Table 1.
I: RIFLE Classification | ||
---|---|---|
Stage | GFR criteria | Urine output criteria |
Risk | SCr increased 1.5-2 times baseline or GFR decreased >25% |
<0.5 mL/kg/hour for <6 hours |
Injury | SCr increased 2-3 times baseline or GFR decreased >50% |
<0.5 mL/kg/hour for >12 hours |
Failure | SCr increased >3 times baseline or GFR decreased 75% or SCr ≥4 mg/dL; acute rise ≥0.5 mg/dL |
<0.3 mL/kg/hour for 24 hours (oliguria) or anuria for 12 hours |
Loss of function | Persistent acute renal failure: complete loss of kidney function >4 weeks (requiring dialysis) | |
End-stage renal disease | Complete loss of kidney function >3 months (requiring dialysis) | |
II. Acute Kidney Injury Network (AKIN) | ||
Abrupt (within 48 hours) reduction in kidney function currently defined as an absolute increase in SCr of 0.3 mg/dL or more (≥26.4 µmol/L) or | ||
III. Kidney Disease Improving Global Outcomes (KDIGO) | ||
Increase in SCr by 0.3mg/dL or more within 48 hours or | ||
GFR=glomerular filtration rate;
RIFLE=Risk, Injury, Failure, Loss of kidney function, and End-stage kidney disease;
SCr=serum creatinine