risk of adverse outcomes following hospital discharge, AKI survivors often receive inadequate education about how best to mitigate risks once home. We sought to identify AKI survivors' perceived barriers to shared and informed decision-making regarding their AKI diagnosis and self-management.<h4>Study design</h4>Semistructured phone in ...[more]

PMID: 35492143

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Project description:BackgroundKidney damage in COVID-19 patients has been of special concern. The association of acute kidney injury (AKI) with post-acute kidney function among COVID-19 survivors was not sufficiently elucidated.MethodsAn ambidirectional cohort study was conducted with enrollment of COVID-19 survivors discharged from hospital between Jan 7, and May 29, 2020. Study participants were invited to follow-up visits at 6 and 12 months after symptom onset. The primary outcome was percentage of estimated glomerular filtration rate (eGFR) decreased from acute phase (between symptom onset and hospital discharge) to follow-up, and secondary outcome was reduced renal function at follow-up.FindingsIn total, 1,734 study participants were included in this study. Median follow-up duration was 342.0 days (IQR, 223.0-358.0) after symptom onset. After multivariable adjustment, percentage of eGFR decreased from acute phase to follow-up was 8.30% (95% CI, 5.99-10.61) higher among AKI participants than those without AKI at acute phase. Participants with AKI had an odds ratio (OR) of 4.60 (95% CI, 2.10-10.08) for reduced renal function at follow-up. The percentage of eGFR decreased for participants with AKI stage 1, stage 2, and stage 3 was 6.02% (95% CI, 3.48-8.57), 15.99% (95% CI, 10.77-21.22), and 17.79% (95% CI, 9.14-26.43) higher compared with those without AKI, respectively.InterpretationAKI at acute phase of COVID-19 was closely related to the longitudinal decline and post-acute status of kidney function at nearly one-year after symptom onset. Earlier and more intense follow-up strategies on kidney function management could be beneficial to COVID-19 survivors.FundingChinese Academy of Medical Sciences Innovation Fund for Medical Sciences (CIFMS 2020-I2M-CoV19-005, 2018-I2M-1-003, and 2020-I2M-2-013); National Natural Science Foundation of China (82041011); National Key Research and Development Program of China (2018YFC1200102); Major Projects of National Science and Technology on New Drug Creation and Development of Pulmonary Tuberculosis (2020ZX09201001).

Dataset Information

What Do Acute Kidney Injury Survivors Want to Know About Their Condition: A Qualitative Study.

Rationale & objective

Study design

Setting & participants

Analytical approach

Results

Limitations

Conclusions

Publications

What Do Acute Kidney Injury Survivors Want to Know About Their Condition: A Qualitative Study.

Similar Datasets

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