Division of Nephrology, Department of Medicine, Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital, Bangkok, Thailand; Center for Critical Care Nephrology, The Clinical Research, Investigation, and Systems Modeling of Acute Illness Center, Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; Research Unit in Critical Care Nephrology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand; Academy of Science, Royal Society of Thailand, Bangkok, Thailand; Tropical Medicine Cluster, Chulalongkorn University, Bangkok, Thailand.
Division of Nephrology, Department of Medicine, Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital, Bangkok, Thailand; Research Unit in Critical Care Nephrology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand; Tropical Medicine Cluster, Chulalongkorn University, Bangkok, Thailand.
Semin Nephrol. 2020 Sep;40(5):468-476. doi: 10.1016/j.semnephrol.2020.08.003.
Early diagnosis of acute kidney injury (AKI) is an important step to improve AKI outcome. In Asia, several distinct conditions of this region such as environment (tropical climate), socioeconomic status (high-resource and low-resource settings), process of care (shortage of nephrologists), exposure factors (specific tropical infections such as leptospirosis, malaria, dengue), and inherent factor (aging) make the diagnosis of AKI in Asia more challenging than in other parts of the world. To improve the diagnosis of AKI, novel tools such as clinical risk scores, AKI alert systems, and telemedicine should be implemented into current clinical practice.
急性肾损伤 (AKI) 的早期诊断是改善 AKI 预后的重要步骤。在亚洲，该地区的一些特殊情况，如环境（热带气候）、社会经济状况（高资源和低资源环境）、治疗过程（肾病专家短缺）、暴露因素（热带特有感染，如钩端螺旋体病、疟疾、登革热）和固有因素（老龄化），使得亚洲 AKI 的诊断比世界其他地区更具挑战性。为了改善 AKI 的诊断，应将新的工具，如临床风险评分、AKI 警报系统和远程医疗，纳入当前的临床实践中。
