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Ambulatory Care after Acute Kidney Injury: An Opportunity to Improve Patient Outcomes

2015; SAGE Publishing; Volume: 2; Linguagem: Inglês

10.1186/s40697-015-0071-8

2054-3581

Samuel A. Silver, Stuart L. Goldstein, Ziv Harel, Andrea Harvey, Elizabeth J. Rompies, Neill K. J. Adhikari, Rey Acedillo, Arsh K. Jain, Robert Richardson, Christopher T. Chan, Glenn M. Chertow, Chaim M. Bell, Ron Wald,

Chronic Kidney Disease and Diabetes

Acute kidney injury (AKI) is an increasingly common problem among hospitalized patients. Patients who survive an AKI-associated hospitalization are at higher risk of de novo and worsening chronic kidney disease, end-stage kidney disease, cardiovascular disease, and death. For hospitalized patients with dialysis-requiring AKI, outpatient follow-up with a nephrologist within 90 days of hospital discharge has been associated with enhanced survival. However, most patients who survive an AKI episode do not receive any follow-up nephrology care. This narrative review describes the experience of two new clinical programs to care for AKI patients after hospital discharge: the Acute Kidney Injury Follow-up Clinic for adults (St. Michael's Hospital and University Health Network, Toronto, Canada) and the AKI Survivor Clinic for children (Cincinnati Children's Hospital, USA).