Adqi Kriteria Rifle
Adqi Kriteria Rifle
Adqi Kriteria Rifle
Summer-Fall 2002
ADQI
The intent of ADQI is to provide an objective, dispassionate distillation of the literature and description of the current state of practice of diagnosis, prevention and treatment of acute renal failure. The purpose is to develop a consensus of opinion, with evidence where possible, on best practice and to articulate a research agenda to focus on important unanswered questions.
ADQI Results
The final results of the first ADQI consensus conference (August 2000, New York City) on CRRT will be published in November issue of Kidney International. In addition, the complete work group summaries will be published in the October issue of Advances in Renal Replacement Therapy. This special issue will also be distributed at the American Society of Nephrology meeting. The results of the ADQI CRRT consensus conference have been endorsed by several Nephrology and Intensive Care societies including the Society of Critical Care Medicine, American Society of Nephrology, Societ Italiana di Nefrologia, and European Renal Association-European Dialysis and Transplant Association. Regular updates of ADQI activity are available on the ADQI website (www.ADQI.net). The preliminary results of RIFLE Criteria for Acute Renal Dysfunction the second ADQI GFR Criteria* Urine Output Criteria consensus conference Increased creatinine x1.5 (May 2002, Vicenza, UO < .5ml/kg/h High or GFR decrease > 25% x 6 hr Italy) on research in Risk Sensitivity Acute Renal Failure will Increased creatinine x2 UO < .5ml/kg/h be published in the or GFR decrease > 50% x 12 hr December issue of Injury Current Opinion in Increase creatinine x3 UO < .3ml/kg/h Critical Care. Final High or GFR decrease x 24 hr or Failure results will be submitted > 75% Anuria x 12 hrs Specificity for publication in 2003. This publication will Persistent ARF** = complete loss Loss include the first of renal function > 4 weeks consensus criteria for End Stage Renal Disease ESRD ARF, The RIFLE system uses either GFR criteria or urine output criteria to classify patients into three severity categories: Risk Injury and Failure; and two additional outcome categories: Loss and ESRD.
Researchers at the University of Pittsburgh and in Montana have analyzed all previous studies comparing synthetic and cellulose membranes in dialysis. This meta-analysis provides clear evidence of a survival benefit associated with synthetic membranes. Subramanian S. et al. Kindey International 2002 (Dec) in Press.
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