{"id":2362,"date":"2014-08-18T21:31:26","date_gmt":"2014-08-18T21:31:26","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/claakd\/"},"modified":"2026-04-08T20:10:03","modified_gmt":"2026-04-08T20:10:03","slug":"claakd","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/claakd\/","title":{"rendered":"Clasificaciones de Lesi\u00f3n Renal Aguda y Enfermedad Renal Cr\u00f3nica"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>Las definiciones funcionales de consenso elaborado recientemente sobre la base de los cambios espec\u00edficos en la concentraci\u00f3n de creatinina s\u00e9rica y el volumen de orina ahora complementan los m\u00e9todos anat\u00f3micos para el diagn\u00f3stico.<br \/>\n<!--more--><br \/>\n<strong>Clasificaciones de lesi\u00f3n renal aguda y enfermedad renal cr\u00f3nica<\/strong><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr valign=\"TOP\">\n<td style=\"text-align: center;\" width=\"33%\"><strong>Estadio<\/strong><\/td>\n<td colspan=\"2\" width=\"67%\"><strong>Evaluaciones<\/strong><\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td style=\"text-align: center;\" width=\"33%\"><strong>Lesi\u00f3n renal aguda<\/strong><\/td>\n<td width=\"33%\"><strong>Concentraci\u00f3n de c<\/strong><strong>reatinina s\u00e9rica<\/strong><\/td>\n<td width=\"33%\"><strong>Flujo urinario<\/strong><\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td style=\"text-align: center;\" width=\"33%\">1<\/td>\n<td width=\"33%\">1.5\u20131.9 \u00d7 basal o &gt;\/=0.3 mg\/dl\u00a0por encima del basal<\/td>\n<td width=\"33%\">&lt;0.5 ml\/kg\/hs durante 6\u201312 hs<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td style=\"text-align: center;\" width=\"33%\">2<\/td>\n<td width=\"33%\">2.0\u20132.9 \u00d7 basal<\/td>\n<td width=\"33%\">&lt;0.5 ml\/kg\/hs durante &gt;12 hs<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td style=\"text-align: center;\" width=\"33%\">3<\/td>\n<td width=\"33%\">&gt;\/=3.0 \u00d7 basal, &gt;\/=4.0 mg\/dl, o inicio de la terapia de reemplazo renal<\/td>\n<td width=\"33%\">&lt;0.3 ml\/kg\/hs durante &gt;\/=24 hs\u00a0o anuria durante &gt;\/=12 hs<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td style=\"text-align: center;\" width=\"33%\"><strong>Enfermedad renal cr\u00f3nica<\/strong><\/td>\n<td width=\"33%\"><strong>Definici\u00f3n<\/strong><\/td>\n<td width=\"33%\"><strong>TFR (ml\/min\/1.73 m2)<\/strong><\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td style=\"text-align: center;\" width=\"33%\">1<\/td>\n<td width=\"33%\">Da\u00f1o renal con TFG normal<\/td>\n<td width=\"33%\">&gt;\/=90<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td style=\"text-align: center;\" width=\"33%\">2<\/td>\n<td width=\"33%\">Da\u00f1o renal con disminuci\u00f3n leve de la TFG<\/td>\n<td width=\"33%\">60\u201389<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td style=\"text-align: center;\" width=\"33%\">3A<\/td>\n<td width=\"33%\">Leve a moderada disminuci\u00f3n de la TFG<\/td>\n<td width=\"33%\">45\u201359<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td style=\"text-align: center;\" width=\"33%\">3B<\/td>\n<td width=\"33%\">Moderada a severa disminuci\u00f3n de la TFG<\/td>\n<td width=\"33%\">30\u201344<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td style=\"text-align: center;\" width=\"33%\">4<\/td>\n<td width=\"33%\">Disminuci\u00f3n severa de la TFG<\/td>\n<td width=\"33%\">15\u201329<\/td>\n<\/tr>\n<tr valign=\"TOP\">\n<td style=\"text-align: center;\" width=\"33%\">5<\/td>\n<td width=\"33%\">Etapa terminal de la enfermedad renal<\/td>\n<td width=\"33%\">&lt;15<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>La etapa de lesi\u00f3n renal aguda se determina de acuerdo con la\u00a0Kidney Disease\u00a0Improving Global Outcomes Acute Kidney Injury Classification, y el de la enfermedad renal cr\u00f3nica de acuerdo con la tasa de filtraci\u00f3n glomerular (TFG). El da\u00f1o renal generalmente se detecta por medio de un aumento de la relaci\u00f3n alb\u00famina-creatinina en orina. Para convertir los valores de creatinina a micromoles por litro, se multiplica por 88,4.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Chawla LS, Eggers PW, Star RA, Kimmel PL. Acute kidney injury and chronic kidney disease as interconnected syndromes. N Engl J Med. 2014 Jul 3;371(1):58-66.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/24988558\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Stevens PE, Levin A; Kidney Disease: Improving Global Outcomes Chronic Kidney Disease Guideline Development Work Group Members. Evaluation and management of chronic kidney disease: synopsis of the kidney disease: improving global outcomes 2012 clinical practice guideline.\u00a0Ann Intern Med. 2013 Jun 4;158(11):825-30.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/23732715\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Levey AS, Coresh J. Chronic kidney disease. Lancet. 2012 Jan 14;379(9811):165-80.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/21840587\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Levey AS, Grams ME, Inker LA. Uses of GFR and Albuminuria Level in Acute and Chronic Kidney Disease. N Engl J Med. 2022 Jun 2;386(22):2120-2128. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/35648704\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado Sep 12, 2014.<br \/>\nActualizado Abr 08, 2026.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Las definiciones funcionales de consenso elaborado recientemente sobre la base de los cambios espec\u00edficos en la concentraci\u00f3n de creatinina s\u00e9rica y el volumen de orina ahora complementan los m\u00e9todos anat\u00f3micos para el diagn\u00f3stico.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[473],"tags":[231,230,146,904,166,903,902,51,901,348,149,900,199],"class_list":["post-2362","post","type-post","status-publish","format-standard","hentry","category-nephrology","tag-acute","tag-aguda","tag-chronic","tag-ckd","tag-clasificacion","tag-classifications","tag-cronico","tag-disease","tag-fallo","tag-injuria","tag-injury","tag-kidney","tag-renal"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2362","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=2362"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2362\/revisions"}],"predecessor-version":[{"id":10737,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2362\/revisions\/10737"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2362"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2362"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2362"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}