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Acute kidney injury (AKI, rapid reduction in kidney function) is common and under recognised in the NHS and associated with poor clinical outcomes and high health care costs. A significant proportion of AKI is potentially preventable and ⅔ of AKI seen in hospital is estimated to have arisen in the community. This study will use data in the Hampshire Health Record (HHR).
We will aim to:
• Identify the incident rate, risk factors and impact of AKI
• Develop and validate a predictive score for community-acquired AKI
• Evaluate the effect of hospital and primary care AKI e-alerts.
• Evaluate the effectiveness of an AKI-education intervention for hospital clinicians/ and GPs
• Estimate the costs of AKI in Wessex and the cost-effectiveness of the education intervention.
• Potentially avoid hospital admission and reduce the need for renal replacement therapy.
• Education and clinical intervention to improve aspects of basic care.
• Monitoring to prevent deterioration of kidney function.
For GP surgeries:
• Improved awareness of AKI and ability of clinicians to detect those at risk.
For the NHS:
• Reduced costs and improved outcome