The Role of RIFLE, AKIN and KDIGO Criteria in Determining the Relationship Between Acute Kidney Injury and Mortality in Intensive Care Patients
Aim:Risk, injury, failure, loss, and end stage (RIFLE); acute kidney injury network (AKIN) and kidney disease: Improving global outcomes (KDIGO) classifications are the most commonly used criteria for the diagnosis of acute kidney injury (AKI). The aim of our study was to determine the relationship...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Galenos Yayincilik
2022-03-01
|
| Series: | Namık Kemal Tıp Dergisi |
| Subjects: | |
| Online Access: |
http://namikkemalmedj.com/archives/archive-detail/article-preview/the-role-of-rfle-akn-and-kdgo-criteria-in-determin/51123
|
| _version_ | 1797921062654050304 |
|---|---|
| author | Nergiz BAYRAKÇI Sibel ERSAN Ali ÇELİK Caner ÇAVDAR Taner ÇAMSARI Hakan Alp BODUR Aykut SİFİL |
| author_facet | Nergiz BAYRAKÇI Sibel ERSAN Ali ÇELİK Caner ÇAVDAR Taner ÇAMSARI Hakan Alp BODUR Aykut SİFİL |
| author_sort | Nergiz BAYRAKÇI |
| collection | DOAJ |
| description | Aim:Risk, injury, failure, loss, and end stage (RIFLE); acute kidney injury network (AKIN) and kidney disease: Improving global outcomes (KDIGO) classifications are the most commonly used criteria for the diagnosis of acute kidney injury (AKI). The aim of our study was to determine the relationship between the mortality and the severity of AKI diagnosed by using RIFLE, AKIN, and KDIGO classifications in critically ill patients.Materials and Methods:Data of 1,491 patients hospitalized in tertiary intensive care unit were retrieved from electronic medical records and patients diagnosed with AKI were included in the study. AKI severity was determined according to the RIFLE, AKIN, and KDIGO classifications.Results:One hundred fifty-five patients were included in the study. The percentages of patients in risk, damage, and failure stages according to the RIFLE criteria were 14.8%, 40.0%, and 45.2%, respectively. The percentages in stage 1, 2 and 3 were 45.6%, 30.6%, and 23.8% according to the AKIN criteria and 18.7%, 21.7%, and 54.1% according to the KDIGO criteria, respectively. There was a difference in mortality between the stages of AKI determined according to the AKIN and RIFLE criteria. Mortality was found to be higher in patients in KDIGO stage 3.Conclusion:These three classifications do not consider the etiology of AKI. Therefore, it may be possible that they do not accurately reflect the relationship between mortality and AKI severity. However, the KDIGO classification, which emerged with the need arising from the inadequacy of the classifications used before it, seems to be more valid in this respect. |
| first_indexed | 2024-04-10T14:11:37Z |
| format | Article |
| id | doaj.art-f9149c140559458cb2432a75d2411c32 |
| institution | Directory Open Access Journal |
| issn | 2587-0262 |
| language | English |
| last_indexed | 2024-04-10T14:11:37Z |
| publishDate | 2022-03-01 |
| publisher | Galenos Yayincilik |
| record_format | Article |
| series | Namık Kemal Tıp Dergisi |
| spelling | doaj.art-f9149c140559458cb2432a75d2411c322023-02-15T16:09:45ZengGalenos YayincilikNamık Kemal Tıp Dergisi2587-02622022-03-01101374210.4274/nkmj.galenos.2021.2996413049054The Role of RIFLE, AKIN and KDIGO Criteria in Determining the Relationship Between Acute Kidney Injury and Mortality in Intensive Care PatientsNergiz BAYRAKÇI0Sibel ERSAN1Ali ÇELİK2Caner ÇAVDAR3Taner ÇAMSARI4Hakan Alp BODUR5Aykut SİFİL6 Tekirdağ Namık Kemal Üniversitesi Tıp Fakültesi, İç Hastalıkları Anabilim Dalı, Nefroloji Bilim Dalı, Tekirdağ, Türkiye Sağlık Bilimleri Üniversitesi, Tepecik Eğitim ve Araştırma Hastanesi, Nefroloji Kliniği, İzmir, Türkiye Dokuz Eylül Üniversitesi Üniversitesi Tıp Fakültesi, İç Hastalıkları Anabilim Dalı, Nefroloji Bilim Dalı, İzmir, Türkiye Dokuz Eylül Üniversitesi Üniversitesi Tıp Fakültesi, İç Hastalıkları Anabilim Dalı, Nefroloji Bilim Dalı, İzmir, Türkiye Dokuz Eylül Üniversitesi Üniversitesi Tıp Fakültesi, İç Hastalıkları Anabilim Dalı, Nefroloji Bilim Dalı, İzmir, Türkiye UCLouvain Üniversitesi Namur (Sainte-Elisabeth) Hastanesi, Obesite ve Diyabet Kliniği, Namur, Belçika Dokuz Eylül Üniversitesi Üniversitesi Tıp Fakültesi, İç Hastalıkları Anabilim Dalı, Nefroloji Bilim Dalı, İzmir, Türkiye Aim:Risk, injury, failure, loss, and end stage (RIFLE); acute kidney injury network (AKIN) and kidney disease: Improving global outcomes (KDIGO) classifications are the most commonly used criteria for the diagnosis of acute kidney injury (AKI). The aim of our study was to determine the relationship between the mortality and the severity of AKI diagnosed by using RIFLE, AKIN, and KDIGO classifications in critically ill patients.Materials and Methods:Data of 1,491 patients hospitalized in tertiary intensive care unit were retrieved from electronic medical records and patients diagnosed with AKI were included in the study. AKI severity was determined according to the RIFLE, AKIN, and KDIGO classifications.Results:One hundred fifty-five patients were included in the study. The percentages of patients in risk, damage, and failure stages according to the RIFLE criteria were 14.8%, 40.0%, and 45.2%, respectively. The percentages in stage 1, 2 and 3 were 45.6%, 30.6%, and 23.8% according to the AKIN criteria and 18.7%, 21.7%, and 54.1% according to the KDIGO criteria, respectively. There was a difference in mortality between the stages of AKI determined according to the AKIN and RIFLE criteria. Mortality was found to be higher in patients in KDIGO stage 3.Conclusion:These three classifications do not consider the etiology of AKI. Therefore, it may be possible that they do not accurately reflect the relationship between mortality and AKI severity. However, the KDIGO classification, which emerged with the need arising from the inadequacy of the classifications used before it, seems to be more valid in this respect. http://namikkemalmedj.com/archives/archive-detail/article-preview/the-role-of-rfle-akn-and-kdgo-criteria-in-determin/51123 acute kidney injuryakinkdigomortalityrifleintensive care |
| spellingShingle | Nergiz BAYRAKÇI Sibel ERSAN Ali ÇELİK Caner ÇAVDAR Taner ÇAMSARI Hakan Alp BODUR Aykut SİFİL The Role of RIFLE, AKIN and KDIGO Criteria in Determining the Relationship Between Acute Kidney Injury and Mortality in Intensive Care Patients Namık Kemal Tıp Dergisi acute kidney injury akin kdigo mortality rifle intensive care |
| title | The Role of RIFLE, AKIN and KDIGO Criteria in Determining the Relationship Between Acute Kidney Injury and Mortality in Intensive Care Patients |
| title_full | The Role of RIFLE, AKIN and KDIGO Criteria in Determining the Relationship Between Acute Kidney Injury and Mortality in Intensive Care Patients |
| title_fullStr | The Role of RIFLE, AKIN and KDIGO Criteria in Determining the Relationship Between Acute Kidney Injury and Mortality in Intensive Care Patients |
| title_full_unstemmed | The Role of RIFLE, AKIN and KDIGO Criteria in Determining the Relationship Between Acute Kidney Injury and Mortality in Intensive Care Patients |
| title_short | The Role of RIFLE, AKIN and KDIGO Criteria in Determining the Relationship Between Acute Kidney Injury and Mortality in Intensive Care Patients |
| title_sort | role of rifle akin and kdigo criteria in determining the relationship between acute kidney injury and mortality in intensive care patients |
| topic | acute kidney injury akin kdigo mortality rifle intensive care |
| url |
http://namikkemalmedj.com/archives/archive-detail/article-preview/the-role-of-rfle-akn-and-kdgo-criteria-in-determin/51123
|
| work_keys_str_mv | AT nergizbayrakci theroleofrifleakinandkdigocriteriaindeterminingtherelationshipbetweenacutekidneyinjuryandmortalityinintensivecarepatients AT sibelersan theroleofrifleakinandkdigocriteriaindeterminingtherelationshipbetweenacutekidneyinjuryandmortalityinintensivecarepatients AT alicelik theroleofrifleakinandkdigocriteriaindeterminingtherelationshipbetweenacutekidneyinjuryandmortalityinintensivecarepatients AT canercavdar theroleofrifleakinandkdigocriteriaindeterminingtherelationshipbetweenacutekidneyinjuryandmortalityinintensivecarepatients AT tanercamsari theroleofrifleakinandkdigocriteriaindeterminingtherelationshipbetweenacutekidneyinjuryandmortalityinintensivecarepatients AT hakanalpbodur theroleofrifleakinandkdigocriteriaindeterminingtherelationshipbetweenacutekidneyinjuryandmortalityinintensivecarepatients AT aykutsifil theroleofrifleakinandkdigocriteriaindeterminingtherelationshipbetweenacutekidneyinjuryandmortalityinintensivecarepatients AT nergizbayrakci roleofrifleakinandkdigocriteriaindeterminingtherelationshipbetweenacutekidneyinjuryandmortalityinintensivecarepatients AT sibelersan roleofrifleakinandkdigocriteriaindeterminingtherelationshipbetweenacutekidneyinjuryandmortalityinintensivecarepatients AT alicelik roleofrifleakinandkdigocriteriaindeterminingtherelationshipbetweenacutekidneyinjuryandmortalityinintensivecarepatients AT canercavdar roleofrifleakinandkdigocriteriaindeterminingtherelationshipbetweenacutekidneyinjuryandmortalityinintensivecarepatients AT tanercamsari roleofrifleakinandkdigocriteriaindeterminingtherelationshipbetweenacutekidneyinjuryandmortalityinintensivecarepatients AT hakanalpbodur roleofrifleakinandkdigocriteriaindeterminingtherelationshipbetweenacutekidneyinjuryandmortalityinintensivecarepatients AT aykutsifil roleofrifleakinandkdigocriteriaindeterminingtherelationshipbetweenacutekidneyinjuryandmortalityinintensivecarepatients |