Acute Kidney Injury Recognition in Low- and Middle-Income Countries

Acute kidney injury (AKI) is increasingly common around the world. Because of the low availability of effective therapies and resource limitations, early preventive and therapeutic measures are essential to decrease morbidity, mortality, and cost. Timely recognition and diagnosis of AKI requires a heightened degree of suspicion in the appropriate clinical and environmental context. In low- and middle-income countries (LMICs), early detection is impaired by limited resources and low awareness. In this article, we report the consensus recommendations of the 18th Acute Dialysis Quality Initiative meeting in Hyderabad, India, on how to improve recognition of AKI. We expect these recommendations will lead to an earlier and more accurate diagnosis of AKI, and improved research to promote a better understanding of the epidemiology, etiology, and histopathology of AKI in LMICs.

• Publication year

  2017

• Venue

  Kidney International Reports

• Publication date

  2017-04-26

• Fields of study

  Medicine

• Identifiers
  DOI 10.1016/j.ekir.2017.04.009PMID 29034358PMCID 5637391
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• The recommendations are intended to enable earlier and more accurate diagnosis of acute kidney injury and to strengthen research on its epidemiology, etiology, and histopathology in low- and middle-income countries.

  Confidence 0.91

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• Consensus recommendations from the 18th Acute Dialysis Quality Initiative meeting center on improving recognition of acute kidney injury in low- and middle-income countries.

  Confidence 0.95

  박진우 (dztg5apj7m) extractionB (s683577b42) review--------- ✂ Cut Here ✂ --------- (jqthcshryb) reviewmexicorea (qjvnbu8xg3) review

• 18th acute dialysis quality initiative meeting

  meeting

  The expert meeting in Hyderabad that generated the recommendations discussed in the abstract.

  Aliases: 18th ADQI meeting, ADQI meeting in Hyderabad

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• acute kidney injury

  clinical condition

  A sudden decline in kidney function discussed here as the condition whose recognition needs improvement.

  Aliases: AKI

  박진우 (dztg5apj7m) extractionB (s683577b42) review--------- ✂ Cut Here ✂ --------- (jqthcshryb) reviewmexicorea (qjvnbu8xg3) review
• acute kidney injury diagnosis

  diagnostic outcome

  The process of diagnosing acute kidney injury, including improving timing and accuracy.

  Aliases: AKI diagnosis

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• consensus recommendations

  consensus statement

  Agreed guidance produced by the meeting to improve AKI recognition and related research.

  Aliases: recommendations

  박진우 (dztg5apj7m) extractionB (s683577b42) review--------- ✂ Cut Here ✂ --------- (jqthcshryb) reviewmexicorea (qjvnbu8xg3) review
• epidemiology of acute kidney injury

  research domain

  The study of the distribution and frequency of acute kidney injury in populations.

  Aliases: AKI epidemiology

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• etiology of acute kidney injury

  research domain

  The study of the causes and origins of acute kidney injury.

  Aliases: AKI etiology

  박진우 (dztg5apj7m) extractionB (s683577b42) review--------- ✂ Cut Here ✂ --------- (jqthcshryb) reviewmexicorea (qjvnbu8xg3) review
• histopathology of acute kidney injury

  research domain

  The microscopic tissue changes associated with acute kidney injury.

  Aliases: AKI histopathology

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• low- and middle-income countries

  geographic setting

  Countries with constrained healthcare resources that are the setting targeted by the recommendations.

  Aliases: LMICs

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• recognition of acute kidney injury

  diagnostic process

  The clinical identification of acute kidney injury in appropriate patient and environmental contexts.

  Aliases: AKI recognition, recognition of AKI

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