Acute Kidney Injury - Epidemiologic Prospective Investigation (AKI-EPI)
      
 
   
 
Registration
ICU Unit ID
Name of the Hospital
Address
City:
State:
Country:
PCode/Zipcode:
Number of Hospital Beds
Hospital type
 Academic non-academic

Descriptive name for this ICU
for investigators who register more than 1 ICU
Number of ICU beds
Orders:
 Closed
Open (non-ICU doctors write orders)
 


Mixed medical and surgical
ICU Type:  
    Surgical:
Mixed - Cardiac - Trauma
Burn - Transplantation
      Medical:
Mixed - Cardiac - Neurological
Respiratory - Other
Daytime nurse to patient ratio:
 1:1   1:2  1:3   1:4
Number of nurses during night time:
 Always 1:1 Usually 1:1
1:1 or 1:2 Usually 1:2
1:2 or 1:3 (or more)
usually 1:3 (or more)
Renal replacement therapy is provided by:

ICU Staff Nephrology staff
Both

How will you enter: serum urea / urea nitrogen concentration?

mg/dl
mmol/L
In what Unit will you enter:
creatinine?

In what Unit will you enter:
PaO2?



In what Unit will you enter:
bilirubin?



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I certify that this research has been approved by the relevant IRB or Ethics board at my institution and that I am conducting this research in a accordance with all local and national requirements and regulations.
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Mar/8/2009 2.0 © WWDAA.COM