Organ support & nutrition

Persistent severe acute kidney injury is a major modifiable determinant of outcome during critical illness

Intensive Care MedPublished Retrospective cohort study

Authors' conclusion

Persistent severe AKI is an uncommon, but important complication in critically ill patients, associated with an increased risk of renal non-recovery, hospital readmission and death

Study context

Population
Critically ill patients with stage 2–3 acute kidney injury (AKI) admitted to one of 16 hospitals, October 2010 to June 2018stage 2–3 AKI of 190,550
Participants
65,119 patients
Exposure
Persistent severe AKI vs no persistent severe AKI
  • Persistent severe AKIn = 8,059
Outcome
Occurrence of persistent severe AKI
Methodological detailsmulticentre (16 hospitals)
  • Multicentre (16 hospitals)

Main finding

As reported in the abstract

Persistent severe AKI

12.4%

8,059

Observational data: associations, not effects.

Further findings

OutcomeEstimate
90-day mortalityHR 1.5 (95% CI 1.4–1.6)
Hospital readmissionOR 2.0 (95% CI 1.8–2.3)
Renal recoveryOR 0.14 (95% CI 0.13–0.15)

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Persistent severe acute kidney injury is a major modifiable determinant of outcome during critical illness. Intensive Care Med. Published 18 February 2025. doi:10.1007/s00134-025-07821-4

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

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