Korean J Med.  2012 Jan;82(1):11-16.

Medical Management of Acute Kidney Injury, Mainly Focused on Preventable Diseases

Affiliations
  • 1Division of Nephrology, Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea. Intmdoh@hanmail.net

Abstract

Acute kidney injury (AKI) severity predicts adverse outcomes, such as requirement for renal replacement therapy, length of hospital stay, and mortality. In addition, the widespread use of the RIFLE (risk, injury, failure, loss of kidney function, end-stage kidney disease) and AKI classification systems has shown that even small changes in glomerular filtration rate are associated with increased mortality. Furthermore, AKI contributes to dysfunction of other organs, such as heart, lung, brain, and liver. Consequently, primary/secondary prevention and early diagnosis of AKI are of central clinical importance. Herein, I briefly reviewed the established medical management of AKI, mainly focused on preventable diseases.

Keyword

Acute kidney injury; Prevention; Management

MeSH Terms

Acute Kidney Injury
Brain
Early Diagnosis
Glomerular Filtration Rate
Heart
Kidney
Length of Stay
Liver
Lung
Renal Replacement Therapy
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