Friday, December 7, 2018

Predicting AKI in ICU

Q: All of the following are part of predicting Acute Kidney Injury (AKI) within 48 hours of admission to ICU except?

A) History of chronic kidney disease (CKD) 
B) History of hypertension (HTN)
C) History of coronary heart disease (CHD)
D) PH less than 7.20 
E) Mechanical ventilation


Answer: D

Recently a score 1 is developed and validated to predict AKI within 48 hours of admission to ICU. There are ten components to it including CKD, HTN, CHD, chronic liver disease, heart failure, n
ephrotoxin exposure, sepsis, mechanical ventilation, and anemia. 

Level of PH included is less than 7.30.


This score has  95 percent negative predictive value if  patient's score is less than 5.



#nephrology


Reference:

1. Malhotra R, Kashani KB, Macedo E, et al. A risk prediction score for acute kidney injury in the intensive care unit. Nephrol Dial Transplant 2017; 32:814.

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