Table 1. Diagnosis and staging criteria for AKI of RIFLE, AKIN, KDIGO definitions based on SCr.
Classification | Definition for AKI | Stage | Serum Creatinine criteria for AKI staginga |
RIFLE | Increase in SCr ≥50% within 7 d | Risk | To ≥1.5 times baseline |
Injury | To ≥2 times baseline | ||
Failure | To ≥3 times baseline or ≥44 µmol/L increase to at least 354 µmol/L | ||
AKIN | Increase in SCr ≥26.5 µmol/L or ≥50% within 48 h | 1 | Increase of ≥26.5 µmol/L or to 1.5–2 times baseline |
2 | To 2–3 times baseline | ||
3 | To ≥3 times baseline or ≥26.5 µmol/L increase to at least 354 µmol/L or initiation of RRT | ||
KDIGO | Increase in SCr ≥26.5 µmol/L within 48 h or ≥50% within 7 d | 1 | Increase in SCr ≥26.5 µmol/L within 48 h or to 1.5–2 times baseline |
2 | To 2–3 times baseline | ||
3 | To ≥3 times baseline or to at least 354 µmol/L or initiation of RRT |
For patients meeting diagnosis criteria for AKI according to RIFLE, AKIN or KDIGO, the stage based on percentage increase were determined by the ratio of peak SCr value obtained during hospitalization to baseline. AKI: Acute Kidney Injury; RIFLE: Risk Injury Failure Loss ESRD; AKIN: Acute Kidney Injury Network; KDIGO: Kidney Disease Global Outcomes; SCr: serum creatinine; RRT: renal replacement therapy.
Urine output was not used, because records of hourly urine output were not available in the majority of patients.