Study tests whether targeting alerts for kidney injury saves lives
NCT ID NCT02786277
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested a new way to send alerts to doctors when a patient develops acute kidney injury (AKI). Instead of alerting for every case, the system used a model to identify which patients would benefit most from the alert. Over 2,000 adults with AKI in the hospital were included. The goal was to see if this targeted approach could reduce the chance of kidney injury getting worse, needing dialysis, or death.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If successful, this could lead to smarter alert systems that reduce harm from acute kidney injury in hospitals.
- What could go wrong
- This is a completed study testing a targeting method, not a new treatment. Results may not apply to all hospitals or patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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2,046 people
The number who actually took part.
- Started
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Feb 2024
- Finished
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May 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Adults ≥ 18 years 2. Admitted to a participating hospital 3. Has AKI as defined by creatinine criteria: * 0.3 mg/dl increase in inpatient serum creatinine over 48 hours OR * 50% relative increase in inpatient serum creatinine over 7 days Exclusion Criteria: 1. Dialysis order prior to AKI onset 2. Initial creatinine ≥ 4.0 mg/dl 3. Prior admission in which patient was randomized 4. Admission to hospice service or comfort measures only order 5. ESKD diagnosis code 6. Kidney transplant within six months 7. Opted out of electronic health record research
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Yale New Haven Hospital
New Haven, Connecticut, 06510, United States
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