Acute kidney injury - a new definition in nephrology


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Abstract

In 2002 the group of experts (Acute Dialysis Quality Initiative - ADQI) developed the definition of acute renal failure (ARF) and created the system of its heaviness stratification (RIFLE-criteria). In 2004 the definition acute renal impairment (ARI) was introduced and in 2007 the research group Acute Kidney Injury Network (AKIN) offered the criteria system of diagnostics and evaluation of condition intensity (AKIN-criteria), that is modification of RIFLE. Both systems made a good showing in practice in prognostics of ARI development and its outcomes at critical patients. At the same time RIFLE and AKIN use primarily was not planned for use at patients with acute primary parenchymatous kidney injury, that embarrassed their introduction to wide nephrological practice. In the present article the modificated system AKIN (that is more suitable for clinical use) is presented.

References

  1. Waikar SS, Liu KD, Chertow GM. Diagnosis, epidemiology and outcomes of acute kidney injury. Clin J Am Soc Nephrol 2008;3(3):844-61.
  2. Hoste EA, Clermont G, Kersten A, et al. RIFLE criteria for acute kidney injury are associated with hospital mortality in critically ill patients: a cohort analysis. Crit Care 2006;10(3): R73.
  3. Bouman C, Kellum JA, Lamiere N, Levin N. Definition of acute renal failure. Acute Dialysis Quality Initiative. 2nd International Consensus Conference, 2002.
  4. National Kidney Foundation KD: Clinical practice guidelines for chronic Kidney disease: Evaluation, classification and stratification. Am J Kidney Dis 2002;39(Suppl. 1):S1-S266.
  5. Levey AS, Eckardt KU, Tsukamoto Y, et al. Definition and classification of chronic kidney disease: a position statement from Kidney Disease: Improving Global Outcomes (KDIGO). Kidney Int 2005;67(6):2089-100.
  6. Bellomo R, Ronco C, Kellum JA, et al. Acute Dialysis Quality Initiative workgroup. Acute renal failure - definition, outcome measures, animal models, fluid therapy and information technology needs: the Second International Consensus Conference of the Acute Dialysis Quality Initiative (ADQI) Group. Crit Care 2004;8(4):R204-212.
  7. Melnikov VY, Molitoris BA. Improvements in the diagnosis of acute kidney injury. Saudi J Kidney Dis Transpl 2008;19(4):537-44.
  8. Смирнов А.В., Каюков И.Г., Есаян А.М. и др. Проблема оценки скорости клубочковой фильтрации в современной нефрологии: новый индикатор - цистатин С // Нефрология. 2005. Т. 9. № 3. С. 16-27.
  9. Смирнов А.В., Седов В.М., Лхаахуу Од-Эрдэнэ, и др. Снижение скорости клубочковой фильтрации как независимый фактор риска сердечно-сосудистой болезни // Нефрология. 2006. Т. 10. № 4. С. 7-17.
  10. Mehta RL, Kellum JA, Shah SV, et al. Acute Kidney Injury Network: report of an initiative to improve outcomes in acute kidney injury. Crit Care 2007;11(2):R31.
  11. Clarkson MR, Fridewald JJ, Eustace JA, et al. Acute kidney injury. In: Brenner BM, ed. The kidney, 8th edition. Saunders Elseiver, Philadelphia e.a., 2008;943-86.
  12. Barrantes F, Tian J, Vazquez R, et al.Acute kidney injury criteria predict outcomes of critically ill patients. Crit Care Med 2008;36(5):1397-403.
  13. Bagshaw SM, George C, Bellomo R. ANZICS Database Management Committee. A comparison of the RIFLE and AKIN criteria for acute kidney injury in critically ill patients. Nephrol Dial Transplant 2008;23(5):1569-74.

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