PMID- 33567671
OWN - NLM
STAT- MEDLINE
DCOM- 20210426
LR  - 20210426
IS  - 1660-4601 (Electronic)
IS  - 1661-7827 (Print)
IS  - 1660-4601 (Linking)
VI  - 18
IP  - 4
DP  - 2021 Feb 8
TI  - Clinical Knowledge Supported Acute Kidney Injury (AKI) Risk Assessment Model for 
      Elderly Patients.
LID - 10.3390/ijerph18041607 [doi]
LID - 1607
AB  - From the clinical viewpoint, the statistical approach is still the cornerstone 
      for exploring many diseases. This study was conducted to explore the risk factors 
      related to acute kidney injury (AKI) for elderly patients using the multiple 
      criteria decision-making (MCDM) approach. Ten nephrologists from a teaching 
      hospital in Taipei took part in forming the AKI risk assessment model. The key 
      findings are: (1) Comorbidity and Laboratory Values would influence Comprehensive 
      Geriatric Assessment; (2) Frailty is the highest influential AKI risk factor for 
      elderly patients; and (3) Elderly patients could enhance their daily activities 
      and nutrition to improve frailty and lower AKI risk. Furthermore, we illustrate 
      how to apply MCDM methods to retrieve clinical experience from seasoned doctors, 
      which may serve as a knowledge-based system to support clinical prognoses. In 
      conclusion, this study has shed light on integrating multiple research approaches 
      to assist medical decision-making in clinical practice.
FAU - Shen, Kao-Yi
AU  - Shen KY
AUID- ORCID: 0000-0001-6659-2684
AD  - Department of Banking & Finance, Chinese Culture University, Taipei 11114, 
      Taiwan.
FAU - Chuang, Yen-Ching
AU  - Chuang YC
AUID- ORCID: 0000-0003-1136-8727
AD  - Taiwan Association of Health Industry Management and Development, Taipei 10351, 
      Taiwan.
FAU - Tung, Tao-Hsin
AU  - Tung TH
AD  - Evidence-Based Medicine Center, Taizhou Hospital of Zhejiang Province Affiliated 
      to Wenzhou Medical University, Linhai 317000, China.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20210208
PL  - Switzerland
TA  - Int J Environ Res Public Health
JT  - International journal of environmental research and public health
JID - 101238455
SB  - IM
MH  - *Acute Kidney Injury/epidemiology
MH  - Aged
MH  - Comorbidity
MH  - Geriatric Assessment
MH  - Humans
MH  - Risk Assessment
MH  - Risk Factors
PMC - PMC7915995
OTO - NOTNLM
OT  - acute kidney injury (AKI)
OT  - frailty
OT  - geriatric
OT  - group decision
OT  - meta-analysis
OT  - multiple criteria decision-making (MCDM)
COIS- The authors declare no conflict of interest.
EDAT- 2021/02/12 06:00
MHDA- 2021/04/27 06:00
PMCR- 2021/02/01
CRDT- 2021/02/11 01:01
PHST- 2020/12/26 00:00 [received]
PHST- 2021/02/04 00:00 [revised]
PHST- 2021/02/04 00:00 [accepted]
PHST- 2021/02/11 01:01 [entrez]
PHST- 2021/02/12 06:00 [pubmed]
PHST- 2021/04/27 06:00 [medline]
PHST- 2021/02/01 00:00 [pmc-release]
AID - ijerph18041607 [pii]
AID - ijerph-18-01607 [pii]
AID - 10.3390/ijerph18041607 [doi]
PST - epublish
SO  - Int J Environ Res Public Health. 2021 Feb 8;18(4):1607. doi: 
      10.3390/ijerph18041607.