Publications by authors named "David A Foxwell"

Background And Objective: Quality management of Acute Kidney Injury (AKI) is dependent on early detection, which is currently deemed to be suboptimal. The aim of this study was to identify combinations of variables associated with AKI and to derive a prediction tool for detecting patients attending the emergency department (ED) or hospital with AKI (ED-AKI).

Design, Setting, Participants And Measurements: This retrospective observational study was conducted in the ED of a tertiary university hospital in Wales.

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Article Synopsis
  • The study aimed to investigate the occurrence, demographics, and outcomes of acute kidney injury (AKI) in patients visiting the emergency department (ED), finding an incidence of 2.8% among attendees.
  • ED-AKI was linked to significantly higher in-patient mortality rates (24.4%) compared to non-AKI patients (3.2%), with most deaths occurring shortly after admission.
  • Survivors of ED-AKI faced notable long-term risks, with 20.4% returning to the ED within 30 days and 10% dying within 90 days post-discharge, highlighting the need for improved management and follow-up care for these patients.
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