II. Prognosis: General
-
Acute Kidney Injury increases the risk for later conditions and complications
- Chronic Kidney Disease
- End-stage renal disease
- Premature death
III. Prognosis: Serum Creatinine Increase
-
Serum Creatinine >= 3 mg/dl
- Mortality: 64%
-
Serum Creatinine < 2mg/dl and non-oliguric
- Mortality: 5-20%
IV. Prognosis: Oliguric ATN requiring Dialysis
- Mortality: 50%
- Worse prognostic factors
- Serious comorbid condition
- APACHE Score (version 2) <25
- Note that APACHE 2 has been replaced by APACHE 4, with new scoring
V. Prognosis: Multiple Organ Failure
- Mortality: 30% per organ system that fails
- Specific organ related risks
- Respiratory Failure: 8 fold increased mortality
- Liver disease: 2-3 fold increased mortality
- Catabolic state: 2 fold increased mortality
- Heart disease: 3-4 fold increased mortality
VI. Prognosis: Non-Prognostic Factors (Factors not related to mortality)
- Advanced age
- Admission Serum Creatinine
- Number of prior episodes of Renal Insufficiency