Acute Kidney Injury - Potentials to Improve AKI-Related Health Care Structure

作者：Nusshag Christian; Obermann Konrad; Weigand Markus; Schwenger Vedat

来源：Deutsche Medizinische Wochenschrift, 2017, 142(7): 534-540.

DOI：10.1055/s-0042-120808

• acute kidney injury (AKI) in Germany
• renal replacement therapy
• health care structure
• economics
• systematic review

Since 2005 the AKI numbers nearly increased threefold. The prevailing health care structure for AKI-management in Germany possesses major potential for improvement. Despite a clear advantage regarding mortality and renal recovery, the cost-intensive CRRT is the predominant procedure in AKI-therapy. Conversion of 85 % of the CRRT-procedures to a dialysis procedure (IHD/SLED) enables annual savings in AKI-therapy by 7.3 million Euros. A reinvestment can finance a strengthened collaboration with licensed nephrologists to improve therapy quality and availability of RRT-units in local hospitals. The the long term aim is the establishment of national therapy guidelines. Lower consequential costs are crucial incentives.

• 出版日期2017-4