Okusa Mark D, Davenport Andrew
Division of Nephrology, University of Virginia Health Sciences Center, Charlottesville, Virginia, USA.
UCL Centre for Nephrology, Royal Free Hospital, London, UK.
Kidney Int. 2014 Jan;85(1):39-48. doi: 10.1038/ki.2013.378. Epub 2013 Sep 25.
The KDIGO guidelines for acute kidney injury (AKI) are designed to assist health-care providers around the world in managing patients with AKI. Clinical guidelines are intended to help the clinician make an informed decision based on review of the currently available evidence. Due to the generic nature of guidelines, it is sometimes difficult to translate a guideline for a particular individual patient who may have specific clinical circumstances. To illustrate this point, we have discussed the interpretation of the KDIGO guideline in patients who have subtleties in their clinical presentation, which may make treatment decisions less than straightforward.
改善全球肾脏病预后组织（KDIGO）的急性肾损伤（AKI）指南旨在帮助世界各地的医疗服务提供者管理急性肾损伤患者。临床指南旨在帮助临床医生在审查现有证据的基础上做出明智的决定。由于指南具有通用性，有时很难将其应用于可能有特定临床情况的个别患者。为了说明这一点，我们讨论了KDIGO指南在临床表现有细微差异的患者中的解读，这些差异可能使治疗决策并非那么简单直接。
