RISK, INJURY, FAILURE, LOSS, AND END-STAGE KIDNEY
DISEASE (RIFLE).
FRACASO RENAL AGUDO. CRITERIOS RIFLE
(***)
|
Categoría
|
Criterios de
Filtrado Glomerular (FG)
|
Criterios de
Flujo Urinario (FU)
|
|
| Riesgo (Risk) |
Creatinina incrementada
x 1.5 ó FG disminuído >25% |
FU< 0.5
mL/Kg/h x 6 h |
Alta
sensibilidad |
| Lesión (Injury) |
Creatinina incrementada x 2 ó FG disminuído >
50% |
FU< 0.5
mL/Kg/h x 12 h |
|
| Fracaso (Failure)
|
Creatinina incrementada x3 ó FG disminuído >
75%
|
FU< 0.3
mL/Kg/h x 24 h o anuria x 12 h |
Alta
especificidad |
| Pérdida (Loss) |
FRA persistente= completa pérdida de la función renal > 4
semanas
|
|
|
| ESKD (FRC) |
Fracaso Renal Estadio Terminal (> 3 meses) |
|
|
FG: Filtrado Glomerular; FRA: Fracaso Renal
Agudo
ESKD (End Stage Kidney Disease): FRC
(Fracaso Renal Estadio Terminal)
Bellomo R,
Ronco C, Kellum JA, Mehta RL, Palevsky P; Acute Dialysis Quality
Initiative workgroup. Acute renal failure - 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-R212.