Acute Kidney Injury Definition and Diagnosis: A Narrative Review

被引:65
作者
Gameiro, Joana [1 ]
Fonseca, Jose Agapito [1 ]
Jorge, Sofia [1 ]
Lopes, Jose Antonio [1 ]
机构
[1] Ctr Hosp Lisboa Norte, Dept Med, Div Nephrol & Renal Transplantat, EPE, Av Prof Egas Moniz, P-1649035 Lisbon, Portugal
关键词
acute kidney injury; definition; incidence; classification; ACUTE-RENAL-FAILURE; CRITICALLY-ILL PATIENTS; GELATINASE-ASSOCIATED LIPOCALIN; INTENSIVE-CARE UNITS; CARDIAC-SURGERY; HOSPITALIZED-PATIENTS; CONSENSUS CONFERENCE; SERUM CREATININE; CARDIOTHORACIC SURGERY; KDIGO CLASSIFICATIONS;
D O I
10.3390/jcm7100307
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Acute kidney injury (AKI) is a complex syndrome characterized by a decrease in renal function and associated with numerous etiologies and pathophysiological mechanisms. It is a common diagnosis in hospitalized patients, with increasing incidence in recent decades, and associated with poorer short- and long-term outcomes and increased health care costs. Considering its impact on patient prognosis, research has focused on methods to assess patients at risk of developing AKI and diagnose subclinical AKI, as well as prevention and treatment strategies, for which an understanding of the epidemiology of AKI is crucial. In this review, we discuss the evolving definition and classification of AKI, and novel diagnostic methods.
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页数:13
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