Digital health and acute kidney injury: consensus report of the 27th Acute Disease Quality Initiative workgroup.


Journal

Nature reviews. Nephrology
ISSN: 1759-507X
Titre abrégé: Nat Rev Nephrol
Pays: England
ID NLM: 101500081

Informations de publication

Date de publication:
Dec 2023
Historique:
accepted: 06 07 2023
medline: 17 11 2023
pubmed: 15 8 2023
entrez: 14 8 2023
Statut: ppublish

Résumé

Acute kidney injury (AKI), which is a common complication of acute illnesses, affects the health of individuals in community, acute care and post-acute care settings. Although the recognition, prevention and management of AKI has advanced over the past decades, its incidence and related morbidity, mortality and health care burden remain overwhelming. The rapid growth of digital technologies has provided a new platform to improve patient care, and reports show demonstrable benefits in care processes and, in some instances, in patient outcomes. However, despite great progress, the potential benefits of using digital technology to manage AKI has not yet been fully explored or implemented in clinical practice. Digital health studies in AKI have shown variable evidence of benefits, and the digital divide means that access to digital technologies is not equitable. Upstream research and development costs, limited stakeholder participation and acceptance, and poor scalability of digital health solutions have hindered their widespread implementation and use. Here, we provide recommendations from the Acute Disease Quality Initiative consensus meeting, which involved experts in adult and paediatric nephrology, critical care, pharmacy and data science, at which the use of digital health for risk prediction, prevention, identification and management of AKI and its consequences was discussed.

Identifiants

pubmed: 37580570
doi: 10.1038/s41581-023-00744-7
pii: 10.1038/s41581-023-00744-7
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

807-818

Informations de copyright

© 2023. Springer Nature Limited.

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Auteurs

Kianoush B Kashani (KB)

Division of Nephrology and Hypertension, Division of Pulmonary and Critical Care Medicine, Department of Medicine, Mayo Clinic, Rochester, MN, USA. Kashani.Kianoush@mayo.edu.

Linda Awdishu (L)

Clinical Pharmacy, San Diego Skaggs School of Pharmacy and Pharmaceutical Sciences, University of California San Diego, La Jolla, CA, USA.

Sean M Bagshaw (SM)

Department of Critical Care Medicine, Faculty of Medicine and Dentistry, University of Alberta and Alberta Health Services, Edmonton, Canada.

Erin F Barreto (EF)

Department of Pharmacy, Mayo Clinic, Rochester, MN, USA.

Rolando Claure-Del Granado (R)

Division of Nephrology, Hospital Obrero No 2 - CNS, Cochabamba, Bolivia.
Universidad Mayor de San Simon, School of Medicine, Cochabamba, Bolivia.

Barbara J Evans (BJ)

Intelligent Critical Care Center, University of Florida, Gainesville, FL, USA.

Lui G Forni (LG)

Department of Critical Care, Royal Surrey Hospital NHS Foundation Trust & Department of Clinical & Experimental Medicine, University of Surrey, Guildford, UK.

Erina Ghosh (E)

Philips Research North America, Cambridge, MA, USA.

Stuart L Goldstein (SL)

Center for Acute Care Nephrology, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, USA.

Sandra L Kane-Gill (SL)

Biomedical Informatics and Clinical Translational Sciences, University of Pittsburgh, Pittsburgh, PA, USA.

Jejo Koola (J)

UC San Diego Health Department of Biomedical Informatics, Department of Medicine, La Jolla, CA, USA.

Jay L Koyner (JL)

Section of Nephrology, Department of Medicine, University of Chicago, Chicago, IL, USA.

Mei Liu (M)

Department of Health Outcomes and Biomedical Informatics, University of Florida, Gainesville, FL, USA.

Raghavan Murugan (R)

The Program for Critical Care Nephrology, Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
The Clinical Research, Investigation, and Systems Modelling of Acute Illness Center, Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.

Girish N Nadkarni (GN)

Division of Data-Driven and Digital Medicine (D3M), Department of Medicine, Icahn School of Medicine at Mount Sinai; Mount Sinai Clinical Intelligence Center, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Javier A Neyra (JA)

Division of Nephrology, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.

Jacob Ninan (J)

Division of Pulmonary, Critical Care and Sleep Medicine, Mayo Clinic, Rochester, MN, USA.

Marlies Ostermann (M)

Department of Critical Care, King's College London, Guy's & St Thomas' Hospital, London, UK.

Neesh Pannu (N)

Division of Nephrology, University of Alberta, Edmonton, Canada.

Parisa Rashidi (P)

Intelligent Critical Care Center, University of Florida, Gainesville, FL, USA.

Claudio Ronco (C)

Università di Padova; Scientific Director Foundation IRRIV; International Renal Research Institute; San Bortolo Hospital, Vicenza, Italy.

Mitchell H Rosner (MH)

Department of Medicine, University of Virginia Health, Charlottesville, VA, USA.

Nicholas M Selby (NM)

Centre for Kidney Research and Innovation, Academic Unit of Translational Medical Sciences, University of Nottingham, Nottingham, UK.
Department of Renal Medicine, Royal Derby Hospital, Derby, UK.

Benjamin Shickel (B)

Intelligent Critical Care Center, University of Florida, Gainesville, FL, USA.

Karandeep Singh (K)

Department of Learning Health Sciences, University of Michigan Medical School, Ann Arbor, MI, USA.

Danielle E Soranno (DE)

Section of Nephrology, Department of Pediatrics, Indiana University, Riley Hospital for Children, Indianapolis, IN, USA.

Scott M Sutherland (SM)

Division of Nephrology, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA.

Azra Bihorac (A)

Intelligent Critical Care Center, University of Florida, Gainesville, FL, USA. abihorac@ufl.edu.

Ravindra L Mehta (RL)

Division of Nephrology-Hypertension, Department of Medicine, University of California San Diego, La Jolla, CA, USA. rmehta@health.ucsd.edu.

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