Narrative Review: Acute Kidney Injury
|
Narrative Review |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mehrian Jafarizade, M.D [2]
| Site | Patient | AE | Complication | Event date | AE code |
|---|---|---|---|---|---|
| xxx | xxx | x | MM/DD/YYYY | xxx |
Diagnosis
- Laboratory:
| Date | Time | BUN/Cr | Na/K | Urine output | PH | HGB |
| MM/DD/YYYY | xx:xx | |||||
| MM/DD/YYYY | xx:xx | |||||
| MM/DD/YYYY | xx:xx |
Renal Dysfunction
Persistent decrease in eGFR of > 20 ml/min/1.73 m2 from baseline >48 hours that does not respond to simple measures such as decreasing diuresis or volume replacement). [Note: eGFR via CKD-Epi equation]
Acute Kidney Injury (AKI) definition
AKI is defined as any of the following (Not Graded):
- Increase in SCr by X0.3 mg/dl (≥26.5 μmol/l) within 48 hours; or
- Increase in SCr to ≥1.5 times baseline, which is known or presumed to have occurred within the prior 7 days; or
- Urine volume <0.5 ml/kg/h for 6 hours.
Stage criteria: Serum Creatinine
- Stage 1: 1.5–1.9 times baseline OR ≥0.3 mg/dl (≥26.5 μmol/l) increase
- Stage 2: 2.0–2.9 times baseline
- Stage 3: 3.0 times baseline OR Increase in serum creatinine to ≥4.0 mg/dl (≥353.6 μmol/l) OR Initiation of renal replacement therapy
Event
Addmission date: MM/DD/YYYY
Demographic: [age] year old [gender]
Site Reported Event Onset Date: MM/DD/YYYY
Event summary:
- Symptoms and sign:
- Subject presented with [sign and symptom] on MM/DD/YYYY.
- Important characteristics of the chief complaint such as severity, site, and duration.
- Other important symptoms related to the chief complaint.
- Past Medical History: [eg. CAD, Severe mitral stenosis, former tobacco use, dyslipidemia, ...]
- Past Surgical History: [including date]
- Medications: [relevant to the event not all]
- Physical assessment:
- Vital signs
- Positive physical examinations or related negative examinations.
Event (2): [If there is more than 1 event]
Procedure
- Index Procedure Date/Time:
- mm/dd/YYYY at xx:xx [insert date and time]
- Index Procedure Detail:
- On mm/dd/YYYY at xx:xx [insert date and time] the subject underwent a [select surgical correction] for [select etiology].
- Access site details
- The site reported that there were/were not procedural complication(s).
Other Laboratory data and Imaging
- Other laboratory:
- Date/ name/ value
- ECG / date:
- ECHO / date:
- CXR / date:
- Other imaging and diagnostic tests / date:
Consults
- Date and time of consult
- Suggested treatments
Clinical course
- Date and time of events,
- Dialysis / time
- Patient condition got worse or better.
Treatment and outcome
- List of relevant medical treatments
- Outcome [Discharge / Hospice / Death]