Cruz Dinna N, Ronco Claudio
Crit Care. 2007;11(4):149. doi: 10.1186/cc5965.
Acute kidney injury (AKI) is a common clinical problem with significant clinical and economic consequences. A number of studies point to a rising incidence of AKI in the hospital and in the intensive care unit over the past several years, and an increase in the degree of co-morbidity associated with it. Recent evidence suggests that there has been some improvement in outcomes over time. Nevertheless, the mortality associated with AKI remains unacceptably high, and further work is needed. Recently developed consensus definitions will be useful in this regard.
急性肾损伤(AKI)是一个常见的临床问题,会产生重大的临床和经济后果。多项研究表明,在过去几年中,医院和重症监护病房中AKI的发病率呈上升趋势,且与之相关的合并症程度也有所增加。最近的证据表明,随着时间的推移,治疗结果已有一定改善。然而,与AKI相关的死亡率仍然高得令人无法接受,仍需进一步开展工作。最近制定的共识定义在这方面将有所帮助。