Search Tag: acute kidney injury

ICU Management

Optimal Timing of Renal Replacement Therapy ‘Elusive’

2016 24 May

A clear answer for the optimal timing of RRT in critical illness remains elusive, say the authors of a systematic review published in Critical Care . They recommend that clinicians refrain from lowering their clinical thresholds for implementing RRT in critical care patients with acute renal injury. Studies on the timing of renal replacement therapy... Read more

ICU Management

Acute Kidney Injury Prediction and Detection Models

2016 24 May

Risk of acute kidney injury (AKI) can be difficult to predict in older adults, due to age-related declines in glomerular filtration rates, which can affect baseline serum creatinine, and because serum creatinine is influenced by muscle mass, nutritional status and volume distribution. A study published in BMC Medical Informatics and Decision Making... Read more

ICU Management

ELAIN Trial for AKI: Significant Mortality Reduction in Early RRT Group

2016 22 May

Results of the Early vs Late Initiation of Renal Replacement Therapy in Critically Ill Patients With Acute Kidney Injury (ELAIN) Trial found a significant reduction in 90-day all-cause mortality in the early initiation group. The single-centre study, by Alexander Zarbock , MD, of University Hospital Munster, Germany, and colleagues, which is to be... Read more

ICU Management

Can RIFLE Urine Output Criteria Predict Contrast-Associated Nephropathy?

2016 10 May

A study that assessed the predictive value of the Risk of renal dysfunction, Injury to the kidney, Failure of kidney function, Loss of kidney function and End-stage renal disease (RIFLE) urine output criteria on contrast-induced nephropathy in critically ill patients found its predictive value to be low, which limits its use for assessing the effects... Read more

ICU Management

Protocol for Identifying Patients at Risk of AKI

2015 08 Nov

A new streamlined approach for early detection and treatment of acute kidney injury (AKI) has reduced mortality rates by 23 percent and hospital length of stay by 13 percent, according to a pilot study presented at ASN Kidney Week 2015 in San Diego. AKI is a common condition that affects 21 percent of hospitalised adults and 33 percent of hospitalised... Read more

Cardiology Management

Remote Ischaemic Preconditioning Reduces Kidney Injury after Cardiac Surgery

2015 30 May

According to a study published in JAMA, the use of remote ischaemic preconditioning reduced the rate of kidney injury and the need for dialysis after cardiac surgery in high-risk patients. The study will be presented at the 52nd European Renal Association/European Dialysis and Transplant Association Congress. The procedure is performed to help protect... Read more

Executive Health Management

Mayo Study: AKI Kidneys Can Be Safely Transplanted

2015 07 Apr

New research published in the American Journal of Transplantation indicates that some kidneys affected by Acute Kidney Injury (AKI) may be safely used for transplantation. The revelation that such kidneys might be useful to patients awaiting organ transplantation can help to alleviate the current shortage of kidneys in the US. The single-site study... Read more

ICU Management

Global Study: 65% of AKI Cases Are Community Acquired

2015 16 Mar

The International Society of Nephrology (ISN) has presented the findings of a new global study on acute kidney injury (AKI), seen by experts as a key step forward in their efforts to eliminate preventable deaths from the condition by 2025 ('0by25 Initiative'), at its annual meeting held in Cape Town, South Africa. AKI is a worldwide problem, killing... Read more

ICU Management

Biomarkers Linked to Kidney Damage, Death in Critically Ill

2015 19 Jan

Based on results of a new study, high levels of two novel urinary biomarkers early in critical illness correlate with adverse long-term outcomes in patients with acute kidney injury (AKI). The combination of tissue inhibitor metalloproteinase-2 (TIMP-2) and IGF-binding protein-7 (IGFBP7) can identify patients with AKI who are at greater risk of death... Read more

ICU Management

Aspirin Use In Surgery Does Not Reduce Kidney Infection

2014 17 Nov

According to a new study, neither aspirin nor clonidine reduce the risk of acute kidney injury when used in patients undergoing non-cardiac surgery. The study has been published in JAMA and will be presented at the American Society of Nephrology’s Annual Kidney Week meeting.   Approximately 10 percent of the 200 million adults undergoing major... Read more