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Table 3 Showing alert list in CKD registry

From: CKDNET, a quality improvement project for prevention and reduction of chronic kidney disease in the Northeast Thailand

  Parameters/Conditions
1. Systolic blood pressure > 130 mm of Hg
2. Diastolic blood pressure > 90 mm of Hg
3. Hemoglobin < 10 g/dl
4. Not receiving angiotensin-converting-enzyme inhibitor (ACEI) and angiotensin II-receptor blocker (ARB)
5. Slope of estimated glomerular filtration rate (eGFR) per period ≥4
6. HbA1C < 6.5%
7. HbA1C > 7.5%
8. LDL cholesterol > 100 mg/dl
9. Serum potassium > 5.5 mEq/L
10. Serum bicarbonate < 22 mEq/L
11. Not evaluated with urine protein strip
12. Not evaluated for urine protein to creatinine ratio (UPCR) or urine protein 24 h
13. UPCR ≥500 mg/g or Urine protein 24 h ≥ 500 mg /day
14. Serum phosphate > 4.5 mg/L
15. Serum parathyroid hormone (PTH) is not normal
16. Did not receive AVF preparation before starting hemodialysis
17. Participated in educational classes on various topics
18. Notify this eGFR and CKD period and within the past 3 months
19. eGFR value < 60 should see a doctor
20. There is a decrease in the rate of GFR over 5 ml/min/1.73 m2 per year
21. eGFR< 30 received a consultation on RRT
22. eGFR< 30 also received metformin
23. Diabetic patients with albuminuria > 30 mg/day and not receiving ACEI or ARB
24. No diabetes, have albuminuria > 300 mg/day and do not receive ACEI or ARB
25. Received ACEI/ARB, be aware of the occurrence of AKI and hyperkalemia. Advice should be given.
26. Have received ACEI or ARB but had to stop the drug because of an adverse event
27. Protein content in urine ≥1+
28. Diabetics who do not check urine albumin at least 2 times a year
29. Not being a CKD and receiving NSAIDs for more than 2 weeks
30. CKD patients receiving NSAIDs
31. Time for dispensing in the program if there is a drug that needs to be adjusted according to creatinine clearance (CrCl), if wrongly ordered, there will be a warning every time or if there is no adjustment according to CrCl, remind every time
32. The history of diagnosing an acute kidney injury last day, month, year
33. There is a disease or condition that is at risk of CKD, being tested for serum creatinine and urine protein or albumin once a year (diabetes, hypertension, gout, SLE, over 60 years old, receiving nephrotoxic drugs, upper urinary tract infection ≥3 times a year, with cardiovascular disease, polycystic kidney disease, kidney disease from birth, have a history of kidney disease in the family)
34. UA detection of proteins or red blood cells in urine, consider sending a doctor
35. Serum creatinine increases more than or equal to 0.3 mg/dl: acute kidney injury should determine the cause
36. GFR < 30 ml/min/1.73m2 consider sending for consultation to a doctor
37. GFR < 15 ml/min/1.73m2 should submit assessment for preparation for renal replacement therapy
38. Being on ACEI/ARB and serum potassium > 5 mEq/L