Sepsis associated acute kidney injury

BMJ. 2019 Jan 9:364:k4891. doi: 10.1136/bmj.k4891.

Abstract

Sepsis is defined as organ dysfunction resulting from the host's deleterious response to infection. One of the most common organs affected is the kidneys, resulting in sepsis associated acute kidney injury (SA-AKI) that contributes to the morbidity and mortality of sepsis. A growing body of knowledge has illuminated the clinical risk factors, pathobiology, response to treatment, and elements of renal recovery that have advanced our ability to prevent, detect, and treat SA-AKI. Despite these advances, SA-AKI remains an important concern and clinical burden, and further study is needed to reduce the acute and chronic consequences. This review summarizes the relevant evidence, with a focus on the risk factors, early recognition and diagnosis, treatment, and long term consequences of SA-AKI. In addition to literature pertaining to SA-AKI specifically, pertinent sepsis and acute kidney injury literature relevant to SA-AKI was included.

Publication types

  • Review

MeSH terms

  • Acute Kidney Injury / classification
  • Acute Kidney Injury / diagnosis
  • Acute Kidney Injury / drug therapy
  • Acute Kidney Injury / epidemiology*
  • Biomarkers / blood
  • Critical Care / standards
  • Early Diagnosis
  • Humans
  • Kidney / injuries*
  • Kidney / microbiology
  • Kidney / pathology
  • Male
  • Middle Aged
  • Outcome Assessment, Health Care
  • Practice Guidelines as Topic / standards
  • Risk Factors
  • Sepsis / complications*
  • Sepsis / epidemiology
  • Sepsis / mortality
  • Sepsis / prevention & control

Substances

  • Biomarkers