ARF (APACHE): Difference between revisions

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== Coding Guideline ==

For critical care only:

* For critical care only: The ARF ('''A'''cute '''R'''enal '''F'''ailure) dropdown for APACHE defaults to "enter"; you won't be able to send unless you change it to one of the following:

The ARF ('''A'''cute '''R'''enal '''F'''ailure) dropdown for APACHE defaults to "enter"; you won't be able to send unless you change it to one of the following:

* '''Choose "no"''' if the pt

** does not meet the [[#KDIGO Guidelines for Acute Kidney Injury (AKI)]] '''or'''

*'''Choose "~~yes~~"''' if ~~patient meets~~ [[#KDIGO Guidelines for Acute Kidney Injury (AKI)]].

** has a diagnosis of [[Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15]] (with or without dialysis)

*'''~~Choose "no"~~''' ~~if the pt~~

*** Special Case- If a patient comes to ICU with a past history of [[Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15]] and had a kidney transplant during this admission. As per Allan, unless the transplanted kidney was truly working postop (i.e. didn't need dialysis for at least a week or two) then do not code ARF.

** has a diagnosis of [[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]] or

* otherwise choose "yes"'''

** ~~does not meet the~~ [[~~#KDIGO Guidelines for Acute Kidney Injury~~ (~~AKI~~)]]

== Data Use ==

ARF is one component used to generate the [[:Category:APACHE II| APACHE II]] score.

Specifically, '''double points are assigned for the Creatinine score''' if the patient has ARF . (see [[APACHE Scoring table#Physiological Variables]])

Specifically, '''double points are assigned for the Creatinine score''' if the patient has ARF . (see [[APACHE_II_Background#Weighting_of_scores]] and [[APACHE Scoring table#Physiological Variables]])

~~==See also ==~~

~~see [[:Category:Renal Problem (old)]] for other renal problems~~

~~== Related articles ==~~

~~{{Related Articles}}~~

== Historical==

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*there were criteria for ARF in the APACHE II user manual 1986, from George Washington University, Ver 1.0, that we applied when we started in 1988, they were:

**creatinine PLUS oliguria. Oliguria was defined as: urine output of less than 135 cc over a consecutive 8 hr period in the first 24 hrs of ICU admission.

**Copy of this APACHE II User Manual can be found in the article archives library located: HSC in JJ387.

**Copy of this APACHE II User Manual can be found in the article archives library located in HSC JJ387.

== Related articles ==

[[Category:APACHE II Physiological Variables]]

[[Category:Renal Problem (old)]]

@@ Line 19: / Line 19: @@
 == Coding Guideline ==
-For critical care only:
+* For critical care only: The ARF ('''A'''cute '''R'''enal '''F'''ailure) dropdown for APACHE defaults to "enter"; you won't be able to send unless you change it to one of the following:
-The ARF ('''A'''cute '''R'''enal '''F'''ailure) dropdown for APACHE defaults to "enter"; you won't be able to send unless you change it to one of the following:
+* '''Choose "no"''' if the pt
+** does not meet the [[#KDIGO Guidelines for Acute Kidney Injury (AKI)]] '''or'''
-*'''Choose "yes"''' if patient meets [[#KDIGO Guidelines for Acute Kidney Injury (AKI)]].
+** has a diagnosis of [[Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15]] (with or without dialysis)
-*'''Choose "no"''' if the pt
+*** Special Case- If a patient comes to ICU with a past history of [[Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15]] and had a kidney transplant during this admission.  As per Allan, unless the transplanted kidney was truly working postop (i.e. didn't need dialysis for at least a week or two) then do not code ARF.
-** has a diagnosis of [[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]] or
+* otherwise choose "yes"'''
-** does not meet the [[#KDIGO Guidelines for Acute Kidney Injury (AKI)]]
 == Data Use ==
 ARF is one component used to generate the [[:Category:APACHE II| APACHE II]] score.
-Specifically, '''double points are assigned for the Creatinine score''' if the patient has ARF . (see [[APACHE Scoring table#Physiological Variables]])
+Specifically, '''double points are assigned for the Creatinine score''' if the patient has ARF . (see [[APACHE_II_Background#Weighting_of_scores]] and  [[APACHE Scoring table#Physiological Variables]])
 {{Data Integrity Check List}}
-==See also ==
-see [[:Category:Renal Problem (old)]] for other renal problems
-== Related articles ==
-{{Related Articles}}
 == Historical==
@@ Line 44: / Line 37: @@
 *there were criteria for ARF in the APACHE II user manual 1986, from George Washington University, Ver 1.0, that we applied when we started in 1988, they were:
 **creatinine PLUS oliguria.  Oliguria was defined as: urine output of less than 135 cc over a consecutive 8 hr period in the first 24 hrs of ICU admission.
-**Copy of this APACHE II User Manual can be found in the article archives library located:  HSC in JJ387.
+**Copy of this APACHE II User Manual can be found in the article archives library located in HSC JJ387.
+== Related articles ==
+{{Related Articles}}
 [[Category:APACHE II Physiological Variables]]
 [[Category:Renal Problem (old)]]