Clinical Determinants of Renal Recovery

被引：11
作者：
Godin, Melanie [1 ]
Macedo, Etienne [2 ]
Mehta, Ravindra L. [3 ]
机构：
[1] CHU Sherbrooke, Sherbrooke, PQ J1H 5N4, Canada
[2] Univ Sao Paulo, Div Nephrol, Sao Paulo, Brazil
[3] Univ Calif San Diego, Sch Med, Div Nephrol Hypertens, San Diego, CA 92103 USA
来源：
NEPHRON CLINICAL PRACTICE | 2014年 / 127卷 / 1-4期
关键词：
Acute kidney injury; Clinical markers; Renal recovery; Renal replacement therapy; ACUTE KIDNEY INJURY; CRITICALLY-ILL PATIENTS; MEAN ARTERIAL-PRESSURE; ACUTE TUBULAR-NECROSIS; INTENSIVE-CARE UNITS; REPLACEMENT THERAPY; RISK-FACTORS; FAILURE; OUTCOMES; DISEASE;
D O I：
10.1159/000363707
中图分类号：
R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];
学科分类号：
1002 ; 100201 ;
摘要：
Acute kidney injury (AKI) is associated with increased mortality, prolonged hospitalization, and renal replacement therapy. Until recently, it was believed that the vast majority of patients recover from AKI without subsequent consequences. It is now recognized that patients with AKI may have very different renal outcomes, including complete recovery, incipient and progressive chronic kidney disease, and end-stage renal disease. Factors that influence these different outcomes have not been thoroughly evaluated and so are not currently understood. The patient's baseline demographic characteristics, subsequent clinical evolution, and factors associated with the treatment of these patients may all influence global and renal outcomes. Recovery from AKI is a potentially modifiable event and should be targeted for therapy. Useful tools are needed to monitor renal recovery and identify the patients at high risk for adverse outcomes. (C) 2014 S. Karger AG, Basel
引用
收藏
页码：25 / 29
页数：5
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