Organ support & nutrition

Urine output is an early and strong predictor of acute kidney injury and associated mortality: a systematic literature review of 50 clinical studies

Ann Intensive CarePublished Systematic literature review

Authors' conclusion

Evidence suggests that the inclusion of UO criteria provides substantial diagnostic and prognostic value to the detection of AKI.

Study context

Population
Studies evaluating both urine output (UO) and serum creatinine (SC) in the detection of acute kidney injury (AKI)50 studies
Comparison
Urine output vs serum creatinine criteria for AKI detection
Outcome
Incidence of AKI
Methodological detailsPRISMA, 76% of studies used KDIGO criteria
  • PRISMA
  • 76% of studies used KDIGO criteria

Main finding

As reported in the abstract

Further findings

Time to AKI diagnosis

Earlier diagnosis of AKI with UO criteria
2.4-46.0 h

AKI-related mortality

Both diagnostic modalities accurately predicted risk of AKI-related mortality

Original publication

Urine output is an early and strong predictor of acute kidney injury and associated mortality: a systematic literature review of 50 clinical studies. Ann Intensive Care. Published 9 July 2024. doi:10.1186/s13613-024-01342-x

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