Table 3.
Common risk factors for drug-induced acute tubular injury
| Modifiable Risks | Nonmodifiable Risks |
|---|---|
| Volume depletion and/or hypotension | Advanced age especially with concomitant CKD (eGFR<45 ml/min per 1.73 m2) |
| Exposure to concomitant nephrotoxins | Comorbid conditions such as liver disease, diabetes mellitus, heart failure, major surgery (especially cardiovascular) |
| High-level exposure to nephrotoxins (high-dose and long-duration therapy) | High-risk settings such as intensive care unit, burn unit, cardiovascular care unit |
| Excessive medication dose for underlying GFR | Shock states such as sepsis |
| Solid organ transplantation | |
| Stem cell transplantation | |
| Genetic vulnerability |