Tackling acute kidney injury: Towards a NW regional strategy
Acute kidney injury (AKI), the sudden reduction in kidney function resulting in inability to adequately manage fluid, electrolytes and toxic wastes occurs in up to 25% of hospital admissions.
These patients have an increased length of hospital stay, are more likely to be admitted to intensive care and have an increased risk of death compared with their peers who never developed AKI. Although many cases of AKI are preventable and many more are potentially modifiable, a recent UK enquiry into hospital deaths (NCEPOD, 2009) found significant deficiencies in the identification and management of cases of AKI. It recommended that healthcare organisations make AKI a top priority and put in place a strategy to reduce its incidence and institute appropriate management when diagnosed.
AKI Task Force
In 2013, an AKI Task Force was created at Central Manchester University Hospitals NHS Foundation Trust. This team, consisting of senior clinicians and managers, have set out to devise, pilot, implement and roll-out a simple but robust and transferable strategy for tackling in-hospital AKI. The data from this controlled study will inform a final AKI management strategy to be rolled out across the Trust. Recognising that any such AKI strategy is likely to have a greater impact if implemented regionally, the AKI team is engaging with other key stakeholders across Greater Manchester, Lancashire and Cumbria and the North West of England with a view to working towards a uniform, transferrable, cost-effective regional AKI strategy.