Abstract

Acute kidney injury (AKI) is defined by a rapid increase in serum creatinine, decrease in urine output, or both. AKI occurs in approximately 10-15% of patients admitted to hospital, while its incidence in intensive care has been reported in more than 50% of patients. Kidney dysfunction or damage can occur over a longer period or follow AKI in a continuum with acute and chronic kidney disease. Biomarkers of kidney injury or stress are new tools for risk assessment and could possibly guide therapy. AKI is not a single disease but rather a loose collection of syndromes as diverse as sepsis, cardiorenal syndrome, and urinary tract obstruction. The approach to a patient with AKI depends on the clinical context and can also vary by resource availability. Although the effectiveness of several widely applied treatments is still controversial, evidence for several interventions, especially when used together, has increased over the past decade.

Keywords

Acute kidney injuryMedicineSepsisKidney diseaseIntensive care medicineContext (archaeology)Urinary systemIncidence (geometry)CreatinineKidneyInternal medicine

MeSH Terms

Acute Kidney InjuryBiomarkersCreatinineHumansIncidenceRisk AssessmentSepsis

Affiliated Institutions

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Publication Info

Year
2019
Type
review
Volume
394
Issue
10212
Pages
1949-1964
Citations
1653
Access
Closed

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Cite This

Claudio Ronco, Rinaldo Bellomo, John A. Kellum (2019). Acute kidney injury. The Lancet , 394 (10212) , 1949-1964. https://doi.org/10.1016/s0140-6736(19)32563-2

Identifiers

DOI
10.1016/s0140-6736(19)32563-2
PMID
31777389

Data Quality

Data completeness: 86%