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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
An assessment of the acute kidney injury network creatinine-based criteria in patients submitted to mechanical ventilation
Clinical Journal of the American Society of Nephrology, Volume 6, No. 7, Year 2011
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Description
Background and objectives The aim of our study was to assess the new diagnostic criteria of acute kidney injury (AKI) proposed by the Acute Kidney Injury Network (AKIN) in a large cohort of mechanically ventilated patients. Design, setting, participants, & measurements This is a prospective observational cohort study enrolling 2783 adult intensive care unit patients under mechanical ventilation (MV) with data on serum creatinine concentration (SCr) in the first 48 hours. The absolute and the relative AKIN diagnostic criteria (changes in SCr ≥0.3 mg/dl or ≥50% over the first 48 hours of MV, respectively) were analyzed separately. In addition, patients were classified into three groups according to their change in SCr (ΔSCr) over the first day on MV (ΔSCr): group 1, ΔSCr ≤ -0.3 mg/dl; group 2, ΔSCr between -0.3 and +0.29 mg/dl; and group 3, ΔSCr ≥ +0.3 mg/dl). The primary end point was in-hospital mortality, and secondary end points were intensive care unit and hospital length of stay, and duration of MV. Results Of 2783 patients, 803 (28.8%) had AKI according to both criteria: 431 only absolute (AKIA), 362 both relative and absolute (AKIR+A), and 10 only relative. The relative criterion identified more patients when baseline SCr (SCr0) was <0.9 mg/dl and the absolute when SCr0 was >1.5 mg/dl. The diagnosis of AKI was associated with mortality. Conclusions Our study confirms the validity of the AKIN criteria in a population of mechanically patients and the criteria's relationship with the baseline SCr. © 2011 by the American Society of Nephrology.
Authors & Co-Authors
Lombardi, Raúl
Uruguay, Montevideo
Instituto Médico de Previsión, Asistencia y Servicios Afines
Nín, Nicholas
Spain, Getafe
Hospital Universitario de Getafe
Spain, Madrid
Centro de Investigación Biomédica en Red de Enfermedades Respiratorias
Lorente, José Ángel A.
Spain, Getafe
Hospital Universitario de Getafe
Spain, Madrid
Centro de Investigación Biomédica en Red de Enfermedades Respiratorias
Frutos-Vivar, Fernando
Spain, Getafe
Hospital Universitario de Getafe
Spain, Madrid
Centro de Investigación Biomédica en Red de Enfermedades Respiratorias
Ferguson, Niall D.
Canada, Toronto
University Health Network University of Toronto
Hurtado, Javier L.
Uruguay, Montevideo
Hospital de Clinicas Dr. Manuel Quintela
Apezteguía, Carlos J.
Argentina, Buenos Aires
Hospital Nacional Professor Dr. Alejandro Posadas
Desmery, Pablo M.
Argentina, Buenos Aires
Sanatorio Mitre
Raymondos, Konstantinos
Germany, Hannover
Hannover Medical School
Tomicic F, Vinko
Chile, Santiago
Clinica Alemana
Çakar, Nahit
Turkey, Istanbul
Dokuz Eylun University
González, Marco A.
Colombia, Medellin
Universidad Pontificia Bolivariana
Elizalde, José J.
Mexico
American British Cowdray Medical Center
Nightingale, Peter N.
United Kingdom, Manchester
Wythenshawe Hospital
Abrouk, Fekri
Tunisia, Monastir
Chu Fattouma-bourguiba
Jibaja, Manuel
Ecuador, Quito
Hospital Militar de Quito
Arabi, Yaseen M.
Saudi Arabia, Riyadh
King Fahad National Guard Hospital
Moreno, Rui Paulo
Portugal, Lisbon
Hospital de St. Antonio do Capuchos, Lisboa
Matamis, Dimitrios
Greece, Thessaloniki
Papageorgiou General Hospital
Anzueto, Antonio R.
United States, San Antonio
University of Texas Health Science Center at San Antonio
Esteban, Andrés
Spain, Getafe
Hospital Universitario de Getafe
Spain, Madrid
Centro de Investigación Biomédica en Red de Enfermedades Respiratorias
Statistics
Citations: 35
Authors: 21
Affiliations: 19
Identifiers
Doi:
10.2215/CJN.09531010
ISSN:
15559041
e-ISSN:
1555905X
Research Areas
Health System And Policy
Violence And Injury
Study Design
Cross Sectional Study
Cohort Study
Study Approach
Quantitative