Table 1 The definitions and classification for AKI.

From: Acute Kidney Injury Classification for Critically Ill Cirrhotic Patients: A Comparison of the KDIGO, AKIN and RIFLE Classifications

 

SCr criteria

UO Criteria

(A) RIFLE

 Definition

SCr changes over 1–7 days, sustained for more than 24 hrs

UO < 0.5 ml/kg/h x 6 hrs

 Risk

Increase in SCr ≥ 1.5 x baseline or decrease in GFR ≥ 25%

UO < 0.5 ml/kg/h x 6 hrs

 Injury

Increase in SCr ≥ 2.0 x baseline or decrease in GFR ≥ 50%

UO < 0.5 ml/kg/h x 12 hrs

 Failure

Increase in SCr ≥ 3.0 x baseline or an absolute serum creatinine ≥4.0 mg/dl with an acute rise of at least 0.5 mg/dl or or decrease in GFR ≥ 75%

UO < 0.5 ml/kg/h x 24 hrs or anuria x 12hrs

 Loss

Complete loss of kidney function > 4 wks

 

 ESRD

End-stage renal disease (>3 mo)

 

(B) AKIN

 Definition

Acute SCr changes occur within a 48 hrs period during hospitalization

Same as RIFLE

 Stage 1

Increased in SCr of ≥0.3 mg/dl or increase to 1.5–1.9 x baseline

 

 Stage 2

Increase in SCr to 2.0–2.9 x baseline

 

 Stage 3

Increase in SCr ≥ 3.0 x baseline or SCr ≥ 4.0 mg/dl with an acute rise of at least 0.5 mg/dl or Initiation of RRT

 

(C) KDIGO

 Definition

SCr changes ≥ 1.5 x baseline to have occurred within the prior 7 days or a 0.3 mg/d lincrease in SCr must occur within a 48 hrs period

Same as RIFLE

 Stage 1

Increased in SCr ≥ 1.5 x baseline or of 0.3 mg/dl

 

 Stage 2

Increase in SCr ≥ 2.0 x baseline

 

 Stage 3

Increase in SCr ≥ 3.0 x baseline or increase in serum creatinine to ≥ 4.0 mg/dl or initiation of RRT

 
  1. *Abbreviations: SCr, serum creatinine; UO, urine output; hrs, hours; wks, weeks; ESRD, end-stage renal disease; RRT, renal replacement therapy; RIFLE, risk of renal failure, injury to kidney, failure of kidney function, loss of kidney function and end-stage renal failure; AKIN, acute kidney injury network; KDIGO, kidney disease improving global outcomes.