Method: Randomized Controlled Trial Study Duration: 3 Years Study Centre(s) University of Calgary and University of Alberta Objectives: To fill care gaps by implementing strategies to reduce length of hospital stay, readmission rates, and improve long-term outcomes after Acute Kidney Injury (AKI). Number of Participants: Three Hundred and fifty four (n=354) Diagnosis and Main Inclusion Criteria: Hospitalized adults with AKI at high risk of hospital readmission or death
Study Intervention: Multi-component Digital Health Solutions, including:
1. Computerized Clinical Decision Support (CDS) and 2. Virtual Care Delivered through Hospital at Home (VC) Duration of administration: Determined by the Patient's clinical team Reference therapy: Usual Care Statistical Analyses: Descriptive Analysis, Regression
Age ≥ 18 years old.
AKI identified in hospital using Kidney Disease Improving Global Outcomes (KDIGO) criteria17.
Hospitalization > 48 hours.
LACE (L= Length patient Stay in the hospital, A= Acuity of Admission of patient in the hospital, C= Comorbidity and E= Emergency Visit.) Score 12 or higher.
Non-Alberta residents.
Resides outside the catchment areas for the Calgary and Edmonton Virtual Home Hospital programs.
C1 or C2 goals of care.
Hospitalization > 30 days.
Parallel
Virtual Care
Other interventionParticipants will go through Virtual hospital programs following the processes established by these programs in Alberta.
the number of days alive out of hospital
the number of days alive out of hospital
the time as inpatient in hospital
the time as inpatient in hospital
death
death records from health administrative data.
hospital readmission
hospital readmission records from health administrative data.
Emergency Department visits
Emergency Department visit records from health administrative data.
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University of Calgary
Lead sponsor
Alberta Health services
Collaborator
