Acute Kidney Injury - Basic Research and Clinical Practice

Acute Kidney Injury - Basic Research and Clinical Practice
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Описание книги

Acute Kidney Injury (AKI) is a complex syndrome that is prevalent among hospitalized patients. In recent years, occurrence of AKI events has risen due to a growing susceptibility of fragile and elderly subjects and an increase in the use of complex procedures such as cardiovascular surgery and imaging techniques. Exposure to potentially nephrotoxic drugs, such as new chemotherapeutic agents, is also proving to be a cause of AKI. This book summarizes recent advances in various settings. A reappraisal of current definitions and staging classifications for AKI in the literature is followed by a description of new criteria for identifying patients at risk and characterizing early kidney damage by using biomarkers. Other important topics include the sequelae of AKI and AKI in special populations such as children, the elderly, and those with cancer. The effects of AKI and its consequences on healthcare expenditures are also addressed from several perspectives. AKI management requires the cooperation of different specialists to optimize outcomes. This book is thus a perfect tool not only for nephrologists, but for every specialist involved in the complicated endeavor of improving patient care.

Оглавление

Группа авторов. Acute Kidney Injury - Basic Research and Clinical Practice

Contributions to Nephrology

Acute Kidney Injury – Basic Research and Clinical Practice

Contents

Preface

Acute Kidney Injury: Diagnosis and Classification in Adults and Children

Abstract

Introduction

AKI Definition and Classification in Adult Patients

Serum Creatinine Criteria for AKI Diagnosis

UO Criteria for AKI Diagnosis

GFR, eGFR, and RFR

Additional Limitations of KDIGO Criteria for AKI Diagnosis

An Outlook to the Future: AKI Biomarkers and Subclinical AKI

AKI Definition and Classification in Children and Neonates

Conclusions

References

Acute Kidney Injury Risk Assessment

Abstract

Introduction

Quality Measurement and AKI Risk Assessment

The Methodology of Quality Measure in AKI Risk Assessment

Plan

Do

Study

Act

Existing Literature of Quality Measure in AKI Risk Assessment

Conclusions

References

Acute Kidney Injury Biomarkers: What Do They Tell Us?

Abstract

Introduction

SCr and Urine Output: The Problems

AKI Biomarkers

AKI Biomarkers in the Surgical Patient

Neutrophil Gelatinase-Associated Lipocalin

Interleukin 18

Urinary KIM-1

Liver Type Fatty Acid Binding Protein

IGFBP-7 and TIMP-2

Subclinical AKI: Dysfunction or Injury?

Can Biomarkers Be Used to Guide Therapy?

Conclusions

References

Acute Kidney Injury Recovery

Abstract

Defining AKI Recovery

Pathophysiology of AKI Recovery

AKI Recovery Patterns and Outcomes

Measuring AKI Recovery

Conclusion

References

Acute Kidney Injury to Chronic Kidney Disease Transition

Abstract

Introduction

Role of Kidney Resident Cells in AKI to CKD Transition

Chronic Inflammation: A Link between AKI and CKD

Mitochondrial Dysfunction

Epigenetic Changes during AKI

RAS Activation in AKI and CKD

Tissue and Cellular Senescence

Prevention of AKI-to-CKD Transition and Future Clinical Perspectives

Conclusions

References

Acute Kidney Injury and Big Data

Abstract

Introduction

AKI Diagnosis: The Fulcrum of EHR-Enabled Approaches

Clinical Risk Prediction: Pre-AKI State

AKI Alerting: The AKI State

Longitudinal AKI Care: The Post-AKI State

Conclusions

Acknowledgment

References

Quality Measures in Acute Kidney Injury Management

Abstract

Introduction

Current Quality of AKI Healthcare

Quality Measures in AKI Management

QMs in AKI Prevention

QMs in AKI Diagnosis

QMs in AKI Non-Dialytic Treatment

QMs in AKI Dialytic Treatment

QMs in AKI Long-Term Follow-Up

Current Potential Method to Improve Quality of AKI Healthcare. Professional Education and Guidelines Promotion

Electronic Data System

Early Referral of Nephrology

AKI Care Bundle [38]

Conclusion

References

Acute Kidney Injury and Information Technology

Abstract

Introduction

Evidence for Electronic Alerts in AKI

AKI Detection

Impact of e-Alerts on Processes of Care and Outcomes

E-Alerts in Drug Management

One Step Further – Electronic Alerts in Identification of Patients at Risk of AKI

Conclusions

References

Technology in Medicine: Moving Towards Precision Management of Acute Kidney Injury

Abstract

Introduction

Technological Advances and the AKI Diagnosis

Technological Advances and the Acute Renal Replacement Therapy Prescription

Technological Advances in Delivery and Monitoring of ARRT

Technological Advances and ARRT Know-How

Conclusions

References

The Burden of Acute Kidney Injury and Related Financial Issues

Abstract

Introduction

Epidemiology

Short-Term Complications of AKI. Direct Effects of AKI

Mortality

Respiratory Complications

Cardiac Complications

Hepatic Dysfunction

Neurological Complications

Risk of Infections

Long-Term Complications. Mortality

Chronic Kidney Disease

Cardiovascular Complications

Bone Fractures

Infections

Health Care-Related Costs

Conclusion

References

Pediatric Acute Kidney Injury

Abstract

Introduction

Definition and Staging

AKI Epidemiology and Outcomes

AKI Risk Factors: Kidney Dysfunction with other Underlying Illnesses

AKI Prevention and (Pharmacologic) Therapy

Renal Replacement Therapy

Conclusions

References

Acute Kidney Injury in Cardiac Surgery

Abstract

Improving Awareness of CSA-AKI. Incidence

Short- and Long-Term Outcome

Tools for Risk Assessment

Electronic Detection of CSA-AKI

Management of CSA-AKI. Drugs

Renal Replacement Therapy

When to Start

When to Stop

Adequacy of RRT

Precision CRRT

Conclusions

References

Acute Kidney Injury in Cancer Patients

Abstract

Introduction

Epidemiology

Risk Factors and Specific Causes for AKI

Drug-Related AKI in Cancer Patients

AKI Induced by Targeted Therapies

AKI Induced by ICIs

Contrast-Induced Nephropathy in Cancer Patients

Sepsis

Abdominal Compartment Syndrome

Hypercalcemia with Hemodynamic AKI and Acute Nephrocalcinosis

AKI in Multiple Myeloma and Other Hematological Malignancies

AKI in Hematopoietic Cell Transplantation

Tumor Lysis Syndrome

Thrombotic Micro-Angiopathies

AKI in Renal Cell Carcinoma and Urothelial Cancers

Conclusions

References

Acute Kidney Injury in the Geriatric Population

Abstract

Aging and AKI: Epidemiology and Etiologies

Susceptibility to AKI

Diagnosis of AKI in the Elderly

Therapeutic Issues in AKI

Prognosis of AKI in the Elderly

Prevention of AKI in the Elderly

Summary

References

Author Index

Subject Index

Отрывок из книги

Vol. 193

Series Editor

.....

Rosner, M.H. (Charlottesville, VA); La Manna, G. (Bologna); Ronco, C. (Vicenza)

Author Index

.....

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