Bittencourt PL, Farias AQ, Terra C. Renal failure in cirrhosis: Emerging concepts.
World J Hepatol 2015;
7:2336-2343. [PMID:
26413223 PMCID:
PMC4577641 DOI:
10.4254/wjh.v7.i21.2336]
[Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/27/2015] [Revised: 08/29/2015] [Accepted: 09/08/2015] [Indexed: 02/06/2023] Open
Abstract
Acute renal failure, now termed acute kidney injury (AKI), is frequently found in patients with cirrhosis. The occurrence of AKI, irrespective of the underlying cause, is associated with reduced in-hospital, 3-mo and 1-year survival. Hepatorenal syndrome is associated with the worst outcome among AKI patients with cirrhosis. Several definitions for AKI that have been proposed are outlined and evaluated in this paper. Among these, the International Club for Ascites-AKI criteria substantially strengthen the quality of early diagnosis and intervention according to underlying cause of AKI.
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