Reasons for Standardized Clinical Assessment and Management Plan deviation related to starting RRT
| Reasons for Deviation | N (%) |
|---|---|
| Reasons for not starting RRT when SCAMP recommended, n=105a | |
| Expected renal recovery | 50 (48) |
| Futile | 21 (20) |
| Could hasten demise | 8 (8) |
| Not consistent with goals of care | 7 (7) |
| Not recorded | 5 (5) |
| Comfort measures only | 4 (4) |
| Unclear goals of care | 3 (3) |
| Otherb | 25 (24) |
| Reasons for starting RRT when not SCAMP recommended, n=8 | |
| Anticipate worsening renal function | 6 (75) |
| Volume overload | 3 (38) |
| Hyperkalemia | 1 (13) |
| Anticipation of tumor lysis syndrome and volume overload | 1 (13) |
| Metabolic alkalosis | 1 (13) |
Values represent N (%) unless otherwise stated. SCAMP, Standardized Clinical Assessment and Management Plan.
↵a Multiple selections were possible; therefore, the total number of deviations was greater than n=105.
↵b Examples include end stage liver disease, with intravenous sodium bicarbonate, bacteremia, line holiday, medical intensive care unit team did not perceive benefit, responding to small fluid boluses, and large intracranial bleed.