Acute kidney injury risk factors: Difference between revisions

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{{CMG}}; {{AE}} {{F.K}}
{{CMG}}; {{AE}} {{F.K}}
==Overview==
==Overview==
Common risk factors in the development of acute kidney injury include exposure to contrast, volume depletion, hemodynamic instability, advanced ages, hypertension and diabetes mellitus.  
Common risk factors in the development of acute kidney injury include exposure to contrast, [[volume depletion]], [[hemodynamic instability]], advanced ages, [[hypertension]] and [[diabetes mellitus]].  


==Risk Factors==
==Risk Factors==
Common risk factors in the development of acute kidney injury include exposure to contrast, volume depletion, hemodynamic instability, advanced ages, hypertension and diabetes mellitus.
Common risk factors in the development of acute kidney injury include exposure to [[contrast]], [[volume depletion]], [[hemodynamic instability]], advanced ages, [[hypertension]] and [[diabetes mellitus]].
===Common Risk Factors===
===Common Risk Factors===
*Common risk factors in the development of acute kidney injury include:<ref name="doi10.1007/s001340051281">{{cite journal| author=de Mendonça A, Vincent J, Suter PM, Moreno R, Dearden NM, Antonelli M, Takala J, Sprung C, Cantraine F|title=Acute renal failure in the ICU: risk factors and outcome evaluated by the SOFA score | journal=Intensive Care Medicine | year= 2007 | volume= 26 | issue= 7 | pages= 915-21 | PMID= |doi=10.1007/s001340051281 | pmc= | url=http://link.springer.com/article/10.1007/s001340051281 }} </ref><ref name="pmid16106006">{{cite journal| author=Uchino S, Kellum JA, Bellomo R, Doig GS, Morimatsu H, Morgera S et al.| title=Acute renal failure in critically ill patients: a multinational, multicenter study. | journal=JAMA | year= 2005 | volume= 294 | issue= 7 | pages= 813-8 | pmid=16106006 | doi=10.1001/jama.294.7.813 | pmc= |url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16106006 }} </ref><ref name="pmid17728549">{{cite journal| author=Mennel S, Barbazetto I, Meyer CH, Peter S, Stur M| title=Ocular photodynamic therapy--standard applications and new indications. Part 2. Review of the literature and personal experience. | journal=Ophthalmologica | year= 2007 | volume= 221 | issue= 5 | pages= 282-91 |pmid=17728549 | doi=10.1159/000104757 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17728549 }} </ref><ref name="pmid15563569">{{cite journal| author=Thakar CV, Arrigain S, Worley S, Yared JP, Paganini EP| title=A clinical score to predict acute renal failure after cardiac surgery. | journal=J Am Soc Nephrol | year= 2005 | volume= 16 | issue= 1 | pages= 162-8 | pmid=15563569 | doi=10.1681/ASN.2004040331 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15563569 }} </ref><ref name="pmid16363316">{{cite journal| author=Bahar I, Akgul A, Ozatik MA, Vural KM, Demirbag AE, Boran M et al.| title=Acute renal failure following open heart surgery: risk factors and prognosis. | journal=Perfusion | year= 2005 | volume= 20 | issue= 6 | pages= 317-22 | pmid=16363316 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16363316 }} </ref><ref name="doi10.1038/kisup.2011.34">{{cite journal|author=Kidney Disease Improving Global Outcomes Work Group| title=2012 KDIGO Clinical Practice Guideline for Acute Kidney Injury| journal=Kidey Int Supp |year= 2012 | volume= 2 | pages= 69-88 | doi=10.1038/kisup.2011.34 |pmc=|url=http://www.nature.com/kisup/journal/v2/n1/full/kisup201134a.html }} </ref>
*Common risk factors in the development of acute kidney injury include:<ref name="doi10.1007/s001340051281">{{cite journal| author=de Mendonça A, Vincent J, Suter PM, Moreno R, Dearden NM, Antonelli M, Takala J, Sprung C, Cantraine F|title=Acute renal failure in the ICU: risk factors and outcome evaluated by the SOFA score | journal=Intensive Care Medicine | year= 2007 | volume= 26 | issue= 7 | pages= 915-21 | PMID= |doi=10.1007/s001340051281 | pmc= | url=http://link.springer.com/article/10.1007/s001340051281 }} </ref><ref name="pmid16106006">{{cite journal| author=Uchino S, Kellum JA, Bellomo R, Doig GS, Morimatsu H, Morgera S et al.| title=Acute renal failure in critically ill patients: a multinational, multicenter study. | journal=JAMA | year= 2005 | volume= 294 | issue= 7 | pages= 813-8 | pmid=16106006 | doi=10.1001/jama.294.7.813 | pmc= |url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16106006 }} </ref><ref name="pmid17728549">{{cite journal| author=Mennel S, Barbazetto I, Meyer CH, Peter S, Stur M| title=Ocular photodynamic therapy--standard applications and new indications. Part 2. Review of the literature and personal experience. | journal=Ophthalmologica | year= 2007 | volume= 221 | issue= 5 | pages= 282-91 |pmid=17728549 | doi=10.1159/000104757 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17728549 }} </ref><ref name="pmid15563569">{{cite journal| author=Thakar CV, Arrigain S, Worley S, Yared JP, Paganini EP| title=A clinical score to predict acute renal failure after cardiac surgery. | journal=J Am Soc Nephrol | year= 2005 | volume= 16 | issue= 1 | pages= 162-8 | pmid=15563569 | doi=10.1681/ASN.2004040331 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15563569 }} </ref><ref name="pmid16363316">{{cite journal| author=Bahar I, Akgul A, Ozatik MA, Vural KM, Demirbag AE, Boran M et al.| title=Acute renal failure following open heart surgery: risk factors and prognosis. | journal=Perfusion | year= 2005 | volume= 20 | issue= 6 | pages= 317-22 | pmid=16363316 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16363316 }} </ref><ref name="doi10.1038/kisup.2011.34">{{cite journal|author=Kidney Disease Improving Global Outcomes Work Group| title=2012 KDIGO Clinical Practice Guideline for Acute Kidney Injury| journal=Kidey Int Supp |year= 2012 | volume= 2 | pages= 69-88 | doi=10.1038/kisup.2011.34 |pmc=|url=http://www.nature.com/kisup/journal/v2/n1/full/kisup201134a.html }} </ref>
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:*'''In ICU patients'''
:*'''In ICU patients'''
::*Age more than 65 years
::*Age more than 65 years
::*Diabetes
::*[[Diabetes]]
::*Presence of infection
::*Presence of [[infection]]
::*Acute circulatory or respiratory failure
::*Acute circulatory or [[respiratory failure]]
::*Past history of chronic heart failure (CHF)
::*Past history of [[chronic heart failure]] (CHF)
::*Pre-existing kidney disease, lymphoma or leukemia
::*Pre-existing kidney disease, lymphoma or leukemia
::*Use of aminoglycosides
::*Use of [[aminoglycosides]]
::*Cirrhosis
::*[[Cirrhosis]]


:*'''In patients undergoing open heart surgery'''
:*'''In patients undergoing open heart surgery'''
::*Advanced age
::*Advanced age
::*Diabetes mellitus
::*[[Diabetes mellitus]]
::*Hypertension
::*[[Hypertension]]
::*Impaired left ventricular function
::*Impaired [[Left ventricle|left ventricular]] function
::*Urgent operation or reoperation
::*Urgent operation or reoperation
::*Prolonged cardiopulmonary bypass and aortic cross-clamp periods
::*Prolonged [[cardiopulmonary bypass]] and [[aortic cross-clamp]] periods
::*Hypothermia
::*[[Hypothermia]]
::*Re-exploration for bleeding or pericardial tamponade
::*Re-exploration for [[bleeding]] or [[pericardial tamponade]]
::*Systemic infection
::*Systemic [[infection]]
::*Peripheral vascular disease
::*Peripheral [[vascular disease]]
::*Cerebral vascular disease  
::*[[Cerebral]] [[vascular disease]]
::*COPD
::*[[COPD]]


:*'''In patients exposed to contrast media'''
:*'''In patients exposed to contrast media'''
::*Pre-existing renal disease  
::*Pre-existing [[renal disease]]
::*Diabetes
::*[[Diabetes]]
::*Hypertension
::*[[Hypertension]]
::*CHF
::*[[CHF]]
::*Advanced age (especially >75)
::*Advanced age (especially >75)
::*Volume depletion
::*[[Volume depletion]]
::*IABP
::*IABP
::*Anemia
::*[[Anemia]]
::*Hemodynamic instability
::*[[Hemodynamic instability]]
::*Concurrent nephrotoxic medications
::*Concurrent [[nephrotoxic]] medications
::*High osmolality or large volume of contrast media
::*High [[osmolality]] or large volume of [[contrast media]]


==References==
==References==

Latest revision as of 19:06, 2 July 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Farima Kahe M.D. [2]

Overview

Common risk factors in the development of acute kidney injury include exposure to contrast, volume depletion, hemodynamic instability, advanced ages, hypertension and diabetes mellitus.

Risk Factors

Common risk factors in the development of acute kidney injury include exposure to contrast, volume depletion, hemodynamic instability, advanced ages, hypertension and diabetes mellitus.

Common Risk Factors

  • In ICU patients
  • In patients undergoing open heart surgery
  • In patients exposed to contrast media

References

  1. de Mendonça A, Vincent J, Suter PM, Moreno R, Dearden NM, Antonelli M, Takala J, Sprung C, Cantraine F (2007). "Acute renal failure in the ICU: risk factors and outcome evaluated by the SOFA score". Intensive Care Medicine. 26 (7): 915–21. doi:10.1007/s001340051281.
  2. Uchino S, Kellum JA, Bellomo R, Doig GS, Morimatsu H, Morgera S; et al. (2005). "Acute renal failure in critically ill patients: a multinational, multicenter study". JAMA. 294 (7): 813–8. doi:10.1001/jama.294.7.813. PMID 16106006.
  3. Mennel S, Barbazetto I, Meyer CH, Peter S, Stur M (2007). "Ocular photodynamic therapy--standard applications and new indications. Part 2. Review of the literature and personal experience". Ophthalmologica. 221 (5): 282–91. doi:10.1159/000104757. PMID 17728549.
  4. Thakar CV, Arrigain S, Worley S, Yared JP, Paganini EP (2005). "A clinical score to predict acute renal failure after cardiac surgery". J Am Soc Nephrol. 16 (1): 162–8. doi:10.1681/ASN.2004040331. PMID 15563569.
  5. Bahar I, Akgul A, Ozatik MA, Vural KM, Demirbag AE, Boran M; et al. (2005). "Acute renal failure following open heart surgery: risk factors and prognosis". Perfusion. 20 (6): 317–22. PMID 16363316.
  6. Kidney Disease Improving Global Outcomes Work Group (2012). "2012 KDIGO Clinical Practice Guideline for Acute Kidney Injury". Kidey Int Supp. 2: 69–88. doi:10.1038/kisup.2011.34.

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