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AI tool aims to predict and prevent kidney damage after surgery
NCT ID NCT07604662
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests whether a machine-learning tool built into electronic health records can help doctors reduce kidney injury after surgery. Over 25,000 adults having non-emergency surgery will take part. Doctors are randomly assigned to see the tool's risk prediction, see it with an alert, or not see it at all. The goal is to see if the tool improves care and lowers kidney damage.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- EHR-Embedded AKI Risk Score (a machine-learning tool that predicts kidney injury risk)
- What this could lead to
- If it works, this could show that using a computer tool in medical records helps doctors protect patients' kidneys after surgery, reducing complications.
- What could go wrong
- This is a pragmatic trial testing a decision-support tool, not a new drug. The tool only advises doctors, so its impact depends on whether doctors follow the recommendations. Results may not apply to other hospitals.
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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About 25,518 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Oct 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2027
An estimate. End dates often move.
- 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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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adults ≥18 years undergoing non-obstetric surgery at UCSF. * Inpatient cases with expected overnight stay. * Baseline eGFR ≥15 mL/min/1.73 m². * Managed by an attending anesthesiologist randomized to one of three arms (CRNAs/residents follow attending). * Data available in the UCSF EHR for risk scoring and outcomes. Exclusion Criteria: * Obstetric procedures. * Chronic dialysis patients. * Kidney transplant recipients. * Cases without baseline creatinine/eGFR or missing essential EHR elements needed for scoring/outcomes (operational exclusions). * Outpatient procedures without expected overnight stay.
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Get notified about this study
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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University of California, San Francisco
San Francisco, California, 94158, United States
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Other studies related to the condition(s) this trial covers.
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- Can watching kidney oxygen during liver surgery keep kidneys safe?