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Community-acquired AKI

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Dr Atul V Mulay, Pune    28 December 2018

  • Most studies of community-acquired (CA)-AKI are hospital-based, leading to underestimation and misclassification of CA-AKI.
  • Patients with CA-AKI are more likely to be in higher AKI stage; still have less mortality than HA-AKI.
  • Epidemiology of CA-AKI is changing over time - more medical AKI and improved outcomes.
  • It has been shown that almost half of all patients presenting with CA-AKI are already known to medical services, the majority of which have had recent measurement of renal function in a hospital setting, suggesting that AKI for at least some of these may potentially be predictable.
  • Strategies like e-alert need to be explored more for prevention/early detection of CA-AKI to improve outcomes. Active surveillance for changes in creatinine can automate alerts to guide drug dosing and reduce the incidence of drug-induced kidney injury.

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