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Initial Management and Potential Opportunities to Deprescribe Dialysis among Patients with AKI-D Patients after Hospital Discharge. | LitMetric

AI Article Synopsis

  • * A study of 1,754 AKI-D patients found that their initial dialysis orders resembled those for patients with end-stage kidney disease (ESKD), despite having different treatment objectives.
  • * It was observed that only a small number of patients had timed urine collections, and many who recovered from AKI-D stopped dialysis without adjusting their initial treatment plan, indicating a chance to reduce dialysis duration earlier.

Article Abstract

Dialysis-requiring AKI (AKI-D) now accounts for more than 15% of outpatient hemodialysis initiations; over 30% of these patients with AKI-D may have potential to recover. However, little is known about strategies currently used to treat outpatient AKI-D and screen for recovery. In this study of 1754 patients with AKI-D, we found that ( 1 ) the initial dialysis orders were similar to those of patients with contemporary incident ESKD, despite different treatment goals; ( 2 ) timed urine collections were completed in only a minority of patients; and ( 3 ) most patients with AKI-D who recovered discontinued dialysis without ever having been weaned from their initial dialysis prescription, suggesting there may be substantial opportunity to wean dialysis sooner.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10703077PMC
http://dx.doi.org/10.1681/ASN.0000000000000225DOI Listing

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