Acute Kidney Injury: Global Health Alert
Abstract
For the World Kidney Day Steering Committee 2013* *World Kidney Day (WKD) is a joint initiative of the International Society of Nephrology and the International Federations of Kidney Foundations WKD Steering Committee members: Miguel Riella (Brazil, co-chair), John Feehally (UK, co-chair), Timur Erk (Turkey), Paul Beerkens (Netherlands), Guillermo Garcia-Garcia (Mexico), Philip KT Li (Hong Kong), William G Couser (USA), Georgi Abraham (India), Paul Shay (Canada), Luca Segantini (Belgium), Sara Martin (Belgium) Acute kidney injury (AKI) is increasingly prevalent in developing and developed countries and is associated with severe morbidity and mortality. Most etiologies of AKI can be prevented by interventions at the individual, community, regional and in-hospital levels. Effective measures must include community-wide efforts to increase an awareness of the devastating effects of AKI and provide guidance on preventive strategies, as well as early recognition and management. Efforts should be focused on minimizing causes of AKI, increasing awareness of the importance of serial measurements of serum creatinine in high risk patients, and documenting urine volume in acutely ill people to achieve early diagnosis; there is as yet no definitive role for alternative biomarkers. Protocols need to be developed to systematically manage prerenal conditions and specific infections. More accurate data about the true incidence and clinical impact of AKI will help to raise the importance of the disease in the community, increase awareness of AKI by governments, the public, general and family physicians and other health care professionals to help prevent the disease. Prevention is the key to avoid the heavy burden of mortality and morbidity associated with AKI.
About the Authors
Kam Tao PhilipRussian Federation
A Burdmann Emmanuel
Russian Federation
L Mehta Ravindra
Russian Federation
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Review
For citations:
Philip K.T., Emmanuel A.B., Ravindra L.M. Acute Kidney Injury: Global Health Alert. Nephrology and Dialysis. 2013;15(1):8-13. (In Russ.)
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