A comparison of classification systems for acute kidney injury

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.