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Colegio de Medicina Interna de México.

2014, Number 6

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Med Int Mex 2014; 30 (6)

Renal attack. A proposal of a new concept

Carrillo-Esper R, Díaz-Carrillo MA, Rosales-Gutiérrez AO, Pérez-Calatayud ÁA, Meza-Márquez JM, Chávez-Mendoza CA

Language: Spanish
References: 24
Page: 696-706
PDF size: 724.52 Kb.


ABSTRACT

Acute kidney injury is common with an incidence of 2.1/1,000 persons, similar to that of acute myocardial infarction, and is a major independent risk factor for death in the critically ill patients. Acute kidney injury is today a facing a complex phase of characterization due to a lack of an accepted definition. In practice the diagnosis of acute kidney injury has so far been made based on changes in serum creatinine or urinary output, confounding between concepts of kidney injury and kidney dysfunction. On the other hand, different names have been used to define this disorder, such as acute tubular necrosis, acute renal failure or acute kidney disease, which creates more confusion and delayed diagnosis and treatment. For this reason recently several consensus have been developed to define this entity, which resulted in RIFLE and AKIN criteria and KDIGO guidelines, including different biomarkers. Similar to concept of heart attack has been proposed renal attack for a comprehensive and early assessment of acute kidney injury. The aim of this paper is to propose the concept of renal attack in the critically ill as a new tool for assessing acute kidney injury.


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