{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T19:23:40Z","timestamp":1789154620132,"version":"build-2803163510"},"reference-count":27,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,1,20]],"date-time":"2022-01-20T00:00:00Z","timestamp":1642636800000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Internal Medicine Journal"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Survivors of acute kidney injury (AKI) are at increased risk of major adverse kidney events and international guidelines recommend individuals be evaluated 3 months following AKI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>We describe practice patterns and predictors of post\u2010AKI care in an Australian tertiary hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective analysis was undertaken of adults with AKI (defined by KDIGO criteria) admitted to a single centre between 2012 and 2016. The primary outcome was outpatient nephrology review at 3 months. Secondary outcomes included inpatient nephrology review, and outpatient serum creatinine and urinary protein measurements. Data were analysed using multivariable logistic and competing risk regression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Only 117 of 2111 (6%) patients with AKI were reviewed by a nephrologist at 3 months. Reviewed patients were more likely to have a higher discharge serum creatinine (odds ratio (OR) 1.20 per 10 \u03bcmol\/L increase; 95% confidence interval (CI) 1.16\u20131.25) or a history of peripheral vascular disease (OR 1.77; 95% CI 1.00\u20133.14). They were less likely to be older (OR 0.66 per decade; 95% CI 0.57\u20130.76) or to have a history of liver (OR 0.47; 95% CI 0.26\u20130.87) or ischaemic heart (OR 0.50; 95% CI 0.27\u20130.94) disease. AKI stage did not predict follow up. The median time from discharge to outpatient serum creatinine testing was 12\u2009days (interquartile range 4\u201347) and proteinuria was measured in 538 (25%) patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A minority of admitted AKI patients receive recommended post\u2010AKI care. Studies in other Australian institutions are required to confirm or refute these concerning findings.<\/jats:p><\/jats:sec>","DOI":"10.1111\/imj.15138","type":"journal-article","created":{"date-parts":[[2020,11,16]],"date-time":"2020-11-16T13:42:41Z","timestamp":1605534161000},"page":"79-88","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Practice patterns and predictors of outpatient care following acute kidney injury in an Australian healthcare setting"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4436-4319","authenticated-orcid":false,"given":"Emily J.","family":"See","sequence":"first","affiliation":[{"name":"Department of Intensive Care Austin Hospital  Melbourne Victoria Australia"},{"name":"School of Medicine University of Melbourne  Melbourne Victoria Australia"},{"name":"Department for Continuing Education University of Oxford  Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David G.","family":"Ransley","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Austin Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevan R.","family":"Polkinghorne","sequence":"additional","affiliation":[{"name":"Department of Medicine Monash University  Melbourne Victoria Australia"},{"name":"Department of Nephrology Monash Health  Melbourne Victoria Australia"},{"name":"Department of Epidemiology and Preventative Medicine, Australian and New Zealand Intensive Care Research Centre Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2853-5096","authenticated-orcid":false,"given":"Nigel D.","family":"Toussaint","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Melbourne  Melbourne Victoria Australia"},{"name":"Department of Nephrology The Royal Melbourne Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Bailey","sequence":"additional","affiliation":[{"name":"School of Medicine University of Melbourne  Melbourne Victoria Australia"},{"name":"Australian and New Zealand Intensive Care Research Centre Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David W.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Department of Nephrology Princess Alexandra Hospital  Brisbane Queensland Australia"},{"name":"Centre for Kidney Disease Research University of Queensland  Brisbane Queensland Australia"},{"name":"Australasian Kidney Trials Network  Brisbane Queensland Australia"},{"name":"Translational Research Institute  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ray","family":"Robbins","sequence":"additional","affiliation":[{"name":"Data Analytics Research and Evaluation The University of Melbourne and Austin Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rinaldo","family":"Bellomo","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Austin Hospital  Melbourne Victoria Australia"},{"name":"School of Medicine University of Melbourne  Melbourne Victoria Australia"},{"name":"Data Analytics Research and Evaluation The University of Melbourne and Austin Hospital  Melbourne Victoria Australia"},{"name":"Department of Intensive Care Royal Melbourne Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,1,20]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41581-018-0052-0"},{"key":"e_1_2_6_3_1","first-page":"1","volume-title":"Acute Kidney Injury in Australia: A First National Snapshot. 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