Acute Kidney Injury
Authors: Joana Gameiro, Sofia Jorge, José António Lopes
Journal: Annals of Internal Medicine (2018)

Letters5 June 2018Acute Kidney InjuryJoana Gameiro, MD, Sofia Jorge, MD, and José António Lopes, PhDJoana Gameiro, MDCentro Hospitalar Lisboa Norte, Lisbon, Portugal (J.G., S.J., J.A.L.), Sofia Jorge, MDCentro Hospitalar Lisboa Norte, Lisbon, Portugal (J.G., S.J., J.A.L.), and José António Lopes, PhDCentro Hospitalar Lisboa Norte, Lisbon, Portugal (J.G., S.J., J.A.L.)Author, Article, and Disclosure Informationhttps://doi.org/10.7326/L18-0015 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Levey and James' article (1) proficiently discusses the definition, epidemiology, risk factors, and management of AKI. Here, we propose some additional information that we believe would be useful to increase awareness about this condition in the medical community.The authors state that the definition of AKI includes an increase in creatinine clearance. However, the Kidney Disease: Improving Global Outcomes (KDIGO) classification defines AKI as an increase in the serum creatinine level of 27 µmol/L (0.3 mg/dL) within 48 hours, with the baseline level being that obtained at admission; an increase in the serum creatinine level 1.5 times ...References1. Levey AS, James MT. Acute kidney injury. Ann Intern Med. 2017;167:ITC66-80. [PMID: 29114754]. doi:10.7326/AITC201711070 LinkGoogle Scholar2. KDIGO clinical practice guideline for acute kidney injury. Kidney Int Suppl. 2012;2:S1-138. Google Scholar3. Manjunath G, Sarnak MJ, Levey AS. Prediction equations to estimate glomerular filtration rate: an update. Curr Opin Nephrol Hypertens. 2001;10:785-92. [PMID: 11706306] CrossrefMedlineGoogle Scholar4. Wyatt CM, Arons RR, Klotman PE, Klotman ME. Acute renal failure in hospitalized patients with HIV: risk factors and impact on in-hospital mortality. AIDS. 2006;20:561-5. [PMID: 16470120] CrossrefMedlineGoogle Scholar5. Bellomo R, Kellum JA, Ronco C, Wald R, Martensson J, Maiden M, et al. Acute kidney injury in sepsis. Intensive Care Med. 2017;43:816-28. [PMID: 28364303] doi:10.1007/s00134-017-4755-7 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Centro Hospitalar Lisboa Norte, Lisbon, Portugal (J.G., S.J., J.A.L.)Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L18-0015. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoAcute Kidney Injury Andrew S. Levey and Matthew T. James Acute Kidney Injury Tom Finucane Acute Kidney Injury Andrew S. Levey and Matthew T. James Metrics Cited byEleutheroside B Protects against Acute Kidney Injury by Activating IGF Pathway 5 June 2018Volume 168, Issue 11Page: 836-837KeywordsAcute kidney injuryCreatinineHIV infectionsHemodynamicsMedical risk factorsMortalityRenal circulationRenal diseasesSepsisTubular cells ePublished: 5 June 2018 Issue Published: 5 June 2018 Copyright & PermissionsCopyright © 2018 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...