The Acute Kidney Injury Network (AKIN) Criteria Applied in Burns
ARMY INST OF SURGICAL RESEARCH FORT SAM HOUSTON TX
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In 2007, the Acute Kidney Injury Network AKIN developed a modified standard for diagnosing and classifying acute kidney injury AKI. This classification system is a modification of the previously described risk, injury, failure, loss and end-stage RIFLE criteria. Among other modifications, the AKIN staging requires an absolute scrum creatinine change of 0.3 mgdl in a 48-hour period to establish the diagnosis of AKI. The purpose of this study was to apply these new criteria in the severely burned population and to compare the prevalence, stage and mortality impact fo these criteria to the RIFLE criteria. The authors performed a retrospective analysis of consecutive patients with burns admitted to their burn center for at least 24 hours from June 2003 through December 2008. Each patients 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.
- Medicine and Medical Research