Kidney alert team may cut deaths in hospital patients
NCT ID NCT05033652
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested whether quickly alerting a kidney specialist team when hospitalized patients show signs of severe kidney disease could improve survival. Over 1,100 patients in France were included. The team of a nephrologist and pharmacist would help manage care during the hospital stay and plan follow-up after discharge. The goal was to see if this approach reduces deaths one year later.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- specialized care team (nephrologist and pharmacist)
- What this could lead to
- If successful, this approach could reduce deaths and improve kidney care for hospitalized patients with severe kidney disease.
- What could go wrong
- This is a completed pragmatic study, not a randomized trial, so results may be influenced by other factors. The intervention is complex and may not be easy to replicate in 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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1,179 people
The number who actually took part.
- Started
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Aug 2022
- Finished
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Dec 2024
- 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.
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: * The patient or their representative must have given their free and informed consent oral consent * The patient must be a member or beneficiary of a health insurance plan * Patient living in the Gard, France * Patient with abnormal dose: * Severe grade 4 or 5 CKD suspected in front of a GFR \<30 mL / min / 1.73m2 persisting during hospitalization. * Acute kidney injury \> stage 1 defined by an increase in serum creatinine of at least 100% in less than 7 days or a threshold greater than 354 µmol / l. Exclusion Criteria: * The subject is participating in another category I interventional study, or is in a period of exclusion determined by a previous study * It is impossible to give the subject or their representative informed information * The patient is under safeguard of justice or state guardianship * Patient is pregnant, parturient or breastfeeding. * Patient unable to express consent * Patient with Stage 1 Acute kidney injury defined by an increase in serum creatinine of more than 26 µmol / l in less than 48 hours or a 50% increase in serum creatinine within 7 days. * Patient with stage 1 to 3 CKD (glomerular filtration rate (GFR)\> 30 mL / min / 1.73m2) * Palliative/end-of-life patients * Patients who died within 72 hours of receiving the signal * Patients hospitalized in nephrology after an emergency room visit only * Patients under guardianship.
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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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CH Alès Cévennes
Alès, France
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CH Bagnols-sur-Cèze
Bagnols-sur-Cèze, France
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CHU de Nîmes
Nîmes, France
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