Acute kidney injury network

Report of an initiative to improve outcomes in acute kidney injury

Ravindra L. Mehta, John A. Kellum, Sudhir V. Shah, Bruce Molitoris, Claudio Ronco, David G. Warnock, Adeera Levin, Arvind Bagga, Aysin Bakkaloglu, Joseph V. Bonventre, Emmanuel A. Burdmann, Yipu Chen, Prasad Devarajan, Vince D'Intini, Geoff Dobb, Charles G. Durbin, Kai Uwe Eckardt, Claude Guerin, Stefan Herget-Rosenthal, Eric Hoste & 19 others Michael Joannidis, John A. Kellum, Ashok Kirpalani, Andrea Lassnigg, Jean Roger Le Gall, Adeera Levin, Raul Lombardi, William Macias, Constantine Manthous, Ravindra L. Mehta, Bruce A. Molitoris, Claudio Ronco, Miet Schetz, Frederique Schortgen, Sudhir V. Shah, Patrick S K Tan, Haiyan Wang, David G. Warnock, Steve Webb

Research output: Contribution to journalArticle

3854 Citations (Scopus)

Abstract

Introduction: Acute kidney injury (AKI) is a complex disorder for which currently there is no accepted definition. Having a uniform standard for diagnosing and classifying AKI would enhance our ability to manage these patients. Future clinical and translational research in AKI will require collaborative networks of investigators drawn from various disciplines, dissemination of information via multidisciplinary joint conferences and publications, and improved translation of knowledge from pre-clinical research. We describe an initiative to develop uniform standards for defining and classifying AKI and to establish a forum for multidisciplinary interaction to improve care for patients with or at risk for AKI. Methods: Members representing key societies in critical c are and nephrology along with additional experts in adult and pediatric AKI participated in a two day conference in Amsterdam, The Netherlands, in September 2005 and were assigned to one of three workgroups. Each group's discussions formed the basis for draft recommendations that were later refined and improved during discussion with the larger group. Dissenting opinions were also noted. The final draft recommendations were circulated to all participants and subsequently agreed upon as the consensus recommendations for this report. Participating societies endorsed the recommendations and agreed to help disseminate the results. Results: The term AKI is proposed to represent the entire spectrum of a cute renal failure. Diagnostic criteria for AKI are proposed based on acute alterations in serum creatinine or urine output. A staging system for AKI which reflects quantitative changes in serum creatinine and urine output has been developed. Conclusion: We describe the formation of a multidisciplinary collaborative network focused on AKI. We have proposed uniform standards for diagnosing and classifying AKI which will need to be validated in future studies. The Acute Kidney Injury Network offers a mechanism for proceeding with efforts to improve patient outcomes.

Original languageEnglish
Article numberR31
JournalCritical Care
Volume11
DOIs
StatePublished - Mar 1 2007

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Acute Kidney Injury
Translational Medical Research
Creatinine
Urine
Nephrology
Information Dissemination
Serum
Netherlands
Renal Insufficiency
Publications
Patient Care
Joints
Research Personnel
Pediatrics

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

Cite this

Mehta, R. L., Kellum, J. A., Shah, S. V., Molitoris, B., Ronco, C., Warnock, D. G., ... Webb, S. (2007). Acute kidney injury network: Report of an initiative to improve outcomes in acute kidney injury. Critical Care, 11, [R31]. https://doi.org/10.1186/cc5713

Acute kidney injury network : Report of an initiative to improve outcomes in acute kidney injury. / Mehta, Ravindra L.; Kellum, John A.; Shah, Sudhir V.; Molitoris, Bruce; Ronco, Claudio; Warnock, David G.; Levin, Adeera; Bagga, Arvind; Bakkaloglu, Aysin; Bonventre, Joseph V.; Burdmann, Emmanuel A.; Chen, Yipu; Devarajan, Prasad; D'Intini, Vince; Dobb, Geoff; Durbin, Charles G.; Eckardt, Kai Uwe; Guerin, Claude; Herget-Rosenthal, Stefan; Hoste, Eric; Joannidis, Michael; Kellum, John A.; Kirpalani, Ashok; Lassnigg, Andrea; Le Gall, Jean Roger; Levin, Adeera; Lombardi, Raul; Macias, William; Manthous, Constantine; Mehta, Ravindra L.; Molitoris, Bruce A.; Ronco, Claudio; Schetz, Miet; Schortgen, Frederique; Shah, Sudhir V.; Tan, Patrick S K; Wang, Haiyan; Warnock, David G.; Webb, Steve.

In: Critical Care, Vol. 11, R31, 01.03.2007.

Research output: Contribution to journalArticle

Mehta, RL, Kellum, JA, Shah, SV, Molitoris, B, Ronco, C, Warnock, DG, Levin, A, Bagga, A, Bakkaloglu, A, Bonventre, JV, Burdmann, EA, Chen, Y, Devarajan, P, D'Intini, V, Dobb, G, Durbin, CG, Eckardt, KU, Guerin, C, Herget-Rosenthal, S, Hoste, E, Joannidis, M, Kellum, JA, Kirpalani, A, Lassnigg, A, Le Gall, JR, Levin, A, Lombardi, R, Macias, W, Manthous, C, Mehta, RL, Molitoris, BA, Ronco, C, Schetz, M, Schortgen, F, Shah, SV, Tan, PSK, Wang, H, Warnock, DG & Webb, S 2007, 'Acute kidney injury network: Report of an initiative to improve outcomes in acute kidney injury', Critical Care, vol. 11, R31. https://doi.org/10.1186/cc5713
Mehta, Ravindra L. ; Kellum, John A. ; Shah, Sudhir V. ; Molitoris, Bruce ; Ronco, Claudio ; Warnock, David G. ; Levin, Adeera ; Bagga, Arvind ; Bakkaloglu, Aysin ; Bonventre, Joseph V. ; Burdmann, Emmanuel A. ; Chen, Yipu ; Devarajan, Prasad ; D'Intini, Vince ; Dobb, Geoff ; Durbin, Charles G. ; Eckardt, Kai Uwe ; Guerin, Claude ; Herget-Rosenthal, Stefan ; Hoste, Eric ; Joannidis, Michael ; Kellum, John A. ; Kirpalani, Ashok ; Lassnigg, Andrea ; Le Gall, Jean Roger ; Levin, Adeera ; Lombardi, Raul ; Macias, William ; Manthous, Constantine ; Mehta, Ravindra L. ; Molitoris, Bruce A. ; Ronco, Claudio ; Schetz, Miet ; Schortgen, Frederique ; Shah, Sudhir V. ; Tan, Patrick S K ; Wang, Haiyan ; Warnock, David G. ; Webb, Steve. / Acute kidney injury network : Report of an initiative to improve outcomes in acute kidney injury. In: Critical Care. 2007 ; Vol. 11.
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abstract = "Introduction: Acute kidney injury (AKI) is a complex disorder for which currently there is no accepted definition. Having a uniform standard for diagnosing and classifying AKI would enhance our ability to manage these patients. Future clinical and translational research in AKI will require collaborative networks of investigators drawn from various disciplines, dissemination of information via multidisciplinary joint conferences and publications, and improved translation of knowledge from pre-clinical research. We describe an initiative to develop uniform standards for defining and classifying AKI and to establish a forum for multidisciplinary interaction to improve care for patients with or at risk for AKI. Methods: Members representing key societies in critical c are and nephrology along with additional experts in adult and pediatric AKI participated in a two day conference in Amsterdam, The Netherlands, in September 2005 and were assigned to one of three workgroups. Each group's discussions formed the basis for draft recommendations that were later refined and improved during discussion with the larger group. Dissenting opinions were also noted. The final draft recommendations were circulated to all participants and subsequently agreed upon as the consensus recommendations for this report. Participating societies endorsed the recommendations and agreed to help disseminate the results. Results: The term AKI is proposed to represent the entire spectrum of a cute renal failure. Diagnostic criteria for AKI are proposed based on acute alterations in serum creatinine or urine output. A staging system for AKI which reflects quantitative changes in serum creatinine and urine output has been developed. Conclusion: We describe the formation of a multidisciplinary collaborative network focused on AKI. We have proposed uniform standards for diagnosing and classifying AKI which will need to be validated in future studies. The Acute Kidney Injury Network offers a mechanism for proceeding with efforts to improve patient outcomes.",
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T2 - Report of an initiative to improve outcomes in acute kidney injury

AU - Mehta, Ravindra L.

AU - Kellum, John A.

AU - Shah, Sudhir V.

AU - Molitoris, Bruce

AU - Ronco, Claudio

AU - Warnock, David G.

AU - Levin, Adeera

AU - Bagga, Arvind

AU - Bakkaloglu, Aysin

AU - Bonventre, Joseph V.

AU - Burdmann, Emmanuel A.

AU - Chen, Yipu

AU - Devarajan, Prasad

AU - D'Intini, Vince

AU - Dobb, Geoff

AU - Durbin, Charles G.

AU - Eckardt, Kai Uwe

AU - Guerin, Claude

AU - Herget-Rosenthal, Stefan

AU - Hoste, Eric

AU - Joannidis, Michael

AU - Kellum, John A.

AU - Kirpalani, Ashok

AU - Lassnigg, Andrea

AU - Le Gall, Jean Roger

AU - Levin, Adeera

AU - Lombardi, Raul

AU - Macias, William

AU - Manthous, Constantine

AU - Mehta, Ravindra L.

AU - Molitoris, Bruce A.

AU - Ronco, Claudio

AU - Schetz, Miet

AU - Schortgen, Frederique

AU - Shah, Sudhir V.

AU - Tan, Patrick S K

AU - Wang, Haiyan

AU - Warnock, David G.

AU - Webb, Steve

PY - 2007/3/1

Y1 - 2007/3/1

N2 - Introduction: Acute kidney injury (AKI) is a complex disorder for which currently there is no accepted definition. Having a uniform standard for diagnosing and classifying AKI would enhance our ability to manage these patients. Future clinical and translational research in AKI will require collaborative networks of investigators drawn from various disciplines, dissemination of information via multidisciplinary joint conferences and publications, and improved translation of knowledge from pre-clinical research. We describe an initiative to develop uniform standards for defining and classifying AKI and to establish a forum for multidisciplinary interaction to improve care for patients with or at risk for AKI. Methods: Members representing key societies in critical c are and nephrology along with additional experts in adult and pediatric AKI participated in a two day conference in Amsterdam, The Netherlands, in September 2005 and were assigned to one of three workgroups. Each group's discussions formed the basis for draft recommendations that were later refined and improved during discussion with the larger group. Dissenting opinions were also noted. The final draft recommendations were circulated to all participants and subsequently agreed upon as the consensus recommendations for this report. Participating societies endorsed the recommendations and agreed to help disseminate the results. Results: The term AKI is proposed to represent the entire spectrum of a cute renal failure. Diagnostic criteria for AKI are proposed based on acute alterations in serum creatinine or urine output. A staging system for AKI which reflects quantitative changes in serum creatinine and urine output has been developed. Conclusion: We describe the formation of a multidisciplinary collaborative network focused on AKI. We have proposed uniform standards for diagnosing and classifying AKI which will need to be validated in future studies. The Acute Kidney Injury Network offers a mechanism for proceeding with efforts to improve patient outcomes.

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