Association Between Early Follow-up with a Nephrologist and Death in Survivors of Acute Kidney Injury

Background: Survivors of severe acute kidney injury remain at high risk of death well-after apparent recovery from the initial event. Methods: We conducted a cohort study of hospitalized adults in Ontario from 1996 to 2008 with acute kidney injury who received temporary dialysis and survived for 90 days following discharge independent from dialysis. The exposure was nephrology follow-up. We used propensity scores to match individuals with early nephrology follow-up to those without. The primary outcome was time to mortality. Results : We identified 3877 patients with acute kidney injury who met the eligibility criteria. A total of 1583 patients had nephrology follow. The incidence of all-cause mortality was lower in those with early nephrology follow-up as compared to those without early follow-up (8.4 vs. 10.6 per 100 person-years, HR 0.76 (95% CI 0.62-0.93)). Conclusions: Nephrology follow-up after hospitalization with acute kidney injury and temporary dialysis was associated with improved survival.MAS