Key performance indicators for acute kidney replacement therapy in critically ill children: a systematic review.
Prit Kusirisin, Kristin J Dolan, Rashid Alobaidi et al.
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In 30 seconds
This systematic review evaluated key performance indicators (KPIs) for kidney replacement therapy (KRT) in critically ill children. Among 107 studies reviewed, six KPIs were identified, including solute clearance and filter life. The review highlights the need for standardized KPI definitions to improve KRT quality and outcomes in this vulnerable population.
Key findings
- Six KPIs were identified across 240 instances, including solute clearance (n = 59) and filter life (n = 52).
- 66.7% of the studies included were of moderate quality.
- KPIs were categorized as important (52.1%), scientifically acceptable (23.1%), and feasible (24.8%).
- Most evidence was derived from observational or clinical studies rather than structured quality improvement initiatives.
Why it matters
Establishing standardized KPIs for KRT in critically ill children is crucial for tracking outcomes, guiding quality improvement, and enhancing decision-making in clinical practice.
What to keep in mind
The review is limited by heterogeneity in study quality, with most evidence from observational studies rather than structured quality improvement initiatives.