MO366CONCORDANCE BETWEEN FIVE CLASSIFICATION SYSTEMS OF COMMUNITY-ACQUIRED ACUTE KIDNEY INJURY
| Autor: | Ana Coscojuela Otto, Almudena Castellano Calvo, Paula Juarez Mayor, José Antonio Ferreras Gascó, José María Peña Porta, Rafael Álvarez Lipe |
|---|---|
| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | Nephrology Dialysis Transplantation. 36 |
| ISSN: | 1460-2385 0931-0509 |
| Popis: | Background and Aims In recent years, up to five classification systems have appeared according to the severity of acute kidney injury (AKI), some based on relative increases in creatinine (RIFLE, AKIN, KDIGO) and others in absolute increases: the kinetic method of creatinine (KC) and delta creatinine (DC) method. It is discussed in the literature which methodology offers better diagnostic performance. The aim of this study was to analyze the concordance using the Kappa index of the 5 classification systems in a cohort of patients with community-acquired AKI (CA-AKI) treated in the Nephrology Service of a tertiary hospital. Method All the CA-AKI cases admitted to our service in the period: January 2010 - December 2016 were analyzed. Results 536 patients (59,9% male) of 73.13 ± 13,6 years of age. Etiology of AKI: prerenal 72.8%; renal 20.5%; obstructive 6.7%. 69.6% of patients were carriers of previous chronic kidney disease (CKD-EPI glomerular filtration Conclusion KDIGO system is valid as a reference system with respect to AKIN and RIFLE. Systems based on absolute increases in creatinine tend to classify fewer cases as mild and more cases as severe than systems based on relative increases in creatinine. It remains to be seen what is the practical significance of these discrepancies in the clinical management of AKI patients. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|