Prior to the RIFLE criteria, there were about thirty different classification systems. This brief summary chapter focuses only on the RIFLE, AKIN and KDIGO systems. A tabulated summary of their advantages and disadvantages offers a means of rapid revision.

A Comparison of Acute Kidney Injury Classification Systems

RIFLE classification

 

Publication:

Ronco Bellomo and Kellum ( 2004):

 

Basis:

 

Advantages:

 

Criticism:

AKIN classification

 

Publication:

Mehta, Kellum et al (2007)

 

Basis:

 

Improvements:

 

Criticism:

KDIGO classification

 

Publication:

KDIGO Clinical Practice Guidelines (2012)

 

Basis:

 

Improvements:

 

Criticism:

References

Bellomo, Rinaldo, et al. "Acute renal failure–definition, outcome measures, animal models, fluid therapy and information technology needs: the Second International Consensus Conference of the Acute Dialysis Quality Initiative (ADQI) Group." Critical care 8.4 (2004): R204.

Cruz, Dinna N., Zaccaria Ricci, and Claudio Ronco. "Clinical review: RIFLE and AKIN–time for reappraisal." Critical care 13.3 (2009): 211.

Hoste, Eric AJ, and John A. Kellum. "Acute kidney injury: epidemiology and diagnostic criteria." Current opinion in critical care 12.6 (2006): 531-537.

Chertow, Glenn M., et al. "Acute kidney injury, mortality, length of stay, and costs in hospitalized patients." Journal of the American Society of Nephrology16.11 (2005): 3365-3370.

Lopes, José António, and Sofia Jorge. "The RIFLE and AKIN classifications for acute kidney injury: a critical and comprehensive review." Clinical Kidney Journal 6.1 (2013): 8-14.

Mehta, Ravindra L., et al. "Acute Kidney Injury Network: report of an initiative to improve outcomes in acute kidney injury." Critical care 11.2 (2007): R31.

Fliser, Danilo, et al. "A European Renal Best Practice (ERBP) position statement on the Kidney Disease Improving Global Outcomes (KDIGO) clinical practice guidelines on acute kidney injury: part 1: definitions, conservative management and contrast-induced nephropathy." Nephrology Dialysis Transplantation (2012): gfs375.

Palevsky, Paul M., et al. "KDOQI US commentary on the 2012 KDIGO clinical practice guideline for acute kidney injury." American Journal of Kidney Diseases 61.5 (2013): 649-672.