Incidence and outcomes of acute kidney injury in intensive care units: A Veterans Administration study*

Abstract

: Admission diagnosis and severity of illness influence frequency and severity of acute kidney injury. Small elevations in creatinine in the intensive care unit are associated with increased risk-adjusted mortality across all intensive care unit settings, whereas renal recovery was associated with a protective effect. Strategies to prevent even mild acute kidney injury or promote renal recovery may improve survival.

Keywords

MedicineAcute kidney injuryIntensive care unitVeterans AffairsDialysisOdds ratioIntensive careKidney diseaseRetrospective cohort studyRenal replacement therapyEmergency medicineCreatinineAcute careIntensive care medicineIncidence (geometry)Internal medicineHealth care

Affiliated Institutions

Cincinnati VA Medical Center US

Related Publications

Primary prevention of acute renal failure in the critically ill

John A. Kellum , Martine Leblanc , R. T. Noel Gibney +3 more

The best evidence suggests that nonpharmacologic strategies are more effective than drugs in reducing the risk of acute renal failure. Evidence also exists that strategies that ...

2005 Current Opinion in Internal Medicine 44 citations

Epidemiology of Acute Renal Failure

Paul M. Palevsky

The epidemiology of ESRD is well characterized. For nearly two decades the United States Renal Data System has provided ongoing analysis of the incidence, prevalence, treatment,...

2005 Clinical Journal of the American Soci... 51 citations

Chronic Dialysis and Death Among Survivors of Acute Kidney Injury Requiring Dialysis

Ron Wald

Acute kidney injury necessitating in-hospital dialysis was associated with an increased risk of chronic dialysis but not all-cause mortality.

2009 JAMA 787 citations

Intensity of Renal Support in Critically Ill Patients with Acute Kidney Injury

Yen‐Hsuan Ni , Roland M.H. Schein , Mark W. Smith +97 more

Intensive renal support in critically ill patients with acute kidney injury did not decrease mortality, improve recovery of kidney function, or reduce the rate of nonrenal organ...

2008 New England Journal of Medicine 1715 citations

Incidence and Outcomes in Acute Kidney Injury

Tariq Ali , Izhar Khan , William G. Simpson +4 more

Epidemiological studies of acute kidney injury (AKI) and acute-on-chronic renal failure (ACRF) are surprisingly sparse and confounded by differences in definition. Reported inci...

2007 Journal of the American Society of Ne... 814 citations

Publication Info

Year: 2009
Type: article
Volume: 37
Issue: 9
Pages: 2552-2558
Citations: 442
Access: Closed

External Links

View on DOI.org

Social Impact

Altmetric

Incidence and outcomes of acute kidney injury in intensive care units: A Veterans Administration study*

PlumX Metrics

Social media, news, blog, policy document mentions

Citation Metrics

442

OpenAlex

Cite This

APA Style

                            
                                
                                    Charuhas V. Thakar, 
                                
                                    Annette Christianson, 
                                
                                    Ron W. Freyberg
                                
                                et al.
                            
                            (2009). 
                            Incidence and outcomes of acute kidney injury in intensive care units: A Veterans Administration study*. 
                            Critical Care Medicine
                            , 37
                            (9)
                            , 2552-2558.
                            https://doi.org/10.1097/ccm.0b013e3181a5906f
                        

Identifiers

DOI: 10.1097/ccm.0b013e3181a5906f