The goal of this study is to learn whether adding a clinical decision support tool to the electronic medical record helps clinicians use the furosemide stress test in critically ill children at high risk for severe acute kidney injury (AKI). The main question it aims to answer is: Does implementing the decision support tool reduce fluid overload and help predict which children will receive dialysis?
Researchers will identify children admitted to the pediatric intensive care unit who are at high risk for AKI using risk stratification and biomarker testing, then compare outcomes in the two years after the tool is introduced with the two years before.
Admitted to the pediatric intensive care unit (PICU)
Renal Angina Index (RAI) greater than or equal to 8 (RAI+)
Urine NGAL greater than or equal to 150 ng/mL (NGAL+)
Receipt of renal replacement therapy prior to PICU admission