Korean J Med.  2015 Apr;88(4):369-374. 10.3904/kjm.2015.88.4.369.

Acute Kidney Injury in Critically Ill Patients

Affiliations
  • 1Department of Internal Medicine, Dankook University College of Medicine, Cheonan, Korea.
  • 2Department of Internal Medicine, University of Ulsan College of Medicine, Seoul, Korea. jwchang@amc.seoul.kr

Abstract

Despite substantial advances in dialysis techniques and machines, acute kidney injury (AKI) requiring renal replacement therapy (RRT) is still associated with up to 60% in-hospital mortality. However, there is little information on whether RRT overcomes the significant morbidity and mortality of AKI. What is most important in the treatment of AKI is that RRT is not a cause-specific therapy but life-supportive management. This review discusses the indications of, proper initiation of, and optimal prescription for RRT to improve the survival of critically ill patients with AKI.

Keyword

Renal replacement therapy; Acute kidney injury

MeSH Terms

Acute Kidney Injury*
Critical Illness*
Dialysis
Hospital Mortality
Humans
Mortality
Prescriptions
Renal Replacement Therapy
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