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Báo cáo y học: "Acute kidney injury in intensive care unit patients: a comparison between the RIFLE and the Acute Kidney Injury Network classifications"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Acute kidney injury in intensive care unit patients: a comparison between the RIFLE and the Acute Kidney Injury Network classifications. | Available online http ccforum.eom content 1 2 4 R110 Research Acute kidney injury in intensive care unit patients a comparison between the RIFLE and the Acute Kidney Injury Network classifications José António Lopes1 Paulo Fernandes1 Sofia Jorge1 Sara Gonọalves1 António Alvarez2 Zélia Costa e Silva2 Carlos Franọa2 and Mateus Martins Prata1 Department of Nephrology and Renal Transplantation Hospital de Santa Maria Av. Prof. Egas Moniz Lisboa 1649-035 Portugal 2Department of Intensive Medicine Hospital de Santa Maria Av. Prof. Egas Moniz Lisboa 1649-035 Portugal Corresponding author José António Lopes jalopes93@hotmail.com Received 8 Jun 2008 Revisions requested 25 Jul 2008 Revisions received 29 Jul 2008 Accepted 28 Aug 2008 Published 28 Aug 2008 Critical Care 2008 12 R110 doi 10.1186 cc6997 This article is online at http ccforum.com content 12 4 R110 2008 Lopes et al. licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Open Access Abstract Introduction Whether discernible advantages in terms of sensitivity and specificity exist with Acute Kidney Injury Network AKIN criteria versus Risk Injury Failure Loss of Kidney Function End-stage Kidney Disease RIFLE criteria is currently unknown. We evaluated the incidence of acute kidney injury and compared the ability of the maximum RIFLE and of the maximum AKIN within intensive care unit hospitalization in predicting inhospital mortality of critically ill patients. Methods Patients admitted to the Department of Intensive Medicine of our hospital between January 2003 and December 2006 were retrospectively evaluated. Chronic kidney disease patients undergoing dialysis or renal transplant patients were excluded from the analysis. Results In total 662 patients mean age 58.6 19.2 years 392 .