Criteria of Barri et al for Acute Kidney Injury Following Liver Transplantation

 

Parameters:

(1) baseline pretransplant serum creatinine in mg/dL

(2) serum creatinine after the liver transplant in mg/dL

 

change in the serum creatinine =

= (serum creatinine after the transplant) - (baseline serum creatinine before the transplant)

 

percent increase in serum creatinine =

= (change in serum creatinine) / (baseline serum creatinine) * 100%

 

Criteria	Designation
change in creatinine > 0.5 mg/dL	mild AKI
change in creatinine > 1.0 mg/dL	more severe AKI
percent increase > 50% AND serum creatinine after transplant > 2 mg/dL	more severe AKI

 

Interpretation:

• A patient who met any of the criteria had reduced survival for both the patient and the liver graft..

• A patient who met the third criterion had the worst survival for both the patient and the liver graft (66% 5 year survival if met criterion; 76% if did not).