文档介绍：KDIGO急性肾损伤指南解读
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KDIGO Clinical Practice Guideline for Acute Kidney Injury
Kidney inter. Suppl. 2012; 2: 1–138
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GRADE 系统
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总推荐条目87条
%
%
%
1A:9 %
1B:10 %
1C:3 %
2A:2 %
2B:10 %
2C:20 %
2D:7 %
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内容
Introduction and Methodology
AKI Definition
Prevention and Treatment of AKI
Contrast-induced AKI
Dialysis Interventions for Treatment of AKI
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符合下列任何一条即可诊断
1. Increase in SCr by ≥ mg/dl (≥ lmol/l) within 48 hours
2. Increase in SCr to ≥ times baseline, which is known or presumed to have occurred within the prior 7 days
3. Urine volume < ml/kg/h for 6 hours.
AKI 诊断(Not Graded)
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Stage Serum creatinine Urine output
1 – times baseline
OR < ml/kg/h for
≥ mg/dl (≥ mmol/l) increase 6–12 hours
2 – times baseline < ml/kg/h for
≥12 hours
3 times baseline
OR
Increase in serum creatinine to < ml/kg/h for
≥ mg/dl (≥ mmol/l) ≥ 24 hours
OR OR
Initiation of renal replacement therapy Anuria for ≥ 12 hours
OR, In patients <18 years, decrease in
eGFR to <35 ml/min per m2
AKI 分级(Not Graded)
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The cause of AKI should be determined whenever
possible. (Not Graded)
Selected causes of AKI requiring
immediate diagnosis and specific