Acute renal failure diagnostic criteria

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Overview

Diagnostic Criteria

Consensus criteria[1][2] for the diagnosis of ARF are:

  • Risk: serum creatinine increased 1.5 times OR urine production of <0.5 ml/kg body weight for 6 hours
  • Injury: creatinine 2.0 times OR urine production <0.5 ml/kg for 12 h
  • Failure: creatinine 3.0 times OR creatinine >355 μmol/l (with a rise of >44) or urine output below 0.3 ml/kg for 24 h
  • Loss: persistent ARF or more than four weeks complete loss of kidney function

References

  1. Bellomo R, Ronco C, Kellum JA, Mehta RL, Palevsky P; Acute Dialysis Quality Initiative workgroup. Acute renal failure - definition, outcome measures, animal models, fluid therapy and information technology needs: the Second International Consensus Conference of the Acute Dialysis Quality Initiative (ADQI) Group. Crit Care. 2004 Aug;8(4):R204-12. Epub 2004 May 24. PMID 15312219 Full Text. Criteria for ARF (Figure).
  2. Lameire N, Van Biesen W, Vanholder R. Acute renal failure. Lancet 2005;365:417-30. PMID 15680458.

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