Browsing by Autor "Emmanuel A. Burdmann"

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EPILAT-IRA Study: A contribution to the understanding of the epidemiology of acute kidney injury in Latin America
(Public Library of Science, 2019) Raúl Lombardi; Alejandro Ferreiro; Rolando Claure‐Del Granado; Emmanuel A. Burdmann; Guillermo Rosa-Díez; Luís Yu; Maurício Younes-Ibrahim; Cristina Carlino; Jonathan S. Chávez-Íñiguez; Mariana Batista Pereira
AKI was mainly community-acquired, in patients with comorbidities and linked to fluid loss and nephrotoxic drugs. Mortality was high and long-term follow up poor. Notwithstanding, the study shows partially the situation in the participant countries rather than the actual epidemiology of AKI in Latin America and Caribbean, a pending and needed task.
Identification and Management of Acute Kidney Disease as Part of Routine Clinical Care in Low-Resource Settings: The International Society of Nephrology Kidney Care Network Project
(RELX Group (Netherlands), 2023) Rhys David Russell Evans; Sanjeev Sharma; Rolando Claure Granado; Brett Cullis; Emmanuel A. Burdmann; Francisco Oscar de Siqueira França; Junio Aguiar Azevedo; Martyn Fredlund; Kelly J. Hendricks; Maria Iturricha- Caceres
Identification and outcomes of acute kidney disease in patients presenting in Bolivia, Brazil, South Africa, and Nepal
(Public Library of Science, 2024) Rhys Evans; Sanjib Kumar Sharma; Rolando Claure‐Del Granado; Brett Cullis; Emmanuel A. Burdmann; Fos Franca; Junio Aguiar; Martyn Fredlund; Kelly J. Hendricks; Maria F. Iturricha-Cáceres
The use of a risk score can aid AKD identification in LLMICs. High rates of persistent kidney disease and mortality after discharge highlight the importance of AKD follow-up in low-resource settings.
Management of acute kidney disease as part of routine clinical care in low-resource settings: The International Society of Nephrology Kidney Care Network Project
(Public Library of Science, 2025) Rhys Evans; Sanjib Kumar Sharma; Rolando Claure‐Del Granado; Brett Cullis; Emmanuel A. Burdmann; Fos Franca; Junio Aguiar; Martyn Fredlund; Kelly J. Hendricks; Maria F. Iturricha-Cáceres
Acute Kidney Disease (AKD) commonly affects disadvantaged populations in low-resourced areas with poor access to kidney care. Here, barriers to management include a lack of AKD education alongside an inability to measure serum creatinine (SCr) to identify kidney disease. The Kidney Care Network (KCN) is a service improvement initiative which aims to implement a novel strategy for the management of AKD into routine clinical care in low- and low-middle income countries (LLMICs). The strategy includes the development of a scoring system to screen patients for risk of AKD and the use of a device to measure SCr at the point-of-care (POC). This approach is underpinned by dedicated AKD training activities for healthcare workers providing front line clinical care. We report feasibility in the implementation of the KCN approach in adults in 4 LLMICs. Between 2018-2020, 4311 patients at project sites in Bolivia, Brazil, Nepal, and South Africa were deemed at risk of kidney disease and underwent SCr testing, predominantly with the POC device. AKD was identified in 2922 (67.8%) patients. AKD was most commonly due to infections and hypovolemia, and as such was treatable by relatively simple means. Most patients with AKD were treated at the site of patient presentation, including rural primary healthcare facilities, and with early AKD identification the need for kidney replacement therapy was low. In-hospital mortality was only 2.9% and follow-up occurred at 3 months in 1865 (62.3%) patients discharged post AKD diagnosis. Hence, we show the KCN approach is a feasible and effective mechanism for improving AKD management in LLMICs.
POS-016 IDENTIFYING KIDNEY DYSFUNCTION IN THE COMMUNITY SETTING: THE ISN KIDNEY CARE NETWORK PROJECT
(Elsevier BV, 2021) Rhys Evans; Sanjib Kumar Sharma; Rolando Claure‐Del Granado; Brett Cullis; Emmanuel A. Burdmann; K. Hendricks; David C.H. Harris; Michael V. Rocco
POS-017 CAUSES OF ACUTE KIDNEY INJURY IN THE COMMUNITY SETTING: THE ISN KIDNEY CARE NETWORK PROJECT
(Elsevier BV, 2021) Rhys Evans; Sanjib Kumar Sharma; Rolando Claure‐Del Granado; Brett Cullis; Emmanuel A. Burdmann; K. Hendricks; David C.H. Harris; Michael V. Rocco
Community-acquired acute kidney injury (AKI) is common, but often unrecognized in resource-constrained settings. Limited lab assessments and lack of information on the prior state of kidney health contribute to this lack of recognition. In this study, we evaluated the cause of AKI in patients in whom AKI was suspected and then verified at initial presentation with point-of-care (POC) serum creatinine (sCr) testing.
POS-018 TREATMENT OF ACUTE KIDNEY INJURY IN THE COMMUNITY SETTING: THE ISN KIDNEY CARE NETWORK PROJECT
(Elsevier BV, 2021) Rachael A Evans; Sanjib Kumar Sharma; Rolando Claure‐Del Granado; Brett Cullis; Emmanuel A. Burdmann; K. Hendricks; D. E. Harris; Micheal V Rocco
Recognition and management of community-acquired acute kidney injury in low-resource settings in the ISN 0by25 trial: A multi-country feasibility study
(Public Library of Science, 2021) Etienne Macedo; Ulla Hemmilä; Sanjib Kumar Sharma; Rolando Claure‐Del Granado; Henry Mzinganjira; Emmanuel A. Burdmann; Jorge Cerdá; John Feehally; Fredric O. Finkelstein; Guillermo García-García
This multicenter, non-randomized feasibility study in low-resource settings demonstrates that it is feasible to implement a comprehensive program utilizing POC testing and protocol-based management to improve the recognition and management of AKI and AKD in high-risk patients in primary care.
SAT-173 RISK FACTORS AND DEFINITION OF KIDNEY DYSFUNCTION IN THE COMMUNITY SETTING: THE ISN 0BY25 INITIATIVE
(Elsevier BV, 2019) Etienne Macedo; Suvasini Sharma; Ulla Hemmilä; Rolando Claure‐Del Granado; Emmanuel A. Burdmann; Jorge Cerdá; Michael V. Rocco; Ravindra L. Mehta
Community-acquired acute kidney injury (CA-AKI) is common, but often unrecognized in resource- constrained settings. Risk factors for CA-AKI development have not been well studied in Low and Lower-Middle Income Countries (LLMIC). A key limitation is the heterogeneity of diseases and a lack of a standardized approach to evaluating renal dysfunction. Limited lab assessments and lack of information on the prior state of kidney health contribute to this lack of recognition. In this study, we evaluated the risk factors associated with acute kidney disease (AKD) and the efficacy of point of care (POC) serum creatinine (sCr) and urine dipstick tests to identify patients with kidney dysfunction at presentation to community health centers (CHC) and emergency departments (ED), as part of the International Society of Nephrology (ISN) 0by25 Pilot Feasibility Project.
WCN23-0708 IDENTIFICATION AND MANAGEMENT OF KIDNEY DISEASE AS PART OF ROUTINE CLINICAL CARE IN LOW-RESOURCE SETTINGS: THE ISN KIDNEY CARE NETWORK PROJECT
(Elsevier BV, 2023) R. Evans; S. Sharma; R. Claure-Del Grando; B. Cullis; Emmanuel A. Burdmann; Fos Franca; Junio Aguiar; M. Fredlund; Kate A. Hendricks; D. Harris
The International Society of Nephrology (ISN) 0by25 Initiative calls for global strategies to diagnose and treat kidney disease (KD) in patients with potentially reversible causes, especially in Low- and Low-middle income countries (LLMICs). Based on outcomes from the 0by25 Pilot Feasibility Study, the Kidney Care Network (KCN) project aims to implement a strategy to identify and manage KD as part of routine clinical care. We report the results from this implementation project in 4 LLMICs.