Fujii and colleagues define 'subacute' kidney injury (s-AKI) as AKI that takes >7 days to develop, timed from admission or lowest creatinine measurement after admission. Although s-AKI is unlikely to be a distinct syndrome from AKI, the association with increased mortality highlights the need to monitor patient creatinine levels.
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References
Chertow, G. M., Burdick, E., Honour, M., Bonventre, J. V. & Bates, D. W. Acute kidney injury, mortality, length of stay, and costs in hospitalized patients. J. Am. Soc. Nephrol. 16, 3365–3370 (2005).
KDIGO. Clinical practice guideline for acute kidney injury. Section 2: AKI definition. Kidney Int. Suppl. 2, 19–36 (2012).
Murray, P. T. et al. Current use of biomarkers in acute kidney injury: report and summary of recommendations from the 10th Acute Dialysis Quality Initiative consensus conference. Kidney Int. http://dx.doi.org/10.1038/ki.2013.374.
Haase, M. et al. The outcome of neutrophil gelatinase-associated lipocalin-positive subclinical acute kidney injury a multicenter pooled analysis of prospective studies. J. Am. Coll. Cardiol. 57, 1752–1761 (2011).
Nickolas, T. L. et al. Diagnostic and prognostic stratification in the emergency department using urinary biomarkers of nephron damage: a multicenter prospective cohort study. J. Am. Coll. Cardiol. 59, 246–255 (2012).
Nejat, M. et al. Some biomarkers of acute kidney injury are increased in pre-renal acute injury. Kidney Int. 81, 1254–1262 (2012).
Fujii, T., Uchino, S., Takinami, M. & Bellomo, R. Subacute kidney injury in hospitalized patients. Clin. J. Am. Soc. Nephrol. http://dx.doi.org/10.2215/CJN.04120413.
Brown, J. R., Kramer, R. S., Coca, S. G. & Parikh, C. R. Duration of acute kidney injury impacts long-term survival after cardiac surgery. Ann. Thorac. Surg. 90, 1142–1148 (2010).
Endre, Z. H. et al. Differential diagnosis of AKI in clinical practice by functional and damage biomarkers: workgroup statements from the tenth Acute Dialysis Quality Initiative Consensus Conference. Contrib. Nephrol. 182, 30–44 (2013).
Pickering, J. W. & Endre, Z. H. Back-calculating baseline creatinine with MDRD misclassifies acute kidney injury in the intensive care unit. Clin. J. Am. Soc. Nephrol. 5, 1165–1173 (2010).
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Endre, Z., Pickering, J. Late-onset acute kidney injury—subacute or more of the same?. Nat Rev Nephrol 10, 133–134 (2014). https://doi.org/10.1038/nrneph.2014.9
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DOI: https://doi.org/10.1038/nrneph.2014.9