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>Journals >Medicina Crítica >Year 2009, Issue 4

Carrillo ER, Castro PJF
Rifle Range. Fundamentals and their impact on the diagnosis, prognosis and management of acute kidney injury in those patients
Rev Asoc Mex Med Crit y Ter Int 2009; 23 (4)

Language: Español
References: 16
Page: 241-244
PDF: 66.89 Kb.

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Acute Kidney Injury (AKI) is a frequent complication in critically ill patients and is associated to an increase of the morbimortality. The concepts originated in the Second International Consensus Conference of the Acute Dialysis Quality initiative group published in 2002 allowed the unification of the actual scientific knowledge and criteria in relation to the evaluation of the progression of the renal dysfunction in high risk of renal insufficiency critically ill patients. The RIFLE scale is a classification tool that unifies the classic criteria of AKI, making easier to stratify the patients. AKI scale has more specificity and sensibility the evaluation of the renal risk and prognostic. Is highly recommended to implement this tools in the Intensive Care Units with the objective of improve the quality and security of attention in the critically ill.

Key words: Acute kidney lesion, RIFLE, AKI, continuous renal replacement.


  1. Bagshaw SM, Laupland KB, Doig CJ. Prognosis of long term Survival and renal recovery in critically ill patients with severe acute renal failure: A population based Study. Crit Care 2005;9:R700-R709.

  2. Bagshaw SM, George C, Bellomo R. Changes in the incidence and outcome for early acute kidney injury in a cohort of australian intensive care units. Crit Care 2007;11: R68.

  3. Bellomo R, Kellum JA, Ronco C. Defining acute renal failure: Physiological principles. Intensive Care Med 2004; 30:33-37.

  4. Bellomo R, Ronco C, Kellum JA, Mehta RL Palevsky P. Acute renal failure–definition, outcome measures, animal models, fluid therapy and information technology needs: The Second International Consensus Conference of the Acute Dialysis Quality Initiative (ADQI) Group. Critical Care 2004;8:R204-R212 (DOI 10.1186/cc2872).

  5. Hoste EA, Clermontb G, Kersten A. RIFLE criteria for acute kidney injury are associated with hospital mortality in critically ill Patients: A cohort Analysis. Critical Care 2006;10:R73 (DOI:10.1186/cc4915).

  6. López JA, Jorge S, Resina C. Prognostic utility of RIFLE for acute renal failure in patients with sepsis. Critical Care 2007;11:408 (DOI:10.1186/cc5722).

  7. Ricci Z, Cruz D, Ronco C. The RIFLE criteria and mortality in acute Kidney Injury: A systematic review. Kidney Int 2008;73:538-546.

  8. Lin CY, Kao KC, Tian YC. The RIFLE score increases the accuracy of outcome prediction in patients with acute respiratory distress syndrome undergoing open lung biopsy. Respiration 2008;DOI:10.1159/000183756.

  9. Jeng CC, Tsai MH, Tian YC. RIFLE classification can predict Short term prognosis in critically ill cirrhotic patients. Intensive Care Med 2007;33:1921-1930.

  10. Chen YC, Jeng CC, Tian YC. RIFLE classification for predicting in hospital mortality in critically ill sepsis patients. Shock 2008.

  11. Mehta RL, Kellum JA, Shah SV. Acute kidney injury network (AKIN): report of an initiative to improve outcomes in acute kidney injury. Crit Care 2007;11:R31.

  12. López JA, Fernández P, Jorge S. Acute kidney injury in intensive care unit patients: a comparison between the RIFLE and the acute kidney injury network classifications. Critical Care 2008;12:R110(DOI.1186/cc6997).

  13. Ostermann M, Chang R. Correlation between the AKI classification and outcome. Critical Care 2008;12:R144 (DOI:10.1186/cc7123).

  14. Palevsky PM. Clinical review: Timing and dose of continuous renal replacement therapy in acute kidney injury. Critical Care 2007;11:232(DOI:10.1186/cc6121).

  15. Teschan P, Baxter C, O´brian T. Prophylactic hemodialysis in the treatment of acute renal failure. Ann Intern Med 1960;53:992-1016.

  16. Parsons FM, Hobson SM, Blagg CR. Optimum time for dialysis in acute reversible renal failure. Description and value of an improved dialyser with large surface area. Lancet 1961;1:129-134.

>Journals >Medicina Crítica >Year 2009, Issue 4

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