Work

Success in Reducing Acute Kidney Injury Post-Percutaneous Coronary Intervention

Year: 2025

Type: article

Abstract: BACKGROUND: Acute kidney injury (AKI) after percutaneous coronary intervention (PCI) contributes to short- and long-term adverse events. In 2018, our rate for AKI was in the lower quartile for several quarters compared to other hospitals in the American College of Cardiology National Cardiovascular Data Registry Cath/PCI Registry. PROJECT RATIONALE: Our quality initiative (QI) project was to understand factors contributing to AKI and opportunities to improve this outcome. PROJECT SUMMARY: A significant delay to the initiation and volume of hydration administered in patients with AKI as compared to without AKI post-PCI was discovered. Lack of understanding hydration order set, fear of volume overload, hydration communication handoff deficiencies, and order-release process variation were contributing factors. Appropriate and sustainable interventions were made improving AKI post-PCI. TAKE-HOME MESSAGES: A successful QI project requires a multidisciplinary team identifying barriers and deriving solutions. Our QI project resulted in AKI post-PCI improving to the 90th percentile for 9 consecutive quarters.

Source: JACC Case Reports

DOI: 10.1016/j.jaccas.2025.105320

Authors: Jacob Anthuvan, Patricia Blake, Danielle Blais, Jorge Lima, Don Logan, Konstantinos Dean Boudoulas

Institutions: The Ohio State University, The Ohio State University Wexner Medical Center

Language: English

Topic: Acute Kidney Injury Research

Subfield: Nephrology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $850