Clinical Significance Of Building A AKI Real-time Electronic Early Warning And Care Bundle System In ICU Patients

Obejective To construct a reliable and practical AKI real-time electronic warning and AKI care Bundle system In the ICU.AKI real-time electronic warning and AKI care Bundle system are used to diagnose AKI early and standardize AKI,so as to improve the prognosis of AKI patients in ICU.Methods A real-time AKI electronic early warning system is built in the ICU with the help of the digital ICU information management platform system.The AKI care Bundle is developed in the form of a Check List and loaded into the current electronic medical record system.All the critically ill patients who received ICU in 6 months before and after the AKI electronic warning system were constructed as the control group and the study group,length of stay in ICU,hospitalization time,and progress to the higher level of AKI were compared between the control group and the study group.Proportion,early AKI recovery(48 hours),renal function recovery at the time of transfer or discharge,28-day mortality,ICU mortality,and hospital mortality were used to assess the impact of the system on patient outcomes.Results The sensitivity,specificity,and Youden Index of the AKI e-alert system were98.5%,92%and 90.5%,respectively.1312 patients were included in this study,the diagnosis rate of AKI in alert group was higher than that in the non-alert group(28.2% and 13.4%,P<0.001).The difference was statistically significant.The two groups of patients were manually verified.The incidence of AKI in the early alert group and the non-alert group was no difference significant in the prevalence dialysis(28.2% and 30.2%,P=0.426).The incidence of AKI stage 1 in the early alert group was higher than that in the non-alert group(76.8% and 56.1%,P=0.031),in the AKI stage 2 and stage 3 patients,the incidence of the early alert group was lower than that of the non-alert group(23.2% and 43.9%,P < 0.001),the difference was statistically significant.The early recovery rate of renal function in the early alert group was higher than that in the non-alert group(50.5% and 21.9%,P<0.001).There was no significant difference in rehabilitation of renal function between the two groups(49.5% and 43.2%,P=0.652).There was no statistically significant difference in the length of stay in ICU,length of stay,ICU mortality,in-hospital mortality,and 28-day mortality(P= 0.371,0.204,0.724,0.712,0.58).