title: [Acute Kidney Injury - Potentials to Improve AKI-Related Health Care Structure].
abstract: 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.
authors.affiliation: Klinik für Nephrologie, Universitätsklinikum Heidelberg.
authors.forename: Christian
authors.initials: C
authors.lastname: Nusshag
authors.affiliation: Mannheim Institute of Public Health (MIPH), Universität Heidelberg.
authors.forename: Konrad
authors.initials: K
authors.lastname: Obermann
authors.affiliation: Anästhesiologische Klinik, Universitätsklinikum Heidelberg.
authors.forename: Markus
authors.initials: M
authors.lastname: Weigand
authors.affiliation: Klinik für Nieren-, Hochdruck- und Autoimmunerkrankungen, Klinikum Stuttgart.
authors.forename: Vedat
authors.initials: V
authors.lastname: Schwenger
mesh_terms: D058186:Acute Kidney Injury / Q000191:economics* / Q000401:mortality / Q000628:therapy*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017048:Health Care Costs / Q000706:statistics & numerical data*; D006801:Humans; D008875:Middle Aged; D018803:Models, Economic; D015995:Prevalence; D058996:Quality Improvement; D017582:Renal Replacement Therapy / Q000191:economics* / Q000401:mortality*; D012307:Risk Factors; D015996:Survival Rate; D016896:Treatment Outcome