Skip to main content
. 2022 Aug 5;42(9):741–753. doi: 10.1002/phar.2722

TABLE A2.

AKI definitions

Criteria Definition
AKIN
Stage 1
  • Absolute increase in SCr >0.3 mg/dl or >1.5–2× from baseline

  • Urine output <0.5 ml/kg per hour for >6 h

Stage 2
  • Increase in SCr >2–3× from baseline

  • Urine output <0.5 ml/kg per hour for >12 h

Stage 3
  • Increase in SCr >3× from baseline or >4 mg/dl with acute increase >0.5 mg/dl

  • Urine output <0.3 ml/kg per hour for >24 h, or anuria for 12 h

KDIGO
Stage 1
  • Increase in SCr by 1.5–1.9× from baseline or >0.3 mg/dl

  • Urine output <0.5 ml/kg per hour for 6–12 h

Stage 2
  • Increase in SCr by 2–2.9× from baseline

  • Urine output <0.5 ml/kg per hour for >12 h

Stage 3
  • Increase in SCr by 3× from baseline or >4 mg/dl

  • Initiation of renal replacement therapy

  • In patients <18 years, decrease in eGFR to <35 ml/min/1.73m2

  • Urine output <0.3 ml/kg per hour for >24 h, or anuria for >12 h

RIFLE
Risk
  • SCr 1.5–2× above baseline

  • GFR decrease >25%

  • Urine output <0.5 ml/kg per hour for 6 h

Injury
  • SCr 2–3× above baseline

  • GFR decrease >50%

  • Urine output <0.5 ml/kg per hour for 12 h

Failure
  • SCr more than 3× above baseline, >4 mg/dl, or acute rise >0.5 mg/dl

  • GFR decrease >75%

  • Urine output <0.3 ml/kg per hour for 24 h or anuria for 12 h

Loss
  • Persistent AKI (on renal replacement therapy for >4 weeks)

ESRD
  • On dialysis for >3 months

2020 Vancomycin consensus guidelines
  • A minimum of 2–3 consecutive documented increases in SCr (>0.5 mg/dl or >50% from baseline, whichever is greater) after several days of vancomycin therapy

Note: Summary of the AKI Definitions for AKIN, KDIGO, RIFLE, and 2009 Vancomycin Consensus Guidelines.

Abbreviations: AKI, acute kidney injury; AKIN, Acute Kidney Injury Network; ESRD, end‐stage renal disease; GFR, glomerular filtration rate; KDIGO, Kidney Disease: Improving Global Outcomes; kg, kilograms; ml, milliliters; RIFLE, Risk, Injury, Failure, Loss, End‐stage kidney disease; SCr, serum creatinine.