{"id":2519,"date":"2009-03-06T11:44:57","date_gmt":"2009-03-06T11:44:57","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/nefrifle\/"},"modified":"2025-05-14T19:10:30","modified_gmt":"2025-05-14T19:10:30","slug":"nefrifle","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/nefrifle\/","title":{"rendered":"RIFLE Criteria for Acute Renal Dysfunction"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" 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>RIFLE, a newly developed international consensus classification for acute kidney injury, defines three grades of severity<br \/>\n<!--more--><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td style=\"border: 1pt solid windowtext; padding: 0cm 5.4pt; width: 12.2424%;\" valign=\"top\">\n<p class=\"MsoNormal\"><strong>Category<\/strong><\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 45.2121%;\" valign=\"top\" width=\"151\">\n<p class=\"MsoNormal\"><strong>GFR Criteria<\/strong><\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 31.2727%;\" valign=\"top\" width=\"152\">\n<p class=\"MsoNormal\"><strong>Urine Output (UO) Criteria<\/strong><\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 11.0303%;\" valign=\"top\" width=\"76\">\n<p class=\"MsoNormal\">\n<\/td>\n<\/tr>\n<tr>\n<td style=\"border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0cm 5.4pt; width: 12.2424%;\" valign=\"top\">\n<p class=\"MsoNormal\"><strong>Risk<\/strong><\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 45.2121%;\" valign=\"top\" width=\"151\">\n<p class=\"MsoNormal\">Increased creatinine x1.5 or GFR decrease &gt; 25%<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 31.2727%;\" valign=\"top\" width=\"152\">\n<p class=\"MsoNormal\">UO &lt; 0.5ml\/kg\/h x 6 hr<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 11.0303%;\" rowspan=\"3\" valign=\"top\" width=\"76\">\n<p class=\"MsoNormal\">High Sensitivity<\/p>\n<p class=\"MsoNormal\">High Specificity<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0cm 5.4pt; width: 12.2424%;\" valign=\"top\">\n<p class=\"MsoNormal\"><strong>Injury<\/strong><\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 45.2121%;\" valign=\"top\" width=\"151\">\n<p class=\"MsoNormal\">Increased creatinine x2 or GFR decrease &gt; 50%<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 31.2727%;\" valign=\"top\" width=\"152\">\n<p class=\"MsoNormal\">UO &lt; 0.5ml\/kg\/h x 12 hr<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0cm 5.4pt; width: 12.2424%;\" valign=\"top\">\n<p class=\"MsoNormal\"><strong>Failure<\/strong><\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 45.2121%;\" valign=\"top\" width=\"151\">\n<p class=\"MsoNormal\">Increase creatinine x3 or GFR decrease &gt; 75%<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 31.2727%;\" valign=\"top\" width=\"152\">\n<p class=\"MsoNormal\">UO &lt; 0.3ml\/kg\/h x 24 hr or Anuria x 12 hrs<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0cm 5.4pt; width: 12.2424%;\" valign=\"top\">\n<p class=\"MsoNormal\"><strong>Loss<\/strong><\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 76.4848%;\" colspan=\"2\" valign=\"top\" width=\"303\">\n<p class=\"MsoNormal\">Persistent ARF = complete loss of kidney function &gt; 4 weeks<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 11.0303%;\" valign=\"top\" width=\"76\">\n<p class=\"MsoNormal\">\n<\/td>\n<\/tr>\n<tr>\n<td style=\"border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0cm 5.4pt; width: 12.2424%;\" valign=\"top\">\n<p class=\"MsoNormal\"><strong>ESKD<\/strong><\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 76.4848%;\" colspan=\"2\" valign=\"top\" width=\"303\">\n<p class=\"MsoNormal\">End Stage Kidney Disease (&gt; 3 months)<\/p>\n<\/td>\n<td style=\"padding: 0cm 5.4pt; width: 11.0303%;\" valign=\"top\" width=\"76\">\n<p class=\"MsoNormal\">\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">GFR; Glomerular Filtration Rate<\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">ARF; Acute Renal Failure<\/p>\n<p class=\"MsoNormal\" style=\"margin-top: 0pt; margin-bottom: 0pt;\">ESKD; End Stage Kidney Disease<\/p>\n<div class=\"Section1\">\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><strong>References:<\/strong><\/p>\n<ol style=\"margin-top: 0cm;\">\n<li>Bellomo R, Kellum JA, Mehta R, Palevsky PM, Ronco C. Acute Dialysis Quality Initiative II: the Vicenza conference. Curr Opin Crit Care. 2002 Dec;8(6):505-8.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/12454533\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Bellomo R, Ronco C, Kellum JA, Mehta RL, Palevsky P; Acute Dialysis Quality Initiative workgroup. Acute renal failure &#8211; definition, outcome measures, animal models, fluid therapy and information technology needs: the Second International Consensus Conference of the Acute Dialysis Quality Initiative (ADQI) Group. Crit Care. 2004 Aug;8(4):R204-12. Epub 2004 May 24.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/15312219\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<\/div>\n<p>&nbsp;<\/p>\n<p>Created: Nov 03, 2005<\/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>Sorry, this entry is only available in Espa\u00f1ol.<\/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":[231,230,16,15,970,928,1353,199,1588],"class_list":["post-2519","post","type-post","status-publish","format-standard","hentry","category-nephrology","tag-acute","tag-aguda","tag-criteria","tag-criterios","tag-disfuncion","tag-dysfunction","tag-nephrology","tag-renal","tag-rifle"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2519","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=2519"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2519\/revisions"}],"predecessor-version":[{"id":9392,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2519\/revisions\/9392"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=2519"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=2519"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=2519"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}