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Table 25-1

Classification of Acute Kidney Injury

Serum creatinine criteriaUrine output criteria
RIFLEAKINKDIGO
1—R>1.5 × baseline or GFR decrease >25%0.3 mg/dL increase
or
1.5-2 × baseline
1.5-1.9 × baseline
or
>0.3 mg/dL increase (within 48 h)
<0.5 mL/kg/h for 6-12 h
2—I>2 × baseline or GFR decrease >50%>2-3 × baseline2-2.9 × baseline<0.5 mL/kg/h for 12 h
3—F>3 × baseline or Cr >4 mg/dL with an acute rise >0.5 mg/dL>3 × baseline or 4.0 mg/dL with acute increase of 0.5 mg/dL
or
initiation of RRT
3 × baseline or increase in serum Cr 4 mg/dL
or
initiation of RRT
<0.3 mL/kg/h for 24 h or anuria for 12 h
LLoss of renal function >4 wk
EEnd-stage renal diseaseOutcome classes for RIFLE criteria

AKIN, Acute Kidney Injury Network; Cr, creatinine; GFR, glomerular filtration rate; KDIGO, Kidney Disease Improving Global Outcomes Organization; RIFLE, Risk, Injury, Failure, Loss, ESRD (end-stage renal disease); RRT, renal replacement therapy.