Nephrology admission criteria

This is a list of patient diagnoses which are admitted to Great Ormond Street Hospital (GOSH) by our Nephrology team, the timeframe in which they should be treated and their estimated length of stay (LoS). 

Health professionals are reminded that this information is for guidance only.

Emergency admissions

Children with the following diagnoses are considered an emergency and should be transferred to GOSH within hours from receipt of referral.
Diagnosis
Estimated LoS
Acute kidney injury (may also present as urgent)
Case dependent
Acute on chronic kidney disease (may also present as urgent)
Case dependent
Acute/chronic glomerulonephritis (may also present as urgent)
Case dependent
Complications of dialysis - line infection; failure of access; fluid overload; biochemical abnormalities
Case dependent
Complications of renal transplant - infection; rejection
Case dependent
Hypertension (may also present as urgent) Case dependent
Nephrotic syndrome (may also present as urgent) Case dependent
Renal calculi (may also present as urgent) Case dependent
Renal transplant
Case dependent
Severe fluid derangements Case dependent
Urinary tract infection in the abnormal renal tract (may also present as urgent)
Case dependent

Urgent admissions

Children with the following diagnoses should be transferred to GOSH within days from receipt of referral.
 Diagnosis  Estimated LoS
 Acute kidney injury (may also present as an emeregncy)
 Case dependent
 Acute on chronic kidney disease (may also present as an emergency)
 Case dependent
 Acute/chronic glomerulonephritis (may also present as an emergency)
 Case dependent
 Hypertension (may also present as an emergency)  Case dependent
 Nephrotic syndrome (may also present as an emergency)  Case dependent
 Renal biopsy (may also be elective)  Case dependent
Renal calculi (may also present as an emergency)  Case dependent
 Urinary tract infection in the abnormal renal tract (may also present as an emergency)
 Case dependent

Elective admissions

Children with the following diagnoses should be transferred to GOSH via the non-emergency pathway.
 Diagnosis  Estimated LoS
 Renal biopsy (may also present as urgent)  Case dependent
 Training for home dialysis  Case dependent
Reviewed by: Lesley Rees, Consultant. August 2011