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Epidemiology of Acute Kidney Injury in the Intensive Care Unit
The incidence of acute kidney injury (AKI) in the intensive care unit (ICU) has increased during the past decade due to increased acuity as well as increased recognition. Early epidemiology studies were confounded by erratic definitions of AKI until recent consensus guidelines (RIFLE and AKIN) stand...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3618922/ https://www.ncbi.nlm.nih.gov/pubmed/23573420 http://dx.doi.org/10.1155/2013/479730 |
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author | Case, James Khan, Supriya Khalid, Raeesa Khan, Akram |
author_facet | Case, James Khan, Supriya Khalid, Raeesa Khan, Akram |
author_sort | Case, James |
collection | PubMed |
description | The incidence of acute kidney injury (AKI) in the intensive care unit (ICU) has increased during the past decade due to increased acuity as well as increased recognition. Early epidemiology studies were confounded by erratic definitions of AKI until recent consensus guidelines (RIFLE and AKIN) standardized its definition. This paper discusses the incidence of AKI in the ICU with focuses on specific patient populations. The overall incidence of AKI in ICU patients ranges from 20% to 50% with lower incidence seen in elective surgical patients and higher incidence in sepsis patients. The incidence of contrast-induced AKI is less (11.5%–19% of all admissions) than seen in the ICU population at large. AKI represents a significant risk factor for mortality and can be associated with mortality greater than 50%. |
format | Online Article Text |
id | pubmed-3618922 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-36189222013-04-09 Epidemiology of Acute Kidney Injury in the Intensive Care Unit Case, James Khan, Supriya Khalid, Raeesa Khan, Akram Crit Care Res Pract Review Article The incidence of acute kidney injury (AKI) in the intensive care unit (ICU) has increased during the past decade due to increased acuity as well as increased recognition. Early epidemiology studies were confounded by erratic definitions of AKI until recent consensus guidelines (RIFLE and AKIN) standardized its definition. This paper discusses the incidence of AKI in the ICU with focuses on specific patient populations. The overall incidence of AKI in ICU patients ranges from 20% to 50% with lower incidence seen in elective surgical patients and higher incidence in sepsis patients. The incidence of contrast-induced AKI is less (11.5%–19% of all admissions) than seen in the ICU population at large. AKI represents a significant risk factor for mortality and can be associated with mortality greater than 50%. Hindawi Publishing Corporation 2013 2013-03-21 /pmc/articles/PMC3618922/ /pubmed/23573420 http://dx.doi.org/10.1155/2013/479730 Text en Copyright © 2013 James Case et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Article Case, James Khan, Supriya Khalid, Raeesa Khan, Akram Epidemiology of Acute Kidney Injury in the Intensive Care Unit |
title | Epidemiology of Acute Kidney Injury in the Intensive Care Unit |
title_full | Epidemiology of Acute Kidney Injury in the Intensive Care Unit |
title_fullStr | Epidemiology of Acute Kidney Injury in the Intensive Care Unit |
title_full_unstemmed | Epidemiology of Acute Kidney Injury in the Intensive Care Unit |
title_short | Epidemiology of Acute Kidney Injury in the Intensive Care Unit |
title_sort | epidemiology of acute kidney injury in the intensive care unit |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3618922/ https://www.ncbi.nlm.nih.gov/pubmed/23573420 http://dx.doi.org/10.1155/2013/479730 |
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