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Application of the RIFLE criteria in patients with crush-related acute kidney injury after mass disasters

Mehmet S Sever, John Kellum, Eric Hoste UGent and Raymond Vanholder UGent (2011) NEPHROLOGY DIALYSIS TRANSPLANTATION. 26(2). p.515-524
abstract
Background. The term acute kidney injury (AKI) and its classification in strata defined as Risk, Injury, Failure, Loss and End-stage renal failure (RIFLE) need to be validated in different patient groups. RIFLE may be useful to foresee medical and logistic problems in crush-related AKI in disaster victims. Methods. Taken from the Marmara earthquake crush database, the subjects included 416 patients who were categorized according to the modified RIFLE criteria and 18 victims with crush injury but with normal serum creatinine who served as controls. Associations between each RIFLE category and various parameters were investigated. Results. There were 27, 79 and 310 patients in the risk, injury and failure groups, respectively. Urine volume and serum albumin were lower; blood pressure, blood urea nitrogen, serum uric acid, potassium and phosphorus were higher; oliguric and polyuric periods were longer; medical complications were more frequent; and number of transfusions, dialysis sessions and days of dialysis support were higher in more severe AKI categories. Glomerular filtration rate at discharge was progressively lower in proportion to the severity of RIFLE classification. However, survival outcome did not differ among controls and patients who suffered from AKI nor in between RIFLE categories. Conclusions. In disaster crush victims, RIFLE classification can be useful to foresee the medical complications, need for therapeutic interventions and logistic support and also renal function at discharge though, perhaps, not survival.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
rhabdomyolysis, ACUTE-RENAL-FAILURE, crush syndrome, RIFLE, acute kidney injury, CRITICALLY-ILL PATIENTS, HANSHIN-AWAJI EARTHQUAKE, CATASTROPHIC MARMARA EARTHQUAKE, INTENSIVE-CARE-UNIT, NEPHROLOGICAL PROBLEMS, HOSPITALIZED-PATIENTS, VICTIMS, CLASSIFICATION, PROGNOSIS
journal title
NEPHROLOGY DIALYSIS TRANSPLANTATION
Nephrol. Dial. Transplant.
volume
26
issue
2
pages
515 - 524
Web of Science type
Article
Web of Science id
000286675400018
JCR category
UROLOGY & NEPHROLOGY
JCR impact factor
3.396 (2011)
JCR rank
15/72 (2011)
JCR quartile
1 (2011)
ISSN
0931-0509
DOI
10.1093/ndt/gfq426
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
1268179
handle
http://hdl.handle.net/1854/LU-1268179
date created
2011-06-20 10:49:19
date last changed
2011-06-20 15:53:29
@article{1268179,
  abstract     = {Background. The term acute kidney injury (AKI) and its classification in strata defined as Risk, Injury, Failure, Loss and End-stage renal failure (RIFLE) need to be validated in different patient groups. RIFLE may be useful to foresee medical and logistic problems in crush-related AKI in disaster victims.
Methods. Taken from the Marmara earthquake crush database, the subjects included 416 patients who were categorized according to the modified RIFLE criteria and 18 victims with crush injury but with normal serum creatinine who served as controls. Associations between each RIFLE category and various parameters were investigated.
Results. There were 27, 79 and 310 patients in the risk, injury and failure groups, respectively. Urine volume and serum albumin were lower; blood pressure, blood urea nitrogen, serum uric acid, potassium and phosphorus were higher; oliguric and polyuric periods were longer; medical complications were more frequent; and number of transfusions, dialysis sessions and days of dialysis support were higher in more severe AKI categories. Glomerular filtration rate at discharge was progressively lower in proportion to the severity of RIFLE classification. However, survival outcome did not differ among controls and patients who suffered from AKI nor in between RIFLE categories.
Conclusions. In disaster crush victims, RIFLE classification can be useful to foresee the medical complications, need for therapeutic interventions and logistic support and also renal function at discharge though, perhaps, not survival.},
  author       = {Sever, Mehmet S and Kellum, John and Hoste, Eric and Vanholder, Raymond},
  issn         = {0931-0509},
  journal      = {NEPHROLOGY DIALYSIS TRANSPLANTATION},
  keyword      = {rhabdomyolysis,ACUTE-RENAL-FAILURE,crush syndrome,RIFLE,acute kidney injury,CRITICALLY-ILL PATIENTS,HANSHIN-AWAJI EARTHQUAKE,CATASTROPHIC MARMARA EARTHQUAKE,INTENSIVE-CARE-UNIT,NEPHROLOGICAL PROBLEMS,HOSPITALIZED-PATIENTS,VICTIMS,CLASSIFICATION,PROGNOSIS},
  language     = {eng},
  number       = {2},
  pages        = {515--524},
  title        = {Application of the RIFLE criteria in patients with crush-related acute kidney injury after mass disasters},
  url          = {http://dx.doi.org/10.1093/ndt/gfq426},
  volume       = {26},
  year         = {2011},
}

Chicago
Sever, Mehmet S, John Kellum, Eric Hoste, and Raymond Vanholder. 2011. “Application of the RIFLE Criteria in Patients with Crush-related Acute Kidney Injury After Mass Disasters.” Nephrology Dialysis Transplantation 26 (2): 515–524.
APA
Sever, Mehmet S, Kellum, J., Hoste, E., & Vanholder, R. (2011). Application of the RIFLE criteria in patients with crush-related acute kidney injury after mass disasters. NEPHROLOGY DIALYSIS TRANSPLANTATION, 26(2), 515–524.
Vancouver
1.
Sever MS, Kellum J, Hoste E, Vanholder R. Application of the RIFLE criteria in patients with crush-related acute kidney injury after mass disasters. NEPHROLOGY DIALYSIS TRANSPLANTATION. 2011;26(2):515–24.
MLA
Sever, Mehmet S, John Kellum, Eric Hoste, et al. “Application of the RIFLE Criteria in Patients with Crush-related Acute Kidney Injury After Mass Disasters.” NEPHROLOGY DIALYSIS TRANSPLANTATION 26.2 (2011): 515–524. Print.