Table 2.
Acute Dialysis Quality Initiative (ADQI) AKI diagnostic criteria (RIFLE classification).
Crit Care. 2004;8:R204-12. (DOI 10.1186/cc2872) ©Bellomo R, et al.; licensee BioMed Central Ltd. 2004. http://ccforum.com/content/8/4/R204
| Diagnostic criteria based on serum Cr or GFR | Diagnostic criteria based on urine output (UO) | |
|---|---|---|
| Risk | Increased serum Cr ≥ 1.5-fold the normal value, or GFR decrease > 25% normal value | UO < 0.5 mL/kg/h for 6 hours |
| Injury | Increased serum Cr ≥ 2-fold the normal value, or GFR decrease > 50% normal value | UO < 0.5 mL/kg/h for 12 hours |
| Failure | Increased serum Cr ≥ 3-fold the normal value, GFR decrease > 75% normal value, or serum Cr ≥ 4 mg/dL with acute rise ≥ 0.5 mg/dL | UO < 0.3 mL/kg/h for 24 h, or anuria for 12 hours |
| Loss | Need for renal replacement therapy for 4 weeks | |
| ESRD | Need for dialysis for longer than 3 months | |