Long-Term Follow-up of Acute Kidney Injury

Crit Care Clin. 2015 Oct;31(4):763-72. doi: 10.1016/j.ccc.2015.06.017.

Abstract

In the general hospital setting, approximately 15% of inpatients sustain an episode of acute kidney injury (AKI) but in the critical care environment this can increase to over 25%. An episode of AKI increases the risk for both future chronic kidney disease and associated cardiovascular complications. Discharge of patients who have suffered a renal insult resulting in AKI should include consideration of longer-term follow-up, which may require nephrology input. This increase in health care burden and economic costs may be quantified and justifies the need to develop robust quality-improvement projects aimed at AKI prevention, identification, and improved management.

Keywords: Acute kidney injury; Critical care; Critical illness; Follow-up; Intensive care; Outcome.

Publication types

  • Review

MeSH terms

  • Acute Kidney Injury / complications*
  • Acute Kidney Injury / physiopathology
  • Acute Kidney Injury / therapy*
  • Biomarkers / blood
  • Biomarkers / urine
  • Creatinine / blood*
  • Critical Illness
  • Follow-Up Studies
  • Glomerular Filtration Rate
  • Humans
  • Recovery of Function
  • Renal Insufficiency, Chronic / etiology*
  • Risk Assessment
  • Time Factors

Substances

  • Biomarkers
  • Creatinine