Table 1.
Stage | Glomerular filtration rate (GFR) criteria | Urine output criteria |
---|---|---|
RIFLE classification |
|
|
Risk |
Serum creatinine increased x 1.5 or GFR decrease >25% |
<0.5 ml/kg/hr for ≥ 6 hours |
Injury |
Serum creatinine increased x 2 or GFR decrease >50% |
<0.5 ml/kg/hr for ≥ 12 hours |
Failure |
Serum creatinine increased x 3 or GFR decrease ≥ 75% or an absolute serum creatinine ≥ 354 μmol/L with an acute rise ≥ 4 μmol/L |
<0.3 ml/kg/hr for ≥ 24 hours or anuria for ≥12 hours |
Loss |
Persistent AKI, requiring RRT for > 4 weeks |
|
End-stage kidney disease |
Requiring dialysis > 3 months |
|
AKIN classification |
|
|
Stage 1 |
Serum creatinine increased ≥26.2 μmol/L or x 0.5 to 2 baseline |
<0.5 ml/kg/hr for ≥ 6hours |
Stage 2 |
Serum creatinine increased x 2 to 3 baseline |
<0.5 ml/kg/hr for ≥ 12 hours |
Stage 3 |
Serum creatinine increased > x 3 baseline or serum creatinine ≥ 354 μmol/L with an acute rise ≥ 44 μmol/L or initiation of RRT |
<0.3 ml/kg/hr for ≥ 24 hours or anuria for ≥12 hours |
KDIGO classification |
|
|
Stage 1 |
Serum creatinine increased x 1.5 to 1.9 baseline or by ≥ 26.2 μmol/L |
<0.5 ml/kg/hr for 6 to 12 hours |
Stage 2 |
Serum creatinine increased x 2 to 2.9 baseline |
<0.5 ml/kg/hr for ≥ 12 hours |
Stage 3 | Serum creatinine increased > x 3 baseline or serum creatinine ≥ 354 μmol/L with an acute rise ≥ 44 μmol/L or initiation of RRT | <0.3 ml/kg/hr for ≥ 24 hours or anuria for ≥12 hours |
AKIN, Acute Kidney Injury Network; KDIGO, Kidney Disease: Improving Global Outcomes.