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Acute Kidney Injury Risk Assessment: Differences and Similarities Between Resource-Limited and Resource-Rich Countries
- Source :
- Kidney International Reports, Vol 2, Iss 4, Pp 519-529 (2017), Kidney International Reports, Kidney international reports, vol 2, iss 4, Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual), Universidade de São Paulo (USP), instacron:USP
- Publication Year :
- 2017
- Publisher :
- Elsevier, 2017.
-
Abstract
- The incidence of acute kidney injury (AKI) among acutely ill patients is reportedly very high and has vexing consequences on patient outcomes and health care systems. The risks and impact of AKI differ between developed and developing countries. Among developing countries, AKI occurs in young individuals with no or limited comorbidities, and is usually due to environmental causes, including infectious diseases. Although several risk factors have been identified for AKI in different settings, there is limited information on how risk assessment can be used at population and patient levels to improve care in patients with AKI, particularly in developing countries where significant health disparities may exist. The Acute Disease Quality Initiative consensus conference work group addressed the issue of identifying risk factors for AKI and provided recommendations for developing individualized risk stratification strategies to improve care. We proposed a 5-dimension, evidence-based categorization of AKI risk that allows clinicians and investigators to study, define, and implement individualized risk assessment tools for the region or country where they practice. These dimensions include environmental, socioeconomic and cultural factors, processes of care, exposures, and the inherent risks of AKI. We provide examples of these risks and describe approaches for risk assessments in the developing world. We anticipate that these recommendations will be useful for health care providers to plan and execute interventions to limit the impact of AKI on society and each individual patient. Using a modified Delphi process, this group reached consensus regarding several aspects of AKI risk stratification.
- Subjects :
- medicine.medical_specialty
Kidney Disease
Population
030232 urology & nephrology
Psychological intervention
Renal and urogenital
Developing country
Risk management tools
PAPILLOMAVIRUS
Disease
Meeting Report
urologic and male genital diseases
outcomes
lcsh:RC870-923
acute renal failure
03 medical and health sciences
0302 clinical medicine
Clinical Research
Health care
Medicine
030212 general & internal medicine
Aetiology
education
Intensive care medicine
education.field_of_study
business.industry
Prevention
1. No poverty
risk assessment
developing countries
lcsh:Diseases of the genitourinary system. Urology
Health equity
female genital diseases and pregnancy complications
3. Good health
Good Health and Well Being
acute kidney injury
Nephrology
Patient Safety
developed countries
business
Risk assessment
2.4 Surveillance and distribution
Subjects
Details
- Language :
- English
- ISSN :
- 24680249
- Volume :
- 2
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Kidney International Reports
- Accession number :
- edsair.doi.dedup.....6664ec758a95c8705a18e8aed29e3fc3