The Acute Kidney Injury Network Criteria Applied in Burns
Journal of Burn Care & Research,

Chung KK et al. – Burn patients indentified as having acute kidney injury (AKI) by the Acute Kidney Injury Network (AKIN) criteria missed by risk, injury, failure, loss, and end–stage (RIFLE) appear to be an important cohort. On the basis of the study, AKIN criteria may be more precise and are more predictive of death than the RIFLE criteria in this population.

Methods
  • The authors performed a retrospective analysis of consecutive patients with burns admitted to their burn center for at least 24hours from June 2003 through December 2008.
  • Each patient was classified by both the AKIN and RIFLE criteria by three referees.
  • Both univariate and multivariate analyses were performed to determine the impact of the various AKI stages on mortality.
  • A total of 1973 patients met inclusion and exclusion criteria and were included in the analysis.

Results
  • The average age, %TBSA, injury severity score, and percent with smoke inhalation injury were 36+/–16, 16+/–18, 10+/–12, and 13%, respectively.
  • Overall, the prevalence of AKI was 33% using the AKIN criteria and 24% using the RIFLE criteria with an associated mortality of 21 and 25%, respectively.
  • Of those meeting criteria for AKIN stage 1 (N=434), 41% (N=180) would have been categorized as not having AKI on the basis of the RIFLE criteria.
  • In this cohort of patients, mortality increased by almost 8–fold when compared with those without AKI (odds ratio 7.8 [95% confidence interval [CI] 3.7–16.2], P<.0001).
  • The area under the receiver operator characteristic curve for in–hospital mortality was significantly higher for the AKIN criteria at 0.877 (95% CI 0.848–0.906) when compared to the RIFLE criteria at 0.838 (95% CI 0.801–0.874; P=.0007).

Please login or register to follow this author.
► Click here to access PubMed, Publisher and related articles...
<< Previous Article | Next Article >>

Your Unread Messages in Nursing

See All >> Messages include industry-sponsored communications and special communications from MDLinx

Most Popular Nursing Articles

1 Yogurt consumption, weight change and risk of overweight/obesity: The SUN cohort study Nutrition, Metabolism & Cardiovascular Diseases, July 28, 2014    Clinical Article

2 Vitamin D and sleep disorders Full Text Nature and Science of Sleep, August 13, 2014    Free full text    Clinical Article

3 Blood pressure in relation to coffee and caffeine consumption Current Hypertension Reports, August 8, 2014    Review Article

4 Metformin in chronic kidney disease: Time for a rethink Peritoneal Dialysis International, July 9, 2014    Clinical Article

5 Suffering from constipation? Self-acupressure can help UCLA Health System, November 19, 2014

6 Effect of ginger (Zingiber officinale) on heavy menstrual bleeding: a placebo-controlled, randomized clinical trial Phytotherapy Research, October 13, 2014    Clinical Article

7 UAB plans clinical trial for repurposed drug shown to reverse diabetes UAB Medicine, November 12, 2014

8 Long-term associations of nut consumption with body weight and obesity American Journal of Clinical Nutrition, June 23, 2014    Clinical Article

9 Decreased ability to identify odors can predict death The University of Chicago Medical Center News, October 3, 2014

10 Chocolate intake and diabetes risk Clinical Nutrition, July 21, 2014    Clinical Article

11 Vitamin D and the risk of dementia and Alzheimer's disease Neurology®, August 27, 2014    Clinical Article

12 Vitamin D and melanoma and non-melanoma skin cancer risk and prognosis: A comprehensive review and meta-analysis European Journal of Cancer, August 7, 2014    Review Article

13 Study identifies best way to treat neck pain Johns Hopkins Medicine, October 24, 2014

14 Yogurt and weight management American Journal of Clinical Nutrition, April 3, 2014    Review Article

15 Proton pump inhibitors decrease diversity in gut microbiome, increase risk for complications Mayo Clinic, November 25, 2014

16 'Tis the season to indulge in walnuts UC Davis Health System, November 17, 2014

17 Fish consumption and risk of gastrointestinal cancers: A meta-analysis of cohort studies Full Text World Journal of Gastroenterology, November 17, 2014    Free full text    Evidence Based Medicine

18 Associations of sugar and artificially sweetened soda and chronic kidney disease: A systematic review and meta-analysis Nephrology, September 24, 2014    Evidence Based Medicine    Review Article

19 Eating habits, body fat related to differences in brain chemistry Full Text NIH News, September 10, 2014    Free full text

20 Dairy product consumption and gastric cancer risk: A meta-analysis Full Text World Journal of Gastroenterology, November 14, 2014    Free full text    Evidence Based Medicine

Indexed Journals in Nursing: Journal of Advanced Nursing, Journal of Clinical Nursing, Nurse Education In Practicemore