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Abstract: PO0210

AKI!Now: Defining Excellence in the Prevention of and Care for Patients with AKI

Session Information

Category: Acute Kidney Injury

  • 101 AKI: Epidemiology, Risk Factors, and Prevention

Authors

  • Cerda, Jorge, Albany Medical College, Albany, New York, United States
  • Parikh, Samir M., Beth Israel Deaconess Medical Center, Boston, Massachusetts, United States
  • Koyner, Jay L., University of Chicago Pritzker School of Medicine, Chicago, Illinois, United States
  • Vijayan, Anitha, Washington University in St Louis, St Louis, Missouri, United States
  • Goldstein, Stuart, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, United States
  • Liu, Kathleen D., University of California San Francisco, San Francisco, California, United States
  • Ostermann, Marlies, Guy's and St Thomas' NHS Foundation Trust, London, London, United Kingdom
  • Agarwal, Anupam, The University of Alabama at Birmingham School of Medicine, Birmingham, Alabama, United States
  • Okusa, Mark D., University of Virginia Medical Center, Charlottesville, Virginia, United States

Group or Team Name

  • AKI!Now Initiative of the American Society of Nephrology
Background

ASN is committed to define excellence in AKI prevention and care to transform management, reduce morbidity, mortality and improve long-term outcomes. AKI!Now addresses a set of well-defined objectives to achieve those goals.

Methods

The AKI!Now initiative has developed a broad education program that bridges the continuum from basic investigation to clinical studies focused on early recognition, intervention, and effective therapies with a patient-centered focus

Results

Workgroups and tasks: Basic Science: AKI-Specific Early Interventions: Leverage basic science discoveries to innovate in AKI prevention, diagnosis, and treatment; develop a centralized research portal; promote AKI research and translational initiatives; create a roadmap to facilitate discovery and novel interventions; and enhance communication within the community. AKI Recognition and Clinical Interventions: Artificial Intelligence (AI): Design fair and equitable AI tools among physicians and researchers; and provide expert input on pathways to implement AI tools in all clinical contexts. Post-AKI Recovery: Identify mechanisms of repair to identify treatment strategies to accelerate recovery; prevent adverse outcomes and identify areas of priority research; promote comparative effectiveness research benchmarks; develop, test, and promote strategies to build capacity for post-AKI care. Public Awareness and Education: Leverage existing and develop novel education processes for health professionals and patients and multiple resources including the AKI!Now Compendium, focusing on AKI recognition, management, and recovery; collaboratively emphasize the role of continuous quality improvement in AKI recognition and care, and include patients and families in the healing process.

Conclusion

AKI is common, serious, under-recognized across the life span, and associated with severe risk of progressive adverse outcomes. Education at all levels; use of AI to improve pattern recognition, prevention, and management; development of novel specific therapies through better understanding of AKI mechanisms; and appropriate post-AKI recovery care will alleviate the severe short- and long-term individual and societal AKI impacts.