Acute Kidney Injury - Basic Research and Clinical Practice ( Contributions to Nephrology )

Publication series : Contributions to Nephrology

Author: Ding X.; Rosner M.H.; Ronco C.  

Publisher: S. Karger AG‎

Publication year: 2018

E-ISBN: 9783318063110

P-ISBN(Paperback): 9783318063103

Subject: R692 Nephrology

Keyword: 护理学,泌尿科学(泌尿生殖系疾病),内科学,保健组织与事业(卫生事业管理)

Language: ENG

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Description

Acute Kidney Injury (AKI) is a complex syndrome that is prevalent among hospitalized patients. In recent years, occurrence of AKI events has risen due to a growing susceptibility of fragile and elderly subjects and an increase in the use of complex procedures such as cardiovascular surgery and imaging techniques. Exposure to potentially nephrotoxic drugs, such as new chemotherapeutic agents, is also proving to be a cause of AKI. This book summarizes recent advances in various settings. A reappraisal of current definitions and staging classifications for AKI in the literature is followed by a description of new criteria for identifying patients at risk and characterizing early kidney damage by using biomarkers. Other important topics include the sequelae of AKI and AKI in special populations such as children, the elderly, and those with cancer. The effects of AKI and its consequences on healthcare expenditures are also addressed from several perspectives. AKI management requires the cooperation of different specialists to optimize outcomes. This book is thus a perfect tool not only for nephrologists, but for every specialist involved in the complicated endeavor of improving patient care.

Chapter

Acute Kidney Injury: Diagnosis and Classification in Adults and Children

Abstract

Introduction

AKI Definition and Classification in Adult Patients

Serum Creatinine Criteria for AKI Diagnosis

UO Criteria for AKI Diagnosis

GFR, eGFR, and RFR

Additional Limitations of KDIGO Criteria for AKI Diagnosis

An Outlook to the Future: AKI Biomarkers and Subclinical AKI

AKI Definition and Classification in Children and Neonates

Conclusions

References

Acute Kidney Injury Risk Assessment

Abstract

Introduction

Quality Measurement and AKI Risk Assessment

The Methodology of Quality Measure in AKI Risk Assessment

Existing Literature of Quality Measure in AKI Risk Assessment

Conclusions

References

Acute Kidney Injury Biomarkers: What Do They Tell Us?

Abstract

Introduction

SCr and Urine Output: The Problems

AKI Biomarkers

AKI Biomarkers in the Surgical Patient

Subclinical AKI: Dysfunction or Injury?

Can Biomarkers Be Used to Guide Therapy?

Conclusions

References

Acute Kidney Injury Recovery

Abstract

Defining AKI Recovery

Pathophysiology of AKI Recovery

AKI Recovery Patterns and Outcomes

Measuring AKI Recovery

Conclusion

References

Acute Kidney Injury to Chronic Kidney Disease Transition

Abstract

Introduction

Role of Kidney Resident Cells in AKI to CKD Transition

Chronic Inflammation: A Link between AKI and CKD

Mitochondrial Dysfunction

Epigenetic Changes during AKI

RAS Activation in AKI and CKD

Tissue and Cellular Senescence

Prevention of AKI-to-CKD Transition and Future Clinical Perspectives

Conclusions

References

Acute Kidney Injury and Big Data

Abstract

Introduction

AKI Diagnosis: The Fulcrum of EHR-Enabled Approaches

Clinical Risk Prediction: Pre-AKI State

AKI Alerting: The AKI State

Longitudinal AKI Care: The Post-AKI State

Conclusions

Acknowledgment

References

Quality Measures in Acute Kidney Injury Management

Abstract

Introduction

Current Quality of AKI Healthcare

Quality Measures in AKI Management

Current Potential Method to Improve Quality of AKI Healthcare

Conclusion

References

Acute Kidney Injury and Information Technology

Abstract

Introduction

Evidence for Electronic Alerts in AKI

One Step Further – Electronic Alerts in Identification of Patients at Risk of AKI

Conclusions

References

Technology in Medicine: Moving Towards Precision Management of Acute Kidney Injury

Abstract

Introduction

Technological Advances and the AKI Diagnosis

Technological Advances and the Acute Renal Replacement Therapy Prescription

Technological Advances in Delivery and Monitoring of ARRT

Technological Advances and ARRT Know-How

Conclusions

References

The Burden of Acute Kidney Injury and Related Financial Issues

Abstract

Introduction

Epidemiology

Short-Term Complications of AKI

Long-Term Complications

Conclusion

References

Pediatric Acute Kidney Injury

Abstract

Introduction

Definition and Staging

AKI Epidemiology and Outcomes

AKI Risk Factors: Kidney Dysfunction with other Underlying Illnesses

AKI Prevention and (Pharmacologic) Therapy

Renal Replacement Therapy

Conclusions

References

Acute Kidney Injury in Cardiac Surgery

Abstract

Improving Awareness of CSA-AKI

Tools for Risk Assessment

Electronic Detection of CSA-AKI

Management of CSA-AKI

Conclusions

References

Acute Kidney Injury in Cancer Patients

Abstract

Introduction

Conclusions

References

Acute Kidney Injury in the Geriatric Population

Abstract

Aging and AKI: Epidemiology and Etiologies

Susceptibility to AKI

Diagnosis of AKI in the Elderly

Therapeutic Issues in AKI

Prognosis of AKI in the Elderly

Prevention of AKI in the Elderly

Summary

References

Author Index

Subject Index

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