In my 3y experience most post-natal AKI alerts have been from hospital requests and those clinicians well aware and not phased by receiving them, I don't actually recall any from primary care.



Best wishes

Anne

Dr Anne Dawnay PhD FRCPath

Consultant Biochemist

Clinical Lead UCLH Clinical Biochemistry & Chair UCLH POCT Committee

Tel 020 344 72954 direct dial





Date:    Tue, 23 Jun 2015 23:18:06 +0100

From:    Robert Hill <[log in to unmask]>

Subject: AKI warning stage test results in pregnancy



Mike Cornes has raised an issue about the increased GFR during pregnancy leading to low baseline serum creatinines which can generate AKI warning stage test results if serum creatinine is measured during the year following pregnancy. The detection workstream of the "Think Kidneys"

has been aware of this potential problem for some time. We are discussing the scenario and an appropriate response with an expert in renal function during pregnancy. It is unlikely that there will be a simple fix because most LIMS do not contain reliable pregnancy status information regardless of whether a field exists for pregnancy within the LIMS database. One important piece of information we lack is how often serum creatinine is  likely to be measured in the year following pregnancy. If anyone has any relevant information on this, please share it.

This is an issue which may only reveal itself when AKI messaging is switched on to primary care. Primary care messaging is the second phase of this project planned to run from June 2015 to June 2016. However I am aware that some colleagues had included primary care during the first phase for historical reasons. The result of our consultations will be posted here and, if necessary, added to existing best practice guidance.



------------------------------



Date:    Tue, 23 Jun 2015 23:23:41 +0100

From:    Robert Hill <[log in to unmask]>

Subject: Correction to AKI detection following pregnancy message



Sorry - it was Michael Colley who raised this issue



------------------------------






------------------------------------------------------------------------
This email is confidential and is intended solely for the person or
entity to whom it is addressed.  If this is not you, please forward the
message to [log in to unmask]  We have scanned this email
before sending it, but cannot guarantee that malicious software is
absent and we shall carry no liability in this regard.

We advise that information intended to be kept confidential should not
be sent by email.  We also advise that health concerns should be
discussed with a medical professional in person or by telephone.
NHS 111 can also provide advice.  We shall not be liable for any
failure to follow this advice. University College London Hospitals NHS
Foundation Trust (UCLH).