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Archivi categoria: AKI

ACUTE KIDNEY INJURY IN PATIENTS HOSPITALIZED WITH COVID-19 – Kidney International

Sorgente: ACUTE KIDNEY INJURY IN PATIENTS HOSPITALIZED WITH COVID-19 – Kidney International

 

Delayed versus early initiation of renal replacement therapy for severe acute kidney injury: a systematic review and individual patient data meta-analysis of randomised clinical trials – The Lancet

The timing of RRT initiation does not affect survival in critically ill patients with severe acute kidney injury in the absence of urgent indications for RRT. Delaying RRT initiation, with close patient monitoring, might lead to a reduced use of RRT, thereby saving health resources.

Sorgente: Delayed versus early initiation of renal replacement therapy for severe acute kidney injury: a systematic review and individual patient data meta-analysis of randomised clinical trials – The Lancet

 
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Pubblicato da su 4 maggio 2020 in AKI, emodialisi e DP, malattie renali

 

The Novel #Coronavirus 2019 Epidemic and Kidneys – Kidney International

Novel coronavirus disease (COVID-19) is a newly discovered contagious disease caused by SARS-CoV-2 virus, primarily manifesting as an acute respiratory illness with interstitial and alveolar pneumonia, but can affect multiple organs such as kidney, heart, digestive tract, blood and nervous system1. The rapidly spreading outbreak which first emerged in Wuhan, Hubei Province in China in December 2019 has raised concerns about a global pandemic. To date (2 March 2020), 88,948 cases of COVID-19 have been reported worldwide in 65 countries (and a cruise ship) and 79,842 in mainland China, with 3,043 deaths worldwide (mainland China 2,915 deaths).

Sorgente: The Novel Coronavirus 2019 Epidemic and Kidneys – Kidney International

 

Post–Acute Kidney Injury Proteinuria and Subsequent Kidney Disease Progression: The Assessment, Serial Evaluation, and Subsequent Sequelae in Acute Kidney Injury (ASSESS-AKI) Study | Acute Kidney Injury | JAMA Internal Medicine | JAMA Network

This cohort study quantifies whether proteinuria after hospital discharge is associated with future loss of renal function among patients who had acute kidney injury during hospitalization.

Sorgente: Post–Acute Kidney Injury Proteinuria and Subsequent Kidney Disease Progression: The Assessment, Serial Evaluation, and Subsequent Sequelae in Acute Kidney Injury (ASSESS-AKI) Study | Acute Kidney Injury | JAMA Internal Medicine | JAMA Network

 
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Pubblicato da su 10 febbraio 2020 in AKI, malattie renali

 

The Controversy of Contrast-Induced Nephropathy With Intravenous Contrast: What Is the Risk? – American Journal of Kidney Diseases

Contrast-induced nephropathy (CIN) has long been observed in both experimental and clinical studies. However, recent observational studies have questioned the prevalence and severity of CIN following intravenous contrast exposure. Initial studies of acute kidney injury following intravenous contrast were limited by the absence of control groups or contained control groups that did not adjust for additional acute kidney injury risk factors, including prevalent chronic kidney disease, as well as accepted prophylactic strategies.

Sorgente: The Controversy of Contrast-Induced Nephropathy With Intravenous Contrast: What Is the Risk? – American Journal of Kidney Diseases

 
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Pubblicato da su 18 ottobre 2019 in AKI, malattie renali

 

Timing of Recovery From Moderate to Severe AKI and the Risk for Future Loss of Kidney Function – American Journal of Kidney Diseases

The extent of recovery of kidney function following acute kidney injury (AKI) is known to be associated with future chronic kidney disease. Less is known about how the timing of recovery affects the rate of future loss of kidney function.

Sorgente: Timing of Recovery From Moderate to Severe AKI and the Risk for Future Loss of Kidney Function – American Journal of Kidney Diseases

 
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Pubblicato da su 18 ottobre 2019 in AKI, malattie renali

 

Association of Acute Increases in Plasma Creatinine after Renin-Angiotensin Blockade with Subsequent Outcomes | American Society of Nephrology

Background and objectives Data from observational and interventional studies provide discordant results regarding the relationship between creatinine increase after renin-angiotensin system inhibition (RASi) and adverse outcomes. We compared health outcomes among patients with different categories of increase in creatinine upon initiation of RASi in a large population-based cohort. Design, setting, participants, & measurements We performed a retrospective analysis of the Stockholm CREAtinine Measurements database, which contains complete information on diagnoses, medication dispensation claims, and laboratory test results for all Stockholm citizens accessing health care. Included were 31,951 adults initiating RASi during 2007–2011 with available pre- and postinitiation creatinine monitoring. Multivariable Cox regression was used to compare mortality, cardiovascular and ESKD events among individuals with different ranges of creatinine increases within 2 months after starting treatment. Results In a median follow-up of 3.5 years, acute increases in creatinine were associated with mortality (3202 events) in a graded manner: compared with creatinine increases <10%, a 10%–19% increase

Sorgente: Association of Acute Increases in Plasma Creatinine after Renin-Angiotensin Blockade with Subsequent Outcomes | American Society of Nephrology

 

Kidney Damage in Younger Adults Tied to NSAID Use – Renal and Urology News

Individuals taking a certain number of NSAIDs each month had greater risks of acute kidney injury and chronic kidney disease.

Sorgente: Kidney Damage in Younger Adults Tied to NSAID Use – Renal and Urology News

 

Trattate bene i vostri reni. Anche un piccolo danno può diventare irreversibile | HealthDesk

Uno studio firmato da un team dell’Università di Firenze e dell’ospedale pediatrico Meyer rivoluziona le conoscenze sul danno renale acuto (fino a qualche anno fa definito insufficienza renale acuta),

Sorgente: Trattate bene i vostri reni. Anche un piccolo danno può diventare irreversibile | HealthDesk

 

Contrast-Induced Nephropathy: Is the Concern Exaggerated? | Kidney News

Intravascular iodinated contrast has historically been considered a risk factor for acute kidney injury (AKI), particularly among individuals with underlying chronic kidney disease (1). Recent studies, however, have suggested that incidence of contrast-induced nephropathy (CIN) may not be as frequent as previously thought (2,3). In this commentary, we argue that contrast material can often be safely used without increased risk of AKI, even among individuals with underlying kidney disease.

Sorgente: Contrast-Induced Nephropathy: Is the Concern Exaggerated? | Kidney News

 
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Pubblicato da su 23 aprile 2018 in AKI, malattie renali

 

Management of Acute Kidney Injury: Core Curriculum 2018 – American Journal of Kidney Diseases

Sorgente: Management of Acute Kidney Injury: Core Curriculum 2018 – American Journal of Kidney Diseases

 

Post-PCI Acute Kidney Injury Not Linked to Contrast Use – MDC tossicità

Myocardial infarction patients who underwent percutaneous coronary intervention had an AKI rate similar to those who did not have the procedure.

Sorgente: Post-PCI Acute Kidney Injury Not Linked to Contrast Use – Renal and Urology News

 
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Pubblicato da su 8 gennaio 2018 in AKI, malattie renali

 

Early RRT for Acute Kidney Injury Not Superior – Renal and Urology News

Early and late initiation of renal replacement therapy for AKI in critically ill patients are associated with similar long-term risks.

Sorgente: Early RRT for Acute Kidney Injury Not Superior – Renal and Urology News

 
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Pubblicato da su 5 gennaio 2018 in AKI, emodialisi e DP, malattie renali

 

Derivation and External Validation of Prediction Models for Advanced Chronic Kidney Disease Following Acute Kidney Injury

via #CKD risk #prediction after #AKI

 
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Pubblicato da su 4 dicembre 2017 in AKI, malattie renali, Uncategorized

 

AKI is associated with increased renal progression even when kidney function returns to normal

Sorgente: European Nephrology Portal

piu’ attenzione da parte di tutti, coinvolgimento dei nefrologi

Noi lo diciamo da anni, ma soprattutto gli Hospitalists non ne tengono conto. E’ necessario implementare follow-up seriali di pazienti con AKI.
Spesso AKI non riconosciuta, se riconosciuta non seguita dopo la dimissione. Un problema sociale.
Se eletto, mi impegno ad affrontare il problema attuando i dettami del decreto cronicità’ sulla istituzione di un registro dei malati cronici

 

 
 
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