2017
DOI: 10.1016/j.kint.2017.02.019
|View full text |Cite
|
Sign up to set email alerts
|

Post-discharge kidney function is associated with subsequent ten-year renal progression risk among survivors of acute kidney injury

Abstract: The extent to which renal progression after acute kidney injury (AKI) arises from an initial step drop in kidney function (incomplete recovery), or from a long-term trajectory of subsequent decline, is unclear. This makes it challenging to plan or time post-discharge follow-up. This study of 14651 hospital survivors in 2003 (1966 with AKI, 12685 no AKI) separates incomplete recovery from subsequent renal decline by using the post-discharge estimated glomerular filtration rate (eGFR) rather than the pre-admissi… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
1
1
1
1

Citation Types

4
79
0
7

Year Published

2017
2017
2024
2024

Publication Types

Select...
7
1

Relationship

0
8

Authors

Journals

citations
Cited by 108 publications
(92 citation statements)
references
References 23 publications
4
79
0
7
Order By: Relevance
“…However, Americans aged 50 years or older with a history of severe sepsis have been shown to be 2.5 times more likely to be readmitted to hospital for AKI within 90 days than comorbidity matched patients without sepsis 213. In addition to readmission, some evidence points to increased risk for the development of post-AKI CKD, although limited supporting prospective data are available 214215216217218. The Assessment, Serial Evaluation, and Subsequent Sequelae of AKI (ASSESS-AKI) study is following several hundred critically ill patients with and without SA-AKI to determine its impact on long term renal function in those who survive their index hospital admission 219.…”
Section: Renal Replacement Therapymentioning
confidence: 99%
“…However, Americans aged 50 years or older with a history of severe sepsis have been shown to be 2.5 times more likely to be readmitted to hospital for AKI within 90 days than comorbidity matched patients without sepsis 213. In addition to readmission, some evidence points to increased risk for the development of post-AKI CKD, although limited supporting prospective data are available 214215216217218. The Assessment, Serial Evaluation, and Subsequent Sequelae of AKI (ASSESS-AKI) study is following several hundred critically ill patients with and without SA-AKI to determine its impact on long term renal function in those who survive their index hospital admission 219.…”
Section: Renal Replacement Therapymentioning
confidence: 99%
“…In addition, AKI is now a recognized important risk factor for new-onset CKD, determining acceleration in progression to endstage renal disease, leading to poor quality of life, disability, and long-term costs [29]. The Global Snapshot was the first large, epidemiologic study to map and scale the outcomes associated with AKI around the world, including data from ICU and non-ICU patients.…”
Section: Next Stepsmentioning
confidence: 99%
“…A recent analysis [41] studied the long-term (10 years) trajectory of subsequent renal decline in post-AKI survivors and used the 1 year post-discharge eGFR rather than the pre-admission value as a new reference point. Outcomes were sustained 30% renal decline and de novo CKD stage 4.…”
Section: Aki-ckd Link: Potential Confoundersmentioning
confidence: 99%
“…In 2009, Wald et al [45] concluded that AKI-RRT was associated with an increased risk of chronic dialysis but not with an increase in all-cause mortality and a systematic review reported that absolute rates of CKD following AKI were approximately 50% higher than that for mortality [46]. In contrast, recent studies found that both in AKI-RRT and AKI-non RRT, the risk of dying exceeds the risk of entering a maintenance dialysis program [41] The causes of death in these patients are mainly cardiovascular in nature [5, 7-9, 47]. …”
Section: Post-aki Care: Who and How?mentioning
confidence: 99%
See 1 more Smart Citation