Editorial
doi: 10.2215/CJN.06711208. Epub 2009 Feb 18.The nexus of acute kidney injury, chronic kidney disease, and World Kidney Day 2009
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- PMID:19225036
- PMCID: PMC4571532
- DOI: 10.2215/CJN.06711208
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Editorial
The nexus of acute kidney injury, chronic kidney disease, and World Kidney Day 2009
Mark D Okusa et al. Clin J Am Soc Nephrol.2009 Mar.
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Natural history of acute kidney injury (AKI). The phases of AKI have previously been described by Suttonet al. (8). We now expand the concept to include progression to CKD/ESRD as an additional phase of AKI. Patients who survive AKI can have several different outcomes: (1) full recovery (red line), (2) development of AKI leading to CKD/ESRD (black line), (3) exacerbation of preexisting CKD leading to CKD/ESRD (blue line), and (4) nonrecovery of AKI leading to ESRD (dashed lines).
Likelihood of initiating ESRD treatment after acute kidney injury (AKI). The likelihood of initiating treatment for ESRD after surviving AKI was estimated from a 5% random sample of Medicare beneficiary claims from CMS and USRDS. A cohort of 233,803 patients hospitalized in 2000 with a discharge diagnosis of AKI was included in the study; ESRD information was obtained from the ESRD registration during the 2-yr follow-up (data from 11).
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