The GlobalARRT registry
Global registry for the evaluation and optimization of Acute Renal Replacement Therapy
Acute kidney injury (AKI) is one of the most common complications in hospitalized patients. Also, it is associated with significant morbidity and mortality, prolongs hospitalization, and has a major impact on the use of healthcare resources, particularly when renal replacement therapy (RRT) is required. In the latter case, morbidity and mortality increase further. For all these reasons, it is now widely accepted that accurate diagnosis and treatment are of paramount importance in the management of AKI, especially in critically ill patients.
Integration of information communication technology (ICT) tools represents one of the most important technological adavnces for healthcare; their implementation in routine clinical practice has laid a foundation for precision medicine in various specialty fields, including AKI. Yet, there is still room for improvement, particularly in terms of implementation of a multidisciplinary approach to patient care. Nowadays, several technological tools help clinicians in the care of patients with AKI; these include, for example, electronic alert systems, biofeedback, and continuous monitoring of biohumoral parameters. All these tools work very well if used individually but only if they are used comprehensively and meaningfully can the tools develop their full potential in the management of patients.
In this regard, registries may play a central role in the continuum of AKI management, helping clinicians to better understand the pathophysiologic mechanisms underlying the various clinical phenotypes and supporting the implementation of an integrated and multidisciplinary approach to patient care.
A registry can be defined as an organized system for the collection, storage, retrieval, and analysis of healthcare information. Registry data are an important source of information regarding, for instance, health care patterns, clinical decision making, and treatment delivery. Using a closed-loop approach of generation-collection-storage-analysis-feedback, registry data can be used to innovate healthcare patterns and improve patient outcomes in a target population.
Through the GlobalARRT registry, we aim at developing and implementing a tool capable of helping clinicians get the decision that best serves the patient.