The last piece of picture puzzle: conceptual evolution of acute kidney disease

doi:10.3877/cma.j.issn.1674-0785.2023.08.011

Abstract

Abstract:

A consensus on the concept of acute kidney injury (AKI) and chronic kidney disease (CKD) has been reached and is widely used in basic research and clinical practice. In 2017, to define the stage of progression from AKI (7 d) to CKD (90 d) in patients with kidney diseases (KDs), the Acute Dialysis Quality Initiative (ADQI) working group proposed a consensus on the definition and staging of acute kidney disease (AKD). In 2021, Kidney Disease: Improving Global Outcomes (KDIGO) released an expert consensus to update the concept of AKD, dividing KDs into AKD and CKD based on whether the duration of the disease is more than 3 months, thus considering AKI a subtype of AKD, and proposing two staging principles of for AKD based on AKI or CKD. Referring to the latest elaboration of the concept of AKD by the KDIGO working group in 2021 and the latest studies on AKD, this article reviews the new concept, epidemiology, management strategies, and clinical prognosis of AKD to provide a reference for practitioners.

Key words: Acute kidney disease, Acute kidney injury, Chronic kidney disease, Staging, Evaluation

Cheng Yi, Wei Wei, Yuliang Zhao. The last piece of picture puzzle: conceptual evolution of acute kidney disease[J]. Chinese Journal of Clinicians(Electronic Edition), 2023, 17(08): 906-910.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhlcyszz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-0785.2023.08.011

https://zhlcyszz.cma-cmc.com.cn/EN/Y2023/V17/I08/906

Figures/Tables 4

References 26

1	Lewington AJ, Cerda J, Mehta RL. Raising awareness of acute kidney injury: a global perspective of a silent killer [J]. Kidney Int, 2013;84(3):457-467.
2	Uchino S, Bellomo R, Goldsmith D, et al. An assessment of the Rifle criteria for acute renal failure in hospitalized patients [J]. Crit Care Med, 2006, 34(7): 1913-1917.
3	付平, 刘菁, 曾筱茜. 急性肾脏病的诊断和临床意义及现状思考 [J]. 中华肾病研究电子杂志, 2017, 6(6): 259-265.
4	Levey AS. Defining AKD: The Spectrum of AKI, AKD, and CKD [J]. Nephron, 2022, 146(3): 302-305.
5	Chawla LS, Eggers PW, Star RA, et al. Acute kidney injury and chronic kidney disease as interconnected syndromes [J]. N Engl J Med, 2014, 371(1): 58-66.
6	曹杰, 赵宇亮, 付平. 急性肾损伤流行病学的新进展 [J]. 中国循证医学杂志, 2019, 19(6): 631-634.
7	Siew ED, Abdel-Kader K, Perkins AM, et al. Timing of recovery from moderate to severe AKI and the risk for future loss of kidney function [J]. Am J Kidney Dis, 2020, 75(2): 204-213.
8	Chawla LS, Bellomo R, Bihorac A, et al. Acute kidney disease and renal recovery: consensus report of the Acute Disease Quality Initiative (ADQI) 16 workgroup [J]. Nat Rev Nephrol, 2017, 13(4): 241-257.
9	Lameire NH, Levin A, Kellum JA, et al. Harmonizing acute and chronic kidney disease definition and classification: report of a Kidney Disease: Improving Global Outcomes (KDIGO) consensus conference [J]. Kidney Int, 2021, 100(3): 516-526.
10	James MT, Levey AS, Tonelli M, et al. Incidence and prognosis of acute kidney diseases and disorders using an integrated approach to laboratory measurements in a universal health care system [J]. JAMA Netw Open, 2019, 2(4): e191795.
11	See EJ, Polkinghorne KR, Toussaint ND, et al. Epidemiology and outcomes of acute kidney diseases: a comparative analysis [J]. Am J Nephrol, 2021, 52(4): 342-350.
12	Yan P, Duan XJ, Liu Y, et al. Acute kidney disease in hospitalized acute kidney injury patients [J]. PeerJ, 2021, 9: e11400.
13	Liu C, Mor MK, Palevsky PM, et al. Postangiography increases in serum creatinine and biomarkers of injury and repair [J]. Clin J Am Soc Nephrol, 2020, 15(9): 1240-1250.
14	Wu VC, Chueh JS, Chen L, et al. Nephrologist follow-up care of patients with acute kidney disease improves outcomes: Taiwan experience [J]. Value Health, 2020, 23(9): 1225-1234.
15	Liu KD, Forni LG, Heung M, et al. Quality of care for acute kidney disease: current knowledge gaps and future directions [J]. Kidney Int Rep, 2020, 5(10): 1634-1642.
16	Coca SG, Singanamala S, Parikh CR. Chronic kidney disease after acute kidney injury: a systematic review and meta-analysis [J]. Kidney Int, 2012, 81(5): 442-448.
17	Noble RA, Lucas BJ, Selby NM. Long-term outcomes in patients with acute kidney injury [J]. Clin J Am Soc Nephrol, 2020, 15(3): 423-429.
18	Tonon M, Rosi S, Gambino CG, et al. Natural history of acute kidney disease in patients with cirrhosis [J]. J Hepatol, 2021, 74(3): 578-583.
19	Fuhrman DY, Nguyen L, Joyce EL, et al. Outcomes of adults with congenital heart disease that experience acute kidney injury in the intensive care unit [J]. Cardiol Young, 2021, 31(2): 274-278.
20	Matsuura R, Iwagami M, Moriya H, et al. The clinical course of acute kidney disease after cardiac surgery: a retrospective observational study [J]. Sci Rep, 2020, 10(1): 6490.
21	Xiao YQ, Cheng W, Wu X, et al. Novel risk models to predict acute kidney disease and its outcomes in a Chinese hospitalized population with acute kidney injury [J]. Sci Rep, 2020, 10(1): 15636.
22	Palevsky PM, Molitoris BA, Okusa MD, et al. Design of clinical trials in acute kidney injury: report from an NIDDK workshop on trial methodology [J]. Clin J Am Soc Nephrol, 2012, 7(5): 844-850.
23	Chang CH, Chen SW, Chen JJ, et al. Incidence and transition of acute kidney injury, acute kidney disease to chronic kidney disease after acute type a aortic dissection surgery [J]. J Clin Med, 2021, 10(20): 4769.
24	Nagata K, Horino T, Hatakeyama Y, et al. Effects of transient acute kidney injury, persistent acute kidney injury and acute kidney disease on the long-term renal prognosis after an initial acute kidney injury event [J]. Nephrology (Carlton), 2021, 26(4): 312-318.
25	Patel M, Heipertz A, Joyce E, et al. Acute kidney disease predicts chronic kidney disease in pediatric non-kidney solid organ transplant patients [J]. Pediatr Transplant, 2021: e14172.
26	Esposito P, Avella A, Ferrari F, et al. Renal outcomes of dialysis-dependent acute kidney injury in Noncritically Ill patients: a retrospective study [J]. Blood Purif, 2022, 51(4): 390-396.

[1]	Peng Tu, Xiaohang Zhang, Hongmei Dong, Gongli Chen, Suzhen Ran. Application value of ultrasound Doppler after radiofrequency ablation and fetal reduction for twin-to-twin transfusion syndrome [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2023, 20(05): 492-497.
[2]	Shengjin Han, Zhengwu Zhou, Yunlong Weng, Xin Huang. Effect of sodium bicarbonate Ringer's solution combined with continuous renal replacement therapy on inflammation level and renal function in trauma patients with acute kidney injury [J]. Chinese Journal of Critical Care Medicine(Electronic Edition), 2023, 16(05): 376-381.
[3]	Shuaihua Fan, Wei Guo, Jun Guo. Current situation and prospect of application of decision tree algorithm based on machine learning in prognosis prediction of bloodstream infection [J]. Chinese Journal of Experimental and Clinical Infectious Diseases(Electronic Edition), 2023, 17(05): 289-293.
[4]	Xiaoyin Zhang, Yang Yu. Research progress on the occurrence and development of chronic kidney disease by Porphyromonas gingivalis [J]. Chinese Journal of Stomatological Research(Electronic Edition), 2023, 17(05): 328-334.
[5]	Chuanchao He, Zhiyu Xiao. Comprehensive treatment mode and strategy for advanced hepatocellular carcinoma [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2023, 12(05): 486-489.
[6]	Qinglin Li, Renjie Song, Feihu Zhou. Establishment and exploration of a mouse model of severe exertional heat stroke-related acute kidney injury [J]. Chinese Journal of Kidney Disease Investigation(Electronic Edition), 2023, 12(05): 265-270.
[7]	Jiafa Ren, Buyun Wu, Changying Xing, Huijuan Mao. Advances in the basic and clinical research on acute kidney injury in 2022 [J]. Chinese Journal of Kidney Disease Investigation(Electronic Edition), 2023, 12(05): 276-281.
[8]	Jinpu Li, Xiangrong Rao. Antiviral drugs and acute kidney injury [J]. Chinese Journal of Kidney Disease Investigation(Electronic Edition), 2023, 12(05): 287-290.
[9]	Ruanxin Miao, Xi Qiao. Role of Toll-like receptor in sepsis-induced acute kidney injury [J]. Chinese Journal of Kidney Disease Investigation(Electronic Edition), 2023, 12(04): 210-214.
[10]	Na Li, Guozhen Zhu. Progress of research on the roles of gut microbiota and its metabolites in acute kidney injury [J]. Chinese Journal of Kidney Disease Investigation(Electronic Edition), 2023, 12(04): 215-219.
[11]	Sijia Li, Xiaole Su, Lihua Wang. Progress of research on inhibition of Wnt/β-catenin signaling pathway to delay renal interstitial fibrosis [J]. Chinese Journal of Kidney Disease Investigation(Electronic Edition), 2023, 12(04): 224-228.
[12]	Changyuan Yang, Xitao Ling, Jiamei Qiu, Ruolan Duan, Qin Li, Yujie Lin, Xindong Qin, Haijing Hou, Fuhua Lu, Guobin Su. Progress of research on screening/assessment tools for frailty in patients with chronic kidney disease [J]. Chinese Journal of Kidney Disease Investigation(Electronic Edition), 2023, 12(04): 229-233.
[13]	Meina Li, Yanli Song, Shanshan Yang, Jucai Li, Huili Luo, Jie Lyu. Application and effectiveness evaluation of the triple pre-rehabilitation strategy in the perioperative period of patients with degenerative scoliosis [J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2023, 09(06): 356-364.
[14]	Guangjun Zhong, Chunhua Liu, Wansen Zhu, Xiaolei Xu, Zhaojun Wang. Application of conventional MRI combined with different scanning sequences in preoperative staging diagnosis, chemotherapy efficacy and prognosis evaluation of gastric cancer [J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2023, 13(06): 378-382.
[15]	Shuyou Wang, Xiaojing Song, Shuyong Jia, Guangjun Wang, Weibo Zhang. In vivo fluorescence imaging of hepatocyte asialoglycoprotein receptor targeted for evaluation of liver function [J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2023, 13(06): 443-446.

Please choose a citation manager

Content to export