[Life after Acute Kidney Injury : Long-term consequences and implications for clinical practice]

Med Klin Intensivmed Notfmed. 2017 Oct;112(7):597-604. doi: 10.1007/s00063-017-0340-7. Epub 2017 Sep 5.
[Article in German]

Abstract

Acute kidney injury (AKI) is a common complication in critically ill patients and is accompanied by significantly increased mortality and morbidity. Those complications are not limited to the acute phase of the illness, but may also affect a patient's risk profile long after AKI. Recovery of renal function is observed in the majority of patients although this rate significantly deteriorates with increasing severity of the AKI. After an AKI episode, the long-term risk for the development of chronic kidney disease (CKD) is considerably increased, as well as the risk for cardiovascular and neurological complications. Follow-up of these patients should include general nephroprotective measures such as controlling hypertension as well as avoiding nephrotoxic drugs, as well as repeated evaluations of renal function.

Keywords: Aftercare; Cardiovascular Diseases; Chronic kidney failure; Mortality; Renal dialysis.

Publication types

  • Review

MeSH terms

  • Acute Kidney Injury* / etiology
  • Acute Kidney Injury* / rehabilitation
  • Critical Illness*
  • Humans
  • Renal Insufficiency, Chronic*