Comparison of the RIFLE, AKIN, and KDIGO Diagnostic Classifications for Acute Renal Injury in Patients Undergoing Liver Transplantation

Erdost, Hale Aksu; Özkardeşler, Sevda; Akan, Mert; İyilikçi, Leyla; Ünek, Tarkan; Öçmen, Elvan; Dalak, Reci Meseri; Astarcıoğlu, İbrahim

doi:10.1016/j.transproceed.2016.03.044

Cited by 24 publications

(18 citation statements)

References 22 publications

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“…In patients with AKI, according to the KDIGO classification, pre -operative hematocrit was lower (P<0.05). In a study performed by Erdost et al (7) , the pre-operative hemoblobin level was also lower in patients with acute renal injury (ARI) using risk, injury, failure, loss, and end-stage renal failure (RIFLE) classification and these patients received significantly more red blood cells (RBC) and fresh-frozen plasma (FFP). The ARI rate increased according to (TABLE 3).…”

Section: Discussionmentioning

confidence: 99%

“…AKI was evaluated in the first 24 hours after liver transplantation and defined according to Kidney Disease: Improving Global Outcomes (KDIGO) criteria as an increase from 1.5 to 1.9 fold or greater than or equal to 0.3 mg/dL above the baseline creatinine (KDIGO stage 1); increase from 2 to 2.9 times the baseline creatinine (KDIGO 2); increase greater than three times the baseline creatinine or greater than or equal to 4 mg/dL or renal replacement therapy need (KDIGO 3) (7,8) . AKI can also be defined by urinary flow change: less than 0.5 mL/kg/hour for 6 hours (KDIGO 1); Less than 0.5 mL/kg/hour for 12 hours (KDIGO 2); Less than 0.3 mL/kg/hour for 24 hours or anuria for 12 hours (KDIGO 3).…”

Section: Methodsmentioning

confidence: 99%

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Preoperative Risk Factors for Acute Kidney Injury After Liver Transplantation: Results From a Cross-Sectional Study in Northeast of Brazil

Junior

Cezar

Meneses

et al. 2018

Arq. Gastroenterol.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Preoperative Risk Factors for Acute Kidney Injury After Liver Transplantation: Results From a Cross-Sectional Study in Northeast of Brazil

Junior

Cezar

Meneses

et al. 2018

Arq. Gastroenterol.

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“…The AKIN classification has reliable sensitivity and specificity to predict the prognosis of recipients undergoing LT compared with the Risk, Injury, Failure, Loss, and End-Stage Renal Failure (RIFLE) and the Kidney Disease Improving Global Outcomes (KDIGO) classifications. [ 15 ]…”

Section: Methodsmentioning

confidence: 99%

Influence of oxygen content immediately after graft reperfusion on occurrence of postoperative acute kidney injury in living donor liver transplantation

Chae

Lee²,

Park³

et al. 2017

Medicine

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Acute kidney injury (AKI) is a common complication after living donor liver transplantation (LDLT). In this study, we investigated perioperative factors, including oxygen content, related to the postoperative development of AKI after LDLT. The perioperative data of 334 patients were reviewed retrospectively. We identified the postoperative development of AKI based on the Acute Kidney Injury Network criteria. Perioperative variables, including oxygen content, were compared between patients with and without AKI. Potentially significant variables in a univariate analysis were evaluated by multivariate analysis. Postoperative AKI developed in 76 patients (22.7%). Univariate analysis revealed that preoperative factors (body mass index [BMI], diabetes mellitus, C-reactive protein) and intraoperative factors (severe postreperfusion syndrome, packed red blood cell transfusion, furosemide, and oxygen content at the anhepatic phase, 5 minutes and 1 hour after graft reperfusion, and at peritoneal closure) of recipients were significant. The multivariate analysis showed that oxygen content 5 minutes after graft reperfusion, BMI, and furosemide administration were independently associated with postoperative AKI. In conclusion, postoperative AKI was independently associated with oxygen content 5 minutes after graft reperfusion, BMI, and furosemide administration. Meticulous ventilator care and transfusion should be required to maintain sufficient oxygen content immediately after graft reperfusion in patients who undergo LDLT.

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“…R. Caragata et al [51] указывают на постепенные изменения в понятии ОПП и подчеркивают необходимость использования стандартизированного определения в последующих исследованиях. Классификации ОПП по критериям AKIN, RIFLE и KDIGO позволяют оценить тяжесть дисфункции почек у пациентов после ТП [52].…”

Section: диагностика острого повреждения почекunclassified

New trends in the study of post-transplant acute kidney injury after liver transplantation

Ильинский

Цирульникова

2020

RJTAO

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Acute kidney injury (AKI) after liver transplantation (LT) is a pressing issue and remains the focus of many researchers. The etiology of AKI is multifactorial, but the main one is ischemia-reperfusion injury to the liver transplant. Numerous preoperative, intraoperative and postoperative risk factors contribute to the development of AKI. The use of standard classifications, such as AKIN, RIFLE and KDIGO, has improved post-transplant AKI diagnosis. However, determination of creatinine levels in the blood enables AKI diagnosis only in the later stages of this syndrome. Therefore, studies are currently underway to find ways of early diagnosis of AKI using biomarkers. Transition to a molecular level not only improves accuracy but also facilitates early diagnosis of AKI. Currently, the diagnostic capabilities of neutrophil gelatinase-associated lipocalin (NGAL) are the most investigated. To date, there are no known measures of preventing post-transplant AKI. Moreover, treatment of this condition cannot be considered satisfactory. Even a mild post-transplant AKI can be fatal. In severe AKI, where renal replacement therapy is used, there is a risk of death in the intensive care unit. More than half of AKI patients develop chronic kidney disease requiring chronic hemodialysis.

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Comparison of the RIFLE, AKIN, and KDIGO Diagnostic Classifications for Acute Renal Injury in Patients Undergoing Liver Transplantation

Cited by 24 publications

References 22 publications

Preoperative Risk Factors for Acute Kidney Injury After Liver Transplantation: Results From a Cross-Sectional Study in Northeast of Brazil

Preoperative Risk Factors for Acute Kidney Injury After Liver Transplantation: Results From a Cross-Sectional Study in Northeast of Brazil

Influence of oxygen content immediately after graft reperfusion on occurrence of postoperative acute kidney injury in living donor liver transplantation

New trends in the study of post-transplant acute kidney injury after liver transplantation

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