akin_classification_for_acute_kidney_injury v.1
AKIN classification for acute kidney injury classifying the severity of acute kidney injury, similar to RIFLE Criteria To be diagnosed with acute kidney injury by the AKIN definition, patient must have at least one of the following within the past 48 hours: - Absolute increase in serum creatinine ≥0.3 mg/dL (≥26.4 μmol/L). - Increase in serum creatinine ≥1.5x above baseline. - Oliguria (urine output <0.5 mL/kg per hour) for more than 6 hours. Then, select the appropriate criterion leading to the highest possible stage, e.g. if serum creatinine is normal but urine output is <0.5 mL/kg/hour for more than 12 hours, AKIN Stage is 2. Patients on renal replacement therapy (RRT) are considered to be stage 3 regardless of whether they meet formal criteria.
To detect and stage Acute Kidney Injury according to AKIN Classification for Acute Kidney Injury
To be used to detect and stage Acute Kidney Injury according to AKIN Classification for Acute Kidney Injury. Acute kidney injury (AKI) is a complex disease process that is increasingly common and has an increased rate of adverse outcomes and mortality. It is commonly underdiagnosed in inpatient and community settings by many providers.
Consider using RIFLE criteria as well. Overall, the AKIN modification does not perform better than the RIFLE criteria in studies.
[1] 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. [2] Lopes JA, Jorge S. The RIFLE and AKIN classifications for acute kidney injury: a critical and comprehensive review. Clinical Kidney Journal. 2013;6(1):8-14. [3] Xiong J, Tang X, Hu Z, Nie L, Wang Y, Zhao J. The RIFLE versus AKIN classification for incidence and mortality of acute kidney injury in critical ill patients: A meta-analysis. Sci Rep. 2015;5:17917. [4] Van biesen W, Vanholder R, Lameire N. Defining acute renal failure: RIFLE and beyond. Clin J Am Soc Nephrol. 2006;1(6):1314-9.
openEHR-EHR-OBSERVATION.akin_classification_for_acute_kidney_injury, openEHR-EHR-EVALUATION.akin_classification_for_acute_kidney_injury_assessment
