| Theme | Current trends and issues for medical management of acute kidney injury in Japan | |
|---|---|---|
| Title | Clinical control after acute kidney injury | |
| Publish Date | 2013/10 | |
| Author | Jun Ito | Division of Nephrology and Kidney Center, Kobe University Graduate School of Medicine |
| Author | Shinichi Nishi | Division of Nephrology and Kidney Center, Kobe University Graduate School of Medicine |
| [ Summary ] | The incidence of acute kidney injury (AKI) has increased yearly. The prognoses for longevity after AKI depends on the cause of the AKI and in particular how the AKI is associated with multiple organ failure in intensive-care units. Those with the poorest longevity prognoses and highest mortality rates account for approximately 50 % of those treated. In contrast, AKIs due to pre-renal factors, post-renal factors, or drug toxicity usually have good renal function and prognoses predicting extended longevity through removal of causative factors. Recently, AKI has been found to be an important risk factor for chronic kidney disease and end-stage kidney disease. Even those cases in which complete recovery from AKI is achieved, a somewhat higher possibility exists of developing stage G3 to G5 chronic kidney disease. |
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