Lightning Learning: Acute Kidney Injury (AKI)
““AKI is seen in 13-18% of all hospital admissions and inpatient mortality is 25-30% in the UK – but it can be reversible!””
What?
Does your patient have AKI? Look for any of the following:
- Rise in serum creatinine of ≥26 micromol/litre in 48 hours 
- ≥50% or rise in serum creatinine within the past 7 days 
- Fall in urine output to <0.5 ml/kg/hr for more than… 
- 6 hours in adults 
- >8 hours in children & young people. 
Why?
AKI is seen in 13-18% of all hospital admissions and inpatient mortality is 25-30% in the UK alone – but it can be reversible!
Early identification and treatment of the cause is the key for avoiding permanent kidney damage.
According to NCEPOD only 50% of patients who died from AKI received good care.
Further Reading
- NICE: Acute kidney injury: prevention, detection and management
- London AKI Network: YouTube channel 🎬
 
            

 
      

