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Community‐acquired acute kidney injury: A challenge and opportunity for primary care in kidney health
Author(s) -
Mesropian Paul Der,
Othersen Jennifer,
Mason Darius,
Wang Jeffrey,
Asif Arif,
Mathew Roy O
Publication year - 2016
Publication title -
nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.752
H-Index - 61
eISSN - 1440-1797
pISSN - 1320-5358
DOI - 10.1111/nep.12751
Subject(s) - medicine , acute kidney injury , incidence (geometry) , intensive care medicine , kidney disease , disease , population , etiology , diabetes mellitus , creatinine , emergency medicine , environmental health , endocrinology , physics , optics
Community‐acquired acute kidney injury (CA‐AKI) has been found to be a common event in the population. Current incidence estimates are not available, but evaluations of severe elevations in serum creatinine indicate that incidence can be as high as 989 cases per million population in those older than 80 years. Data on risk factors are limited, but older age and higher comorbid illness burden, especially diabetes and cardiovascular disease, seem to be more common in patients who suffer CA‐AKI. In addition to being more common than hospital‐acquired AKI, the long‐term sequelae of CA‐AKI seem to be just as severe, including renal disease progression and mortality. Efforts to better understand the aetiology of CA‐AKI and how ultimately to prevent the development of this condition will need to be taken. In the meantime, a concerted effort by general internists and nephrologists will be needed to prevent CA‐AKI in the highest risk patients and thus limit the poor outcomes associated with this entity.