Narrative Review: Acute Kidney Injury: Difference between revisions

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__NOTOC__
{{Narrative Review}}
{{CMG}}; {{AE}}{{MJ}}
{| class="wikitable"
!'''Site'''
!'''Patient'''
!'''AE'''
!'''Complication'''
!'''Event date'''
!'''AE code'''
|-
|xxx
|xxx
|x
|
|MM/DD/YYYY
|xxx
|}
== Renal dysfunction Definition ==
Persistent decrease in eGFR of > 20 ml/min/1.73 m2 from baseline >48 hours that does not respond to simple measures such as decreasing diuresis or volume replacement). [Note: eGFR via CKD-Epi equation]
=== Acute Kidney Injury (AKI) definition ===
AKI is defined as any of the following (Not Graded):
O Increase in SCr by X0.3 mg/dl (≥26.5 μmol/l) within 48 hours; '''or'''


'''Site:'''  
O Increase in SCr to ≥1.5 times baseline, which is known or presumed to have occurred within the prior 7 days; '''or'''  


'''AE:'''
O Urine volume <0.5 ml/kg/h for 6 hours.


'''Complication:'''
'''Stage criteria for AKI based on Serum Creatinine'''


'''Event date:'''
O '''Stage 1''': 1.5–1.9 times baseline OR ≥0.3 mg/dl (≥26.5 μmol/l) increase


'''Adverse event code:'''
O '''Stage 2''': 2.0–2.9 times baseline
* '''Demograghic''': [age] year old [gender]
 
* '''Past Medical History:''' [eg. diabetes, CAD,...]
O '''Stage 3''': 3.0 times baseline OR Increase in serum creatinine to ≥4.0 mg/dl (≥353.6 μmol/l) OR Initiation of renal replacement therapy
* '''Index Procedure Date/Time''': xx/xx/xxxx at xx:xx  [insert date and time]
 
* '''Index Procedure Detail''':
'''Laboratory:'''
** On xx/xx/xxxx at xx:xx [insert date and time] the subject underwent a [select surgical correction] for [select etiology].  
** Enter access site details
** The site reported that there were/were not procedural complication(s).  
* '''Event''': MI
* '''Site Reported Event Onset Date:''' xx/xx/xxxx
* '''Event summary''':
** Symptoms and sign: Subject presented with [sign and symptom] on xx/xx/xxxx.
** Important characteristics of the chief complaint such as severity, site, and duration.
** Other important symptoms related to the chief compliant.
** Physical assessment: 
** Vital signs
** Positive physical examinations or related negative examinations.
* '''Lab studies:'''
** Bun/Cr levels
{| class="wikitable"
{| class="wikitable"
|'''Date'''
|'''Date'''
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|'''Na/K'''
|'''Na/K'''
|'''Urine output'''
|'''Urine output'''
|'''Arterial pH'''
|'''HCO3'''
|'''HgB'''
|-
|-
|xx/xx/xxx
|MM/DD/YYYY
|xx:xx
|xx:xx
|
|
|
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|
|
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|-
|-
|xx/xx/xxx
|MM/DD/YYYY
|xx:xx
|xx:xx
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|-
|-
|xx/xx/xxx
|MM/DD/YYYY
|xx:xx
|xx:xx
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|}
** Other labratory:
*** Date/ name/ value
* '''ECG’s:'''
{| class="wikitable"
!Date
!Time
!Finding
|-
|xx/xx/xxx
|xx:xx
|
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|-
|xx/xx/xxx
|xx:xx
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|xx/xx/xxx
|xx:xx
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|}
* '''ECHO/ date:'''
== Event(s)==
** Trans-thoracic:
'''Event (1):'''
** Trans-esophagus:
*'''Site Reported Event Onset Date:''' MM/DD/YYYY
 
*'''Event summary''':
**'''Symptoms and sign''':
***Subject presented with [sign and symptom] on MM/DD/YYYY.
***Important characteristics of the chief complaint such as severity, site, and duration.
***Other important symptoms related to the chief complaint.
**'''Past Medical History:''' [eg. CAD, Severe mitral stenosis, former tobacco use, dyslipidemia, ...]
**'''Past Surgical History:''' [including date]
**'''Medications:''' [relevant to the event not all]
**'''Physical assessment:'''
***Vital signs
***Positive physical examinations or related negative examinations.
'''Event (2):'''
*'''Site Reported Event Onset Date:''' MM/DD/YYYY
*'''Event summary''':
**'''Symptoms and sign''':
***Subject presented with [sign and symptom] on MM/DD/YYYY.
***Important characteristics of the chief complaint such as severity, site, and duration.
***Other important symptoms related to the chief complaint.
**'''Past Medical History:''' [eg. CAD, Severe mitral stenosis, former tobacco use, dyslipidemia, ...]
**'''Past Surgical History:''' [including date]
**'''Medications:''' [relevant to the event not all]
**'''Physical assessment:'''
***Vital signs
***Positive physical examinations or related negative examinations.
 
==Procedure==
*'''Index Procedure Date/Time''':
**mm/dd/YYYY at xx:xx  [insert date and time]
*'''Index Procedure Detail''':
**On mm/dd/YYYY at xx:xx [insert date and time] the subject underwent a [select surgical correction] for [select etiology].
**Access site details
**The site reported that there were/were not procedural complication(s). 
== Other Laboratory data and Imaging ==
* '''Other laboratory:'''
** Date/ name/ value
 
* '''ECG / date:'''
 
* '''ECHO / date:'''
* '''CXR / date:'''  
* '''CXR / date:'''  
* '''Other imaging and diagnostic tests / date:'''
* '''Other imaging and diagnostic tests / date:'''
* '''Clinical course''':  
 
* '''Treatment:'''
== Consults ==
* '''Outcome:'''
*Date and time of consult
*Suggested treatments
==Clinical course==
*Date and time of events:
*Dialysis / time
*Patient condition got worse or better.
==Treatment and outcome==
*List of relevant medical treatments
*Outcome [Discharge / Hospice / Death]

Latest revision as of 14:11, 29 June 2018

Narrative Review

Narrative Review: Death

Narrative Review: Stroke

Narrative Review: Myocardial Infarction

Narrative Review: Acute Kidney Injury

Narrative Review: Bleeding

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

Site Patient AE Complication Event date AE code
xxx xxx x MM/DD/YYYY xxx

 Renal dysfunction Definition

Persistent decrease in eGFR of > 20 ml/min/1.73 m2 from baseline >48 hours that does not respond to simple measures such as decreasing diuresis or volume replacement). [Note: eGFR via CKD-Epi equation]

Acute Kidney Injury (AKI) definition

AKI is defined as any of the following (Not Graded):

O Increase in SCr by X0.3 mg/dl (≥26.5 μmol/l) within 48 hours; or

O Increase in SCr to ≥1.5 times baseline, which is known or presumed to have occurred within the prior 7 days; or

O Urine volume <0.5 ml/kg/h for 6 hours.

Stage criteria for AKI based on Serum Creatinine

O Stage 1: 1.5–1.9 times baseline OR ≥0.3 mg/dl (≥26.5 μmol/l) increase

O Stage 2: 2.0–2.9 times baseline

O Stage 3: 3.0 times baseline OR Increase in serum creatinine to ≥4.0 mg/dl (≥353.6 μmol/l) OR Initiation of renal replacement therapy

Laboratory:

Date Time BUN/Cr Na/K Urine output Arterial pH HCO3 HgB
MM/DD/YYYY xx:xx
MM/DD/YYYY xx:xx
MM/DD/YYYY xx:xx

 Event(s)

Event (1):

  • Site Reported Event Onset Date: MM/DD/YYYY
  • Event summary:
    • Symptoms and sign:
      • Subject presented with [sign and symptom] on MM/DD/YYYY.
      • Important characteristics of the chief complaint such as severity, site, and duration.
      • Other important symptoms related to the chief complaint.
    • Past Medical History: [eg. CAD, Severe mitral stenosis, former tobacco use, dyslipidemia, ...]
    • Past Surgical History: [including date]
    • Medications: [relevant to the event not all]
    • Physical assessment:
      • Vital signs
      • Positive physical examinations or related negative examinations.

Event (2):

  • Site Reported Event Onset Date: MM/DD/YYYY
  • Event summary:
    • Symptoms and sign:
      • Subject presented with [sign and symptom] on MM/DD/YYYY.
      • Important characteristics of the chief complaint such as severity, site, and duration.
      • Other important symptoms related to the chief complaint.
    • Past Medical History: [eg. CAD, Severe mitral stenosis, former tobacco use, dyslipidemia, ...]
    • Past Surgical History: [including date]
    • Medications: [relevant to the event not all]
    • Physical assessment:
      • Vital signs
      • Positive physical examinations or related negative examinations.

Procedure

  • Index Procedure Date/Time:
    • mm/dd/YYYY at xx:xx [insert date and time]
  • Index Procedure Detail:
    • On mm/dd/YYYY at xx:xx [insert date and time] the subject underwent a [select surgical correction] for [select etiology].
    • Access site details
    • The site reported that there were/were not procedural complication(s). 

Other Laboratory data and Imaging

  • Other laboratory:
    • Date/ name/ value
  • ECG / date:
  • ECHO / date:
  • CXR / date:
  • Other imaging and diagnostic tests / date:

Consults

  • Date and time of consult
  • Suggested treatments

Clinical course

  • Date and time of events:
  • Dialysis / time
  • Patient condition got worse or better.

Treatment and outcome

  • List of relevant medical treatments
  • Outcome [Discharge / Hospice / Death]