Meta AnalysisID 2031

需要紧急干预的肌酐结果实验室危急风险预警阈值:一项系统评价

CRD42019141788

What is the evidence for laboratory critical risk thresholds for creatinine results that require immediate medical intervention due to risk of major patient harm? What are these critical risk thresholds and how do they c

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Record Fields

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Meta Analysis Id
2031
Evidence Id
10589
Core Evidence Id
10589
Source Meta Analysis Id
1974
Herb2 Meta Analysis Id
HBMA001974
Crd Id
CRD42019141788
Title
Laboratory critical risk alert thresholds for creatinine results requiring immediate intervention - a systematic review
Review Question
What is the evidence for laboratory critical risk thresholds for creatinine results that require immediate medical intervention due to risk of major patient harm? What are these critical risk thresholds and how do they compare in terms of patient outcomes?
Study Type Included
Original research articles (not letters, reviews or abstracts only). Observational/interventional, prospective/retrospective studies are acceptable.
Condition Being Studied
Renal diseases (both acute and chronic) and generic markers of patient outcomes (hospitalisation, length of stay, mortality).
Participant
Inclusion criteria - Human inpatients and outpatients who have had a blood specimen analysed for creatinine at a medical laboratory. Exclusion criteria - Human inpatients and outpatients who have NOT had a blood specimen analysed for creatinine at a medical laboratory.
Animal
Human Disease Modelled
Intervention
Patients with critical creatinine results requiring immediate medical attention/action
Comparator Control
Patients with normal/non-critical creatinine results
Main Outcome
Hospital admission (admission from outpatient facility/home/lower level of care) Length of stay (as hospital inpatient) New diagnosis of acute kidney injury (using KDIGO or similar measure) New diagnosis of chronic renal failure (using KDIGO or similar measure) Mortality (must be linked to illness responsible for change in creatinine, e.g. death occurring within a month of onset or as a result of complications of renal disease that was detected with change in creatinine To compare the quality of studies included in the review Measures of effect As above
Outcome Measure
Additional Outcome
None Measures of effect Not applicable
Study Method
Diagnostic, Narrative synthesis, Prevention, Systematic review
Keyword
Creatinine; Humans; Laboratories; Risk
Contact
Robert Heron [email protected]
Organisational Affiliation
Auckland District Health Board, New Zealand Australian Institute of Health Innovation, Macquarie University https://www.adhb.health.nz/
Funding Source
Royal College of Pathologists of Australasia Australasian Association of Clinical Biochemists National Health and Medical Research Council (1111925)
Other Selection Criteria
Final Publication
Same Topic Review
Published Protocol
Review Type
Language
English
Country
New Zealand
Review Stage
Review Ongoing
First Submission Date
2019-07-21
Registration Date
2019-11-01
Anticipated Start Date
2019-07-15
Anticipated Completion Date
2020-07-15
Title Cn
需要紧急干预的肌酐结果实验室危急风险预警阈值:一项系统评价
Title En
Laboratory critical risk alert thresholds for creatinine results requiring immediate intervention - a systematic review
Bilingual Status
complete