Browsing by Autor "Sanjib Kumar Sharma"

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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
Preventing renal and cardiovascular risk by renal function assessment: insights from a cross-sectional study in low-income countries and the USA
(BMJ, 2012) Paolo Cravedi; Sanjib Kumar Sharma; Rodolfo Flores Bravo; Nazmul Islam; Irma Tchokhonelidze; Madhav Prasad Ghimire; Bishnu Pahari; Sanjeev Thapa; Anil Basnet; Avtandil Tataradze
Renal abnormalities are common among low-income countries and in the USA. Prevention programmes, particularly focused on those with renal abnormalities, should be established worldwide to prevent CVD and progression to end-stage renal disease.
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.