{"id":2459,"date":"2009-12-09T12:41:46","date_gmt":"2009-12-09T12:41:46","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/nephaki\/"},"modified":"2025-05-14T19:08:55","modified_gmt":"2025-05-14T19:08:55","slug":"nephaki","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/nephaki\/","title":{"rendered":"Definici\u00f3n y Clasificaci\u00f3n\/Estadificaci\u00f3n para la Injuria Renal Aguda (IRA)"},"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><span class=\"long_text\">En 2004, el grupo de ADQI y representantes de tres sociedades de nefrolog\u00eda estableci\u00f3 la Red de la Lesi\u00f3n Renal Aguda (<\/span>Acute Kidney Injury Network &#8211;\u00a0<span class=\"long_text\">AKIN).\u00a0Su intenci\u00f3n es facilitar la colaboraci\u00f3n internacional, interdisciplinaria y entre sociedades y garantizar el progreso en el \u00e1mbito de AKI, incluyendo el desarrollo de normas uniformes para la definici\u00f3n y clasificaci\u00f3n de AKI.\u00a0Como parte de este proceso, la nomenclatura y clasificaci\u00f3n RIFLE fue modificada a un sistema de clasificaci\u00f3n y estadificaci\u00f3n para la diferenciaci\u00f3n entre AKI estadio I, II y III.\u00a0Adem\u00e1s, una ventana de tiempo de 48 horas para el diagn\u00f3stico de AKI se introdujo para garantizar que el proceso era agudo.<\/span><br \/>\n<!--more--><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td><strong>\u00a0Estadio AKI<\/strong><\/td>\n<td><strong>\u00a0C<\/strong><strong>riterio C<\/strong><strong>reatinina<br \/>\n<\/strong><\/td>\n<td><strong>\u00a0<\/strong><strong>Criterio Flujo Urinario<\/strong><strong><br \/>\n<\/strong><\/td>\n<\/tr>\n<tr>\n<td><strong>\u00a0<\/strong><strong>Estadio AKI\u00a0<\/strong><strong>I<\/strong><\/td>\n<td>Incremento de la creatinina s\u00e9rica por \u2265 0,3 mg\/dl (\u2265 26.4 umol\/L)<br \/>\no<br \/>\nincremento de \u2265 150%\u2013200% del basal<\/td>\n<td>Flujo urinario &lt; 0,5 ml\/kg\/hora por &gt; 6 horas<\/td>\n<\/tr>\n<tr>\n<td><strong>\u00a0<\/strong><strong>Estadio AKI\u00a0<\/strong><strong>II<\/strong><\/td>\n<td>Incremento de la creatinina s\u00e9rica &gt; 200%\u2013300% from baseline<\/td>\n<td>Flujo urinario &lt; 0,5 ml\/kg\/hora por &gt; 12 horas<\/td>\n<\/tr>\n<tr>\n<td><strong>\u00a0<\/strong><strong>Estadio AKI\u00a0<\/strong><strong>III<\/strong><\/td>\n<td>Incremento de la creatinina s\u00e9rica &gt; 300% del basal<br \/>\no<br \/>\ncreatinina s\u00e9rica \u2265 4,0 mg\/dl (\u2265 354 umol\/L) despu\u00e9s de un aumento de al menos 44 umol\/L<br \/>\no<br \/>\ntratamiento con\u00a0terapia de reemplazo renal<\/td>\n<td>Flujo urinario &lt; 0,3 ml\/kg\/hora por &gt; 24 horas<br \/>\no<br \/>\nanuria por 12 horas<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span class=\"long_text\">Los criterios de diagn\u00f3stico para AKI incluye una abrupta (menos de 48 horas) reducci\u00f3n de la funci\u00f3n renal que se define como un aumento absoluto de la creatinina s\u00e9rica de 0,3 mg\/dl o m\u00e1s (\u2265<\/span><span class=\"long_text\">\u00a026,4 umol\/L) o un incremento porcentual del 50% o m\u00e1s (1,5 veces el nivel basal) o una reducci\u00f3n del flujo de orina.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Ostermann M, Chang R; Riyadh ICU Program Users Group. Correlation between the AKI classification and outcome. Crit Care. 2008;12(6):R144.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/19019254\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Mehta RL, Kellum JA, Shah SV, Molitoris BA, Ronco C, Warnock DG, Levin A; Acute Kidney Injury Network. Acute Kidney Injury Network: report of an initiative to improve outcomes in acute kidney injury. Crit Care. 2007;11(2):R31.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/17331245\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado: 09 Dic, 2009<\/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>En 2004, el grupo de ADQI y representantes de tres sociedades de nefrolog\u00eda estableci\u00f3 la Red de la Lesi\u00f3n Renal Aguda (Acute Kidney Injury Network &#8211;\u00a0AKIN).\u00a0Su intenci\u00f3n es facilitar la colaboraci\u00f3n internacional, interdisciplinaria y entre sociedades y garantizar el progreso en el \u00e1mbito de AKI, incluyendo el desarrollo de normas uniformes para la definici\u00f3n y [&hellip;]<\/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":[231,1354,166,167,314,313,1071,348,149,900,1353,199,1352,1351,835,507],"class_list":["post-2459","post","type-post","status-publish","format-standard","hentry","category-nephrology","tag-acute","tag-aki","tag-clasificacion","tag-classification","tag-definicion","tag-definition","tag-estadio","tag-injuria","tag-injury","tag-kidney","tag-nephrology","tag-renal","tag-rinon","tag-sistemaagudo","tag-staging","tag-system"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2459","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=2459"}],"version-history":[{"count":5,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2459\/revisions"}],"predecessor-version":[{"id":9734,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2459\/revisions\/9734"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2459"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2459"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2459"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}