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Development of a National Dataset for AKI Patients Requiring RRT in Renal Units

This project aims to design a core dataset for collecting information on individuals with Acute Kidney Injury (AKI) requiring Renal Replacement Therapy (RRT) in renal units. It includes defining the AKI population, incorporating a limited core dataset, and identifying quality indicators for AKI identification and management. The project also aims to expand to other types of acute RRT and explore patient-reported outcome measures (PROMs), health economics, and epidemiology. The UKRR-based project team collaborates with expert clinical groups to enhance acute kidney injury care nationwide.

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Development of a National Dataset for AKI Patients Requiring RRT in Renal Units

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  1. Acute kidney injury requiring RRT in renal units Catriona Shaw Research Fellow UK Renal Registry UKRR Audit Day, October 2012

  2. Background: AKI requiring RRT in renal units CQUIN • Nationally agreed core dataset • Adults requiring RRT (+/- PEX) in renal units Year One (April 2014) • Submission by all main renal units of a new nationally developed acute kidney injury (AKI) core minimum data set to the UKRR Year Two • Stretch targets agreed at Trust level to improve identification and management of AKI.

  3. Preliminary aims • To design and help facilitate a nationally agreed core dataset to collect information on individuals with Acute Kidney Injury (AKI) who require Renal Replacement Therapy (RRT). The use of Plasma Exchange (PEX) in this population will also be identified • To facilitate renal units to meet quality measures, namely the CQUIN for AKI

  4. Project group • UKRR based project team • Expert clinical group • Representation at the AKI Delivery Group

  5. Defining the population • Defining AKI • AKI with normal baseline function • Acute on chronic kidney disease • Acute dialysis in patients who may have AKI or rapidly deteriorating CKD

  6. variables • Well defined, limited core dataset, time line data • Demography • Biochemistry • Vascular access • RRT session details • PEX session details • Outcomes (discharge details, biochemistry, mortality)

  7. Future • Other types of acute RRT • ? Expand the population base (denominator) • PROMs • Health economics • Epidemiology

  8. Thank you Dr J Medcalf Prof D O’Donoghue Dr M Ostermann Dr C Laing Dr I John Dr D Fogarty Dr N Selby Dr A Lewington Dr A Abraham Jenny Scott Dr C Shaw Sue Shaw AKI Delivery Group UKRR team Renal Units

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