Output Medical's mantra - "the new standard" - reflects our passion to improve and standardize urine output measurements among high risk acute kidney injury patients. Through our experiences managing patients and reviews of the medical literature, we found a surprising lack of consistency in urine output measurements protocol. This inconsistency stems from the fact that all hospitals still measure urine output manually. That is an incredible thought, that in an age where innovative companies are building image-guided robotic systems to attack cancer cells, we measure urine output manually!
Not only do such manual measurements of urine output affect clinical quality of care, it affects research in the field of acute kidney injury management. There are numerous publications studying acute kidney injury in which the urine output based definition of acute kidney injury were omitted in the analysis due to poor measurement and data quality. One seminal study in particular highlights the gross limitations in kidney injury research indicative of the improvements needed in urine output measurements: Huber M et al., "Cardiovascular-Specific Mortality and Kidney Disease in Patients Undergoing Vascular Surgery". This study was among the first to demonstrate significant long term co-morbidities and mortalities among vascular surgery patients that develop peri-operative and post-operative kidney injury. And in the paper the authors comment on the limitations in data quality due to poor urine output measurements and data recording:
"We had only limited data concerning urine output among patients with CKD [chronic kidney disease]; if available, those data could have strengthened our analysis."
If we are to advance the field of acute kidney injury we must establish a standard protocol for urine output measurement. Standardization involves automating the urine output measurement, data-recording, and data-analysis process. An article soon to be published in the "Canadian Journal of Kidney Health and Disease" highlights the efforts of an Acute Dialysis Quality Initiative (ADQI) workgroup on acute kidney injury and big data to address the importance of standardization. We at Output Medical are passionate about automating the detection of acute kidney injury using the established criteria, RIFLE/KDIGO. And we believe that automation is the first step to standardization.Hence the mantra, "the new standard".
We are currently recruiting academic medical centers and community based hospitals to collaborate with Output Medical and establish clinical studies that would automate the detection of acute kidney injury using RIFLE/KDIGO criteria in real time. Please contact us if you are interested in supporting the advancement of acute kidney injury research!