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Churpek et al., “Early Nephrology Consultation and Acute Kidney Injury in Hospitalized Patients”
University of Chicago and University of Wisconsin researchers randomized 180 hospitalized patients identified by a real-time machine-learning score as being at elevated risk of acute kidney injury. Triggering an early structured nephrology consultation did not significantly reduce peak creatinine changes, acute kidney injury, mortality, readmission, or other major outcomes; many specialist recommendations were not followed by the treating teams.
University of Chicago and University of Wisconsin researchers randomized 180 hospitalized patients identified by a real-time machine-learning score as being at elevated risk of acute kidney injury.
Why it matters
This provides unusually valuable negative evidence: an accurate risk signal did not improve outcomes when the surrounding clinical workflow could not reliably convert prediction into action.
Primary trail
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