Intensive Care Med (2017) 43:1421–1423 DOI 10.1007/s00134-017-4874-1 FOCUS EDITORIAL 1* 2 Miet Schetz and Antoine Schneider © 2017 Springer-Verlag GmbH Germany and ESICM Introduction 7.2% if no AKI). AKI patients had an increased length of Acute kidney injury (AKI) is extremely common in criti- stay and had worse kidney function at hospital discharge cally ill patients. Prevention and supportive therapy with with CKD criteria in almost 50% . Regarding kidney renal replacement therapy (RRT) are the only manage- outcome after AKI it is important to realize that, because ment options. This editorial comments on papers pub - of muscle wasting, defining recovery based on creatinine lished in Intensive Care Medicine in 2015 and 2016 levels and the derived eGFR might result in significant focusing on epidemiology, diagnosis, prevention, and overestimation of the extent of kidney function recovery extracorporeal treatment of AKI. Their main findings are . In patients treated with hypothermia after cardiac summarized in Fig. 1. arrest, early AKI stage 3 occurred in 48% and was asso- ciated with mortality (OR 1.60, 95% CI 1.05–2.43) but, Epidemiology interestingly, not with neurologic outcome . In a sys- In their “My Paper 20 Years Later” article, Druml et al. tematic literature
Intensive Care Medicine – Springer Journals
Published: Jul 3, 2017
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