Sunday, August 21, 2011

Acute Renal Failure - RIFLE Criteria

Couple articles to share here to f/u Dr Reddy's MR on renal failure. 

The rifle criteria were established by a concensus conference and are predictive of mortality in acute kidney injury patients:

Risk = 1.5 x increase Cr, GFR down 25%
Injury = 2 x increase Cr, GFR down 50%
Failure = 3 x increase Cr, GFR down 75%
Loss = complete loss for 4 weeks
ESRD = complete loss for 3 months

When managing patients at risk of or in early stages of ARF, this article from AFP has a nice review of the evidence for different interventions.



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