Diagnostic Challenges of Acute Kidney Injury in Asia

Nattachai Srisawat; Nuttha Lumlertgul; Win Kulvichit; Nicha Thamrongsat; Sadudee Peerapornratana; Somchai Eiam-Ong; Kriang Tungsanga

doi:10.1016/j.semnephrol.2020.08.003

Diagnostic Challenges of Acute Kidney Injury in Asia

Semin Nephrol. 2020 Sep;40(5):468-476. doi: 10.1016/j.semnephrol.2020.08.003.

Authors

Nattachai Srisawat¹, Nuttha Lumlertgul², Win Kulvichit³, Nicha Thamrongsat⁴, Sadudee Peerapornratana³, Somchai Eiam-Ong⁴, Kriang Tungsanga⁴

Affiliations

¹ Division of Nephrology, Department of Medicine, Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital, Bangkok, Thailand; Center for Critical Care Nephrology, The Clinical Research, Investigation, and Systems Modeling of Acute Illness Center, Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; Research Unit in Critical Care Nephrology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand; Academy of Science, Royal Society of Thailand, Bangkok, Thailand; Tropical Medicine Cluster, Chulalongkorn University, Bangkok, Thailand. Electronic address: drnattachai@yahoo.com.
² Division of Nephrology, Department of Medicine, Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital, Bangkok, Thailand; Research Unit in Critical Care Nephrology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand; Tropical Medicine Cluster, Chulalongkorn University, Bangkok, Thailand.
³ Division of Nephrology, Department of Medicine, Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital, Bangkok, Thailand; Center for Critical Care Nephrology, The Clinical Research, Investigation, and Systems Modeling of Acute Illness Center, Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; Research Unit in Critical Care Nephrology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand; Tropical Medicine Cluster, Chulalongkorn University, Bangkok, Thailand.
⁴ Division of Nephrology, Department of Medicine, Faculty of Medicine, Chulalongkorn University, King Chulalongkorn Memorial Hospital, Bangkok, Thailand.

PMID: 33334460
DOI: 10.1016/j.semnephrol.2020.08.003

Abstract

Early diagnosis of acute kidney injury (AKI) is an important step to improve AKI outcome. In Asia, several distinct conditions of this region such as environment (tropical climate), socioeconomic status (high-resource and low-resource settings), process of care (shortage of nephrologists), exposure factors (specific tropical infections such as leptospirosis, malaria, dengue), and inherent factor (aging) make the diagnosis of AKI in Asia more challenging than in other parts of the world. To improve the diagnosis of AKI, novel tools such as clinical risk scores, AKI alert systems, and telemedicine should be implemented into current clinical practice.

Keywords: Asia; Diagnosis; acute kidney injury; challenge.

Publication types

Review

MeSH terms

Acute Kidney Injury* / diagnosis
Acute Kidney Injury* / epidemiology
Asia / epidemiology
Early Diagnosis
Humans
Risk Factors