Key Points. Renal tubular acidosis is a class of disorders in which excretion of hydrogen ions or reabsorption of filtered bicarbonate is impaired, leading to a chronic metabolic acidosis with a normal anion gap. RTA is usually due to abnormal aldosterone production or response (type 4), or less often, due to impaired hydrogen ion excretion
Limitations: Possible misclassification of AKI and community-acquired AKI due to nonstandard definitions and missing data for serum creatinine. Conclusions: The features of community-acquired AKI varied substantially in different regions of China and were closely linked to the environment, economy, and medical resources.Acute kidney injury (AKI) is now considered a major clinical health problem [ 1, 2 ]. Its incidence is high, especially among ICU patients, and the syndrome still remains associated with a negative prognosis, both in the short- [ 3] and in the long-term period [ 4 ]. The negative effects of AKI on prognosis appear as a common denominator for injury: [ in´jŭ-re ] harm or hurt; usually applied to damage inflicted on the body by an external force. Called also trauma and wound . brain injury impairment of structure or function of the brain, usually as a result of a trauma. deceleration injury a mechanism of motion injury in which the body is forcibly stopped but the contents of the Perioperative acute kidney injury (AKI) is a multifactorial complication that is seen in the context of surgical interventions. AKI is associated with significant morbidity, mortality, and prolonged hospital stays, and therefore, causes a substantial burden to the healthcare system. Perioperative AKI is characterized by a sudden and significant
Contrast-induced nephropathy (CIN) is a purported form of kidney damage in which there has been recent exposure to medical imaging contrast material without another clear cause for the acute kidney injury. Despite extensive speculation, the actual occurrence of contrast-induced nephropathy has not been demonstrated in the literature. [1]
The recommendation about likely stage 3 AKI is based on the NICE guideline and the Think Kidneys publication. The KDIGO clinical practice guideline on AKI states 'because the stage of AKI has clearly been shown to correlate with short-term and even longer-term outcomes, it is advisable to tailor management to AKI stage'.
AKI causes a build-up of waste products in your blood and makes it hard for your kidneys to keep the right balance of fluid in your body. AKI can also affect other organs such as the brain, heart, and lungs. Acute kidney injury is common in patients who are in the hospital, in intensive care units, and especially in older adults.
Concern about recurrent AKI is understandable, and acute falls in GFR are common when introducing these strategies and in the natural history of heart failure. 48,55 However, while these treatment-related falls in GFR may meet formal definitions of AKI, they appear not to produce the long-term harms common to AKI overall. 48,55 Generally, these
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