ABSTRACTS from 16th International COnference on ... - CRRT Online

Improving Outcomes <strong>from</strong> AKI: Lessons <strong>from</strong> the UK?
Andrew Lewington MD
8:00-8:15
Friday, February 17
Educational Objectives:
1. Describe what are the current outcomes <strong>from</strong> acute kidney injury in the UK
2. Describe the National programme that has been set up to improve outcomes <strong>from</strong> acute kidney injury in the UK
3. Describe the progress that has been made in the UK to date in raising awareness of acute kidney injury
Content Description:
In 2009 the National Confidential Enquiry into Patient Outcomes and Death (NCEPOD) reported that only 50%
of patients had died <strong>from</strong> a diagnosis of acute kidney injury received good care. This prompted questions in
Parliament and the formation of a Department of Health acute kidney injury delivery board. The delivery board
has commissioned a number of pieces of work to help raise the awareness of acute kidney injury in the UK. This
includes the development of a core competency document for acute kidney injury. There has been the development
of acute kidney injury patient pathways to facilitate the immediate treatment and movement of patients to
specialist centres when appropriate. Increased funding has been awarded for translational research into acute kidney
injury. The cost of acute kidney injury has been estimated that £400-£600 million per annum in the UK. An
acute kidney injury consensus conference will be held at the Royal College of Physicians of Edinburgh in
November 2012. The government has commissioned the National Institute of Health and Clinical Excellence
(NICE) to produce acute kidney injury guidelines and quality standards for intravenous fluid therapy.
Suggested Reading:
1. NCEPOD. Adding insult to injury – A review of care of patients who died in hospital with a primary diagnosis
of acute kidney injury (acute renal failure). The National Confidential Enquiry into Patient Outcome and Death.
2009; http://www.ncepod.org.uk/2009aki.htm
2. Calculating the cost. Health Service Journal. June 2011 (AKI Suppl): S1
3. http://directaccess.mapofmedicine.com/evidence/map/acute_kidney_injury_aki_1.html Map of Medicine Acute
Kidney Injury Pathway
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