Table 1 Use of electronic alerts for detection of acute kidney injury in clinical studies
Study | Number of participants | Setting | Process of care | Outcome |
|---|---|---|---|---|
Studies reporting on the use of e-alerts without measurement of process of care or outcome | ||||
Colpaert (2007) [6] | Â | ICU | Â | Â |
Thomas (2011) [7] | 463 patients | 2 hospitals | Â | Â |
Selby (2012) [8] | 2619 patients | 1 hospital | Â | Â |
Porter (2014) [9] | 15,550 patients/22,754 admissions | 2 hospitals | Â | Â |
Handler (2014) [10] | 249 patients | 4 nursing homes | Â | Â |
Wallace (2014) [11] | 23,809 | Hospital | Â | Â |
Ahmed (2015) [12] | 944 | ICU | Â | Â |
Studies reporting on the use of e-alerts: no improvement reported | ||||
Sellier (2009) [13] | 603 | Hospital | No impact on prescription errors | Â |
Thomas (2015) [14] | 308 | Hospital | Â | No difference in outcome of AKI |
Wilson (2015) [15] | 23,664 | Hospital | Â | No effect on AKI rate |
Studies reporting on the use of e-alerts: improvement reported | ||||
Rind (1991) [16] | 10,076 patients /13,703 admissions | Hospital | Adjustment of medication sooner | Â |
Rind (1994) [17] | 20,228 admissions | Hospital | Adjustment of medication sooner | Decreased risk for AKI |
Chertow (2001) [18] | 17,828 patients | Hospital | More adequate antibiotic prescription | Â |
McCoy (2010) [19] | 1237 patients | Hospital | More adequate medication prescription | Â |
Terrel (2010) [20] | 2783 patients visits | Emergency room | More adequate dosing | Â |
Cho (2012) [21] | 463 patients | Hospital | More contrast prophylaxis | Less AKI |
Colpaert (2012) [22] | 951 patients | ICU | More and earlier interventions for AKI | Less progression AKI |
Goldstein (2013) [23] | 21,807 patients/27,711 admissions | Pediatric hospital | Â | Less AKI |
Selby (2013) [24] | 8411 patients | Hospital | Â | Decreased mortality AKI |
Claus (2015) [25] | 87 patients | ICU | Decrease workload pharmacist | Â |
Kolhe (2015) [26] | 2297 patients | Hospital | Â | Less AKI progression Decreased mortality |