The Acute Kidney Injury Network (AKIN) Criteria Applied in Burns
Abstract
In 2007, the Acute Kidney Injury Network (AKIN) developed a modified standard for diagnosing and classifying acute kidney injury (AKI). This classification system is a modification of the previously described risk, injury, failure, loss and end-stage (RIFLE) criteria. Among other modifications, the AKIN staging requires an absolute scrum creatinine change of 0.3 mg/dl in a 48-hour period to establish the diagnosis of AKI. The purpose of this study was to apply these new criteria in the severely burned population and to compare the prevalence, stage and mortality impact fo these criteria to the RIFLE criteria. The authors performed a retrospective analysis of consecutive patients with burns admitted to their burn center for at least 24 hours from June 2003 through December 2008. Each patients was classified by both the AKIN and RIFLE criteria by three referees. Both univariate and multivariate analyses were performed to determine the impact of the various AKI stages on mortality. A total of 1973 patients met inclusion and exclusion criteria and were included in the analysis.
Document Details
- Document Type
- Technical Report
- Publication Date
- Aug 01, 2012
- Accession Number
- ADA615141
Entities
People
- Casey L. Cotant
- Christopher E. White
- Christopher Gisler
- Evan M. Renz
- Ian J Stewart
- James Keith Aden
- John W. Simmons
- Kevin K Chung
- Molly A. Tilley
- Steven Wolf
Organizations
- United States Army Institute of Surgical Research