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Trial · NCT02786277

Learning Alerts for Acute Kidney Injury

NCT02786277, Not applicable, Completed, Yale University; results first posted 2025-10-08

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Learning Alerts for Acute Kidney Injury. Trials, record NCT02786277. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02786277

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Learning Alerts for Acute Kidney Injury
NCT number
NCT02786277
Status
Completed
Phases
Not applicable
Enrollment
2,046 participants, actual
Lead sponsor
Yale University
Conditions
Acute Kidney Injury
Interventions
Alert
First posted
2016-05-30
Last updated
2025-10-08
Results first posted
2025-10-08
Limitations and caveats
This trial was randomized at the patient level, introducing the possibility of bias towards the null. It was conducted within a single health system, limiting generalizability. The alert was largely informational with no patient-specific recommendations (not accounting for AKI heterogeneity).

Source ClinicalTrials.gov

Registered outcomes13

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryProportion of Patients With Progression to a Higher Stage of AKI OR Dialysis OR DeathWithin 14 days from randomization
Progression of AKI is defined as the increase in KDIGO stage from the time of randomization to the present. For patients who are discharged, we will impute 14-day creatinine using the last observation carried forward method. Dialysis is defined as the receipt of hemodialysis, continuous renal replacement therapy, or peritoneal dialysis. Isolated ultrafiltration treatments will not be included. Mortality will be determined from hospital administrative records.
Secondary14-day MortalityAssessed from point of randomization to date of death within 14 days of randomizationProportion of patients who expire from any cause
SecondaryInpatient MortalityAssessed from point of randomization to date of death from any cause, up to one year post-randomizationProportion of patients who expire from any cause
Secondary14-day DialysisAssessed from point of randomization to date of first documented dialysis order, within 14 days of randomizationProportion of patients who receive dialysis (hemodialysis, continuous renal replacement therapy, or peritoneal dialysis)
SecondaryInpatient DialysisAssess from point of randomization to date of first documented dialysis order during index hospitalization, up to one year post-randomizationProportion of patients who receive dialysis (hemodialysis, continuous renal replacement therapy, or peritoneal dialysis)
SecondaryDischarge on DialysisAssessed at point of discharge from index hospitalization, up to one year post-randomizationAssessed as active orders for dialysis at point of discharge from index hospitalization
SecondaryProgression to Stage 2 AKIAssessed from the date of randomization to 14 days post randomizationProgression to Stage 2 AKI is defined as a doubling of serum creatinine between randomization and 14 days post randomization, and is considered a worsening of AKI.
SecondaryProgression to Stage 3 AKIAssessed from the date of randomization to 14 days post randomizationProgression to Stage 3 AKI is defined as a tripling of serum creatinine between the date of randomization and 14 days post randomization, and is considered a worsening of AKI.
SecondaryDuration of AKIAssessed from the date of randomization to the cessation of AKI during index hospitalization, up to one yearDefined as the time in hours between AKI onset and AKI cessation during index hospitalization
Secondary30 Day Readmission RateAssessed from discharge date of index hospitalization to 30 days post discharge dateProportion of patients with readmission within 30 days of index hospitalization discharge

Outcomes13

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYProportion of Patients With Progression to a Higher Stage of AKI OR Dialysis OR DeathWithin 14 days from randomizationParticipantsCOUNT_OF_PARTICIPANTS
SECONDARY14-day MortalityAssessed from point of randomization to date of death within 14 days of randomizationParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYInpatient MortalityAssessed from point of randomization to date of death from any cause, up to one year post-randomizationParticipantsCOUNT_OF_PARTICIPANTS
SECONDARY14-day DialysisAssessed from point of randomization to date of first documented dialysis order, within 14 days of randomizationParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYInpatient DialysisAssess from point of randomization to date of first documented dialysis order during index hospitalization, up to one year post-randomizationParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYDischarge on DialysisAssessed at point of discharge from index hospitalization, up to one year post-randomizationParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYProgression to Stage 2 AKIAssessed from the date of randomization to 14 days post randomizationParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYProgression to Stage 3 AKIAssessed from the date of randomization to 14 days post randomizationParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYDuration of AKIAssessed from the date of randomization to the cessation of AKI during index hospitalization, up to one yearHoursMEDIAN
SECONDARY30 Day Readmission RateAssessed from discharge date of index hospitalization to 30 days post discharge dateParticipantsCOUNT_OF_PARTICIPANTS

Results by group24

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Proportion of Patients With Progression to a Higher Stage of AKI OR Dialysis OR DeathRecommended190Participants
Proportion of Patients With Progression to a Higher Stage of AKI OR Dialysis OR DeathAnti-recommended193Participants
14-day MortalityRecommended72Participants
14-day MortalityAnti-recommended58Participants
Inpatient MortalityRecommended169Participants
Inpatient MortalityAnti-recommended185Participants
14-day DialysisRecommended38Participants
14-day DialysisAnti-recommended37Participants
Inpatient DialysisRecommended39Participants
Inpatient DialysisAnti-recommended41Participants

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDRecommended1,002
Overall StudySTARTEDAnti-recommended1,044
Overall StudyCOMPLETEDRecommended1,002
Overall StudyCOMPLETEDAnti-recommended1,044
Overall StudyNOT COMPLETEDRecommended0
Overall StudyNOT COMPLETEDAnti-recommended0

Adverse events0

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

None in this release.

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityRecommended1691,002
Total, all-cause mortalityAnti-recommended1851,044
Total, other adverse eventsRecommended01,002
Total, other adverse eventsAnti-recommended01,044
Total, serious adverse eventsRecommended01,002
Total, serious adverse eventsAnti-recommended01,044

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants1

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

ProjectTitlePrincipal investigatorsOrganizationFunderFiscal years
R01DK113191Optimizing Electronic Alerts for Acute Kidney InjuryWILSON, FRANCIS PERRYYALE UNIVERSITYNATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES2018 to 2022

Trial comparisons12

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Recommended vs Anti-recommended: Inpatient DialysisTrial comparisons
Recommended vs Anti-recommended: Proportion of Patients With Progression to a Higher Stage of AKI OR Dialysis OR DeathTrial comparisons
Recommended vs Anti-recommended: Inpatient MortalityTrial comparisons
Recommended vs Anti-recommended: Progression to Stage 3 AKITrial comparisons
Recommended vs Anti-recommended: Progression to Stage 2 AKITrial comparisons
Recommended vs Anti-recommended: Discharge on DialysisTrial comparisons
Recommended vs Anti-recommended: 14-day DialysisTrial comparisons
Recommended vs Anti-recommended: 14-day MortalityTrial comparisons
Recommended vs Anti-recommended: 30 Day Readmission RateTrial comparisons
Recommended vs Anti-recommended: deaths from any causeTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02786277

GET https://conductscience.org/api/trials/v1/NCT02786277/results?page=2