Schneider et al evaluated burn patients for factors predictive of acute kidney injury (AKI). A patient at increased risk may benefit from more aggressive management. The authors are from Loyola University in Maywood.
Early AKI: based on worst RIFLE score within the first 48 hours
Late AKI: based on highest serum creatinine concentration during the hospital stay
Progressive AKI: early AKI that either remained the same or got worse later
Patient selection: burn injury
Outcome: late acute kidney injury
Parameters:
(1) non-renal organ failure (NROF) score (cardiac, pulmonary, hepatic)
(2) lowest base deficit (BD) in first 24 hours after admission
(3) lowest blood glucose in first 24 hours after admission in mg/dL
(4) early transfusion (within first 24 hours)
NROF
Base Deficit
Glucose
Transfusion
Percent AKI
<= 1
NA
NA
NA
12%
> 1
<= -11.41
NA
NA
75%
> 1
> -11.41
<= 83
NA
69%
> 1
> -11.41
> 83
no
25%
> 1
> -11.41
> 83
yes
56%
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