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01-06-2017 | Editorial

A nephrologist should be consulted in all cases of acute kidney injury in the ICU: We are not sure

Authors: Miet Schetz, Matthieu Legrand

Published in: Intensive Care Medicine | Issue 6/2017

Excerpt

The development of a consensus definition of acute kidney injury (AKI) has revealed the scope of this syndrome, both inside and outside the ICU. It is now increasingly clear that AKI affects more than 50% of ICU patients [1] and that it is associated with poor outcomes both short-term and long-term [2]. Efforts to change that grim prognosis are therefore of utmost importance and should concentrate on every phase of the disease process and involve all caregivers that may contribute to improved outcomes. Opinions on whether or not to consult a nephrologist for every patient with AKI in the ICU may differ [3, 4]. The respective arguments concentrate on the specific role of the intensivist, the different organizational models of the ICU, the scale and diversity of the problem, and the post-discharge “legacy” of AKI [3, 4]. …

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Title: A nephrologist should be consulted in all cases of acute kidney injury in the ICU: We are not sure
Authors: Miet Schetz
Matthieu Legrand
Publication date: 01-06-2017
Publisher: Springer Berlin Heidelberg
Published in: Intensive Care Medicine / Issue 6/2017
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-017-4788-y

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