The 2012 Kidney Disease: Improving Global Outcomes (KDIGO) Clinical Practice Guideline for Acute Kidney Injury (AKI) aims to assist practitioners caring for adults and children at risk for or with AKI, including contrast-induced acute kidney injury (CI-AKI). Guideline development followed an explicit process of evidence review and appraisal.
The guideline contains chapters on definition, risk assessment, evaluation, prevention, and treatment. Definition and staging of AKI are based on the Risk, Injury, Failure; Loss, End-Stage Renal Disease (RIFLE) and Acute Kidney Injury Network (AKIN) criteria and studies on risk relationships.
The treatment chapters cover pharmacological approaches to prevent or treat AKI, and management of renal replacement for kidney failure from AKI. Guideline recommendations are based on systematic reviews of relevant trials. Appraisal of the quality of the evidence and the strength of recommendations followed the GRADE approach. Limitations of the evidence are discussed and specific suggestions are provided for future research.
TOOLS
2012 KDIGO AKI Guideline Slide Deck
COMMENTAIRES
Canadian Society of Nephrology
Commentary on the 2012 KDIGO Clinical Practice Guideline for Acute Kidney Injury
European Renal Best Practice Position statement on the KDIGO Clinical Practice Guidelines on Acute Kidney Injury
– Part 1: Definitions, Conservative Management and Contrast-Induced Nephropathy
– Part 2: Renal Replacement Therapy
KDOQI
US Commentary on the 2012 KDIGO Clinical Practice Guideline for Acute Kidney Injury
Chinese (Mandarin) (Full Text)
Chinese (Mandarin) (Executive Summary)
German
KDIGO-Leitlinien zum akuten Nierenversagen
Italian
Japanese
Russian (Full Text)
Клинические Практические Рекомендации KDIGO по Острому Почечному Повреждению
The Lancet
Acute Kidney Injury: An Increasing Global Concern
Volume 382, Issue 9887
13 July, 2013
Blood Purification
Italian AKI Guidelines: The Best of the KDIGO and ADQI Results
Volume 40, No. 2
August 28, 2015
DISCLAIMER: USE OF THE CLINICAL PRACTICE GUIDELINES
This Clinical Practice Guideline is based upon the best information available at the time of publication. The recommendations are designed to provide information and assist decision-making. They are not intended to define a standard of care, and should not be construed as one. Neither should they be interpreted as prescribing an exclusive course of management. Variations in practice will inevitably and appropriately occur when clinicians take into account the needs of individual patients, available resources, and limitations unique to an institution or type of practice. Every health care professional making use of this Guideline is responsible for evaluating the appropriateness of applying them in the setting of any particular clinical situation. The recommendations for research contained within this document are general and do not imply a specific protocol.
