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CRITICAL CARE ISSUES FOR THE NEPHROLOGIST: The Epidemiology and Outcome of Acute Renal Failure and the Impact on Chronic Kidney Disease
Author(s) -
Block Clay A.,
Schoolwerth Anton C.
Publication year - 2006
Publication title -
seminars in dialysis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 78
eISSN - 1525-139X
pISSN - 0894-0959
DOI - 10.1111/j.1525-139x.2006.00206.x
Subject(s) - medicine , epidemiology , intensive care medicine , acute kidney injury , nephrology , kidney disease , context (archaeology) , dialysis , incidence (geometry) , disease , paleontology , physics , optics , biology
Acute renal failure (ARF) is a common condition, especially among the critically ill, and confers a high mortality. Recent publications have highlighted changes in the epidemiology and improvement in mortality that was long thought to be static despite improvements in clinical care. The incidence of ARF is increasing. Efforts, such as the Acute Dialysis Quality Initiative, are being undertaken to establish a consensus definition of ARF, and to distinguish between varying degrees of acute kidney injury. Data are emerging to allow comparison of the epidemiology of ARF across institutions internationally. There is ongoing recognition of the important interaction between ARF and chronic kidney disease. Two brief case reports are offered to help frame the context and clinical impact of this disorder, followed by a review of some of the recent literature that addresses these points.