Organ support & nutrition

Moving toward a contemporary classification of drug-induced kidney disease

Crit CarePublished Narrative review

Authors' conclusion

This new classification system allows congruencies for DIKD with the proposed categorization of AKI, offering clarity as well as consistency for clinicians and researchers.

Study context

Population
Drug-induced kidney disease (DIKD), incl. Acute kidney injury (AKI) in hospitalized and critically ill patients
Outcome
Proposed DIKD classification framework (functional change and tissue damage biomarkers)

Main finding

As reported in the abstract

  • Medications stratified into 4 categories: "dysfunction without damage", "damage without dysfunction", "both dysfunction and damage", "neither dysfunction nor damage", with predominant mechanism(s) of nephrotoxicity
  • Possible movement of a patient's kidney disease between certain categories in specific conditions
  • Opportunities and barriers to adoption in clinical practice discussed

Further findings

Burden of DIKD

DIKD accounts for about one-fourth of all AKI cases in hospitalized patients, especially critically ill

Original publication

Moving toward a contemporary classification of drug-induced kidney disease. Crit Care. Published 9 November 2023. doi:10.1186/s13054-023-04720-2

Composed by AI from the published abstract and checked against it. How Briefs are made →

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