RIFLE (Risk/Injury/Failure/Loss/End stage) | AKIN (Acute Kidney Injury Network) |
An increase in serum creatinine of ≥ 50% developing over < 7 days OR A urine output of < 0.5ml/kg/hr for >6 hours | An increase in serum creatinine of ≥ 0.3mg/dL or ≥ 50% developing over < 48 hours OR A urine outpuat of < 0.5ml/kg/hr for >6 hours |
Staging | Increase in serum creatinine | ||
RIFLE | Risk: >1.5-fold from baseline or GFR decrease >25% | Injury: > 2-fold increase or GFR decrease >50% | Failure: >3-fold increase or GFR decrease 75% or creatinine ≥ 4.0mg/dL |
AKIN | Stage 1: ≥ 0.3mg/dL or ≥ 1.5-2-fold from baseline | Stage 2: >2 to 3-fold | Stage 3: > 3-fold OR creatinine ≥ 4.0mg/dL or on renal replacement therapy |
Rectal temperature | Creatinine |
Mean arterial pressure | Hematocrit |
Heart rate | White blood cell count |
Respiratory rate | Glasgow coma score |
A-a gradient | Age |
pH or bicarbonate level | Chronic disease |
Sodium | Potassium |
Ratio of arterial oxygen tension to fraction of inspired oxygen |
Amount of vasopressor support |
Bilirubin level |
Platelet level |
Glasgow coma score |
Serum creatinine or urine output |