IR@PKUHSC  > 北京大学第一临床医学院  > 肾脏内科
学科主题临床医学
Epidemiology of acute kidney injury
Cerda, Jorge1; Lameire, Norbert2; Eggers, Paul3; Pannu, Neesh4; Uchino, Sigehiko5; Wang, Haiyan6; Bagga, Arvind7; Levin, Adeera8
刊名CLINICAL JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY
2008-05-01
DOI10.2215/CJN.04961107
3期:3页:881-886
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Urology & Nephrology
研究领域[WOS]Urology & Nephrology
关键词[WOS]ACUTE-RENAL-FAILURE ; HEMOLYTIC-UREMIC SYNDROME ; SOUTH-AFRICA ; DEVELOPING-COUNTRIES ; IMPROVING OUTCOMES ; CENTER EXPERIENCE ; EASTERN INDIA ; RISK-FACTORS ; CHILDREN ; MORTALITY
英文摘要

Background and objectives: The worldwide incidence of acute kidney injury is poorly known because of underreporting, regional disparities, and differences in definition and case mix. New definitions call for revision of the problem with unified criteria.

Design, setting, participants, & measurements: This article reports on the research recommendations of an international multidisciplinary committee, assembled to define a research agenda on acute kidney injury epidemiology using a modified three-step Delphi process.

Results: Knowledge of incidence and risk factors is crucial because it drives local and international efforts on detection and treatment. Also, notable differences exist between developing and developed countries: Incidence seems higher in the former, but underreporting compounded by age and gender disparities makes available data unreliable. In developing countries, incidence varies seasonally; incidence peaks cause critical shortages in medical and nursing personnel. Finally, in developing countries, lack of systematic evaluation of the role of falciparum malaria, obstetric mechanisms, and hemolytic uremic syndrome on acute kidney injury hampers efforts to prevent acute kidney injury.

Conclusions: The committee concluded that epiderniologic studies should include (1) prospective out- and inpatient studies that measure incidence of community and hospital acute kidney injury and post-acute kidney injury chronic kidney disease; (2) incidence measurements during seasonal peaks in developing and developed countries; and (3) whenever available, use of reliable existing administrative or institutional databases. Epidemiologic studies using standardized definitions in community and institutional settings in developing and underdeveloped countries are essential first steps to achieving early detection and intervention and improved patient outcomes.

语种英语
WOS记录号WOS:000255382300035
Citation statistics
Cited Times:108[WOS]   [WOS Record]     [Related Records in WOS]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/64991
Collection北京大学第一临床医学院_肾脏内科
作者单位1.Albany Med Coll, Div Nephrol, Albany, NY 12209 USA
2.Ghent Univ Hosp, Dept Internal Med, B-9000 Ghent, Belgium
3.Univ Alberta, Div Nephrol, Edmonton, AB, Canada
4.NIDDK, NIH, Bethesda, MD USA
5.Saitama Med Ctr, Dept Emergency & Crit Care Med, Saitama, Japan
6.All India Inst Med Sci, Div Pediat Nephrol, New Delhi, India
7.Univ British Columbia, Dept Nephrol, Vancouver, BC V5Z 1M9, Canada
8.Beijing Univ, Hosp 1, Inst Nephrol, Beijing, Peoples R China
Recommended Citation
GB/T 7714
Cerda, Jorge,Lameire, Norbert,Eggers, Paul,et al. Epidemiology of acute kidney injury[J]. CLINICAL JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY,2008,3(3):881-886.
APA Cerda, Jorge.,Lameire, Norbert.,Eggers, Paul.,Pannu, Neesh.,Uchino, Sigehiko.,...&Levin, Adeera.(2008).Epidemiology of acute kidney injury.CLINICAL JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY,3(3),881-886.
MLA Cerda, Jorge,et al."Epidemiology of acute kidney injury".CLINICAL JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY 3.3(2008):881-886.
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