Table 1.
RIFLE (Risk, Injury, Failure, Loss of kidney function and End-stage kidney disease) classification and the AKIN Modification of the RIFLE classification.
| RIFLE CLASSIFICATION | |
|---|---|
| Class | Clinical picture |
| Risk | 1.5-fold serum creatinine OR 25% ![]() GFR OR UO <0.5 ml/kg/h for 6 h |
| Injury | 2-fold serum creatinine OR 50% GFR OR UO <0.5 mL/kg/h for 12 h |
| Failure | 3-fold serum creatinine OR 75% GFR OR UO <0.3 mL/kg/h for 24 h OR no urine output for 12 h |
| Loss of kidney function | Complete loss of kidney function (>4 weeks) |
| End-stage kidney disease | Complete loss of kidney function (>3 months) |
| AKIN MODIFICATION | |
Absolute serum creatinine 0.3 mg/dL or more (>26.4 μmol/L) | |
| OR | |
1.5-fold baseline serum creatinine | |
| OR | |
| Oliguria <0.5 mL/kg/h for >6 h; reduction in urine output | |
serum creatinine OR 25% 