Korean J Med.
2012 Jan;82(1):11-16.
Medical Management of Acute Kidney Injury, Mainly Focused on Preventable Diseases
- Affiliations
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- 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.