SRM Institute of Science and Technology, Kattankulathur, Chengalpattu District, India.
Institute of Nephrology, Madras Medical College, Chennai, India.
J Nephrol. 2022 Apr;35(3):1029-1031. doi: 10.1007/s40620-021-01232-6. Epub 2022 Feb 3.
Acute kidney injury (AKI) is associated with long term adverse renal outcomes. Since AKI is a risk factor for chronic kidney disease (CKD), follow up of AKI survivors assumes significance. Currently, follow up rates of AKI survivors are poor. Universally acceptable definition for AKI recovery is lacking. The epidemiology and clinical profile of AKI are different in developing countries where patients are often referred late to healthcare facilities and initiation of renal replacement therapy is often delayed. Recently, proposals for defining AKI recovery and indications for AKI follow-up care have been published; while interesting, these suggestions are complex, and difficult to follow. Developing countries require simple definitions of AKI recovery and manageable follow-up care models, that could be applicable in scarcely resourced healthcare settings.
急性肾损伤（AKI）与长期不良肾脏结局相关。由于 AKI 是慢性肾脏病（CKD）的危险因素，因此对 AKI 幸存者进行随访具有重要意义。目前，AKI 幸存者的随访率较差。缺乏普遍接受的 AKI 恢复定义。在发展中国家，AKI 的流行病学和临床特征不同，患者通常就诊较晚，肾脏替代治疗的启动往往也较晚。最近，已经提出了定义 AKI 恢复和 AKI 随访护理适应证的建议；虽然这些建议很有趣，但它们很复杂，难以遵循。发展中国家需要简单的 AKI 恢复定义和可管理的随访护理模式，这些模式在资源匮乏的医疗保健环境中是可行的。
