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Focus on acute kidney injury

Focus on acute kidney injury 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% [2]. 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 [3]. 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 [4]. In a sys- In their “My Paper 20  Years Later” article, Druml et  al. tematic literature http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Intensive Care Medicine Springer Journals

Focus on acute kidney injury

Intensive Care Medicine , Volume 43 (9) – Jul 3, 2017

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References (20)

Publisher
Springer Journals
Copyright
Copyright © 2017 by Springer-Verlag GmbH Germany and ESICM
Subject
Medicine & Public Health; Intensive / Critical Care Medicine; Anesthesiology; Emergency Medicine; Pneumology/Respiratory System; Pain Medicine; Pediatrics
ISSN
0342-4642
eISSN
1432-1238
DOI
10.1007/s00134-017-4874-1
pmid
28674796
Publisher site
See Article on Publisher Site

Abstract

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% [2]. 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 [3]. 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 [4]. In a sys- In their “My Paper 20  Years Later” article, Druml et  al. tematic literature

Journal

Intensive Care MedicineSpringer Journals

Published: Jul 3, 2017

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