Dalili Nooshin, Kashani Kianoush
Division of Nephrology and Hypertension; Division of Pulmonary and Critical Care Medicine; Department of Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Iran J Kidney Dis. 2018 Oct;12(5):261-267.
Acute kidney injury is a very common complication of acute illnesses with dire consequences. There are significant differences in incidence, etiology, severity, and clinical impact of acute kidney injury between resource-sufficient and resource-limited regions. Awareness of such differences would potentially allow clinicians and policymakers to devise and provide region-specific interventions to decrease the incidence of acute kidney injury and mitigate its complications. In this review article, we describe the similarities and differences of acute kidney injury risk factors and risk stratifications based on the level of resource availability in different regions. We also outline differences between community- and hospital-acquired acute kidney injury in different countries. In the end, we outline the potential steps need to be taken to mitigate incidence and clinical impacts of acute kidney injury in both resource-sufficient and resource-limited regions.
急性肾损伤是急性疾病非常常见的并发症,后果严重。资源充足地区和资源有限地区在急性肾损伤的发病率、病因、严重程度及临床影响方面存在显著差异。认识到这些差异可能会使临床医生和政策制定者设计并提供针对特定地区的干预措施,以降低急性肾损伤的发病率并减轻其并发症。在这篇综述文章中,我们根据不同地区的资源可利用水平描述急性肾损伤危险因素及风险分层的异同。我们还概述了不同国家社区获得性和医院获得性急性肾损伤之间的差异。最后,我们概述了在资源充足地区和资源有限地区为降低急性肾损伤的发病率及临床影响可能需要采取的措施。