ARF (APACHE): Difference between revisions

(6 intermediate revisions by 3 users not shown)

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 "no"''' if the pt

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

** has a diagnosis of [[Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15]] or

*** 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.

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

* otherwise choose "yes"'''

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

* Special Case- If a patient comes to ICU with a past history of ~~CRF~~ stage 5 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 ~~it's~~ not ARF.

== Data Use ==

@@ 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 "no"''' if the pt
+** has a diagnosis of [[Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15]] (with or without dialysis)
-** has a diagnosis of [[Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15]] or
+*** 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.
-** does not meet the [[#KDIGO Guidelines for Acute Kidney Injury (AKI)]]
+* otherwise choose "yes"'''
-*'''Choose "yes"''' if patient meets [[#KDIGO Guidelines for Acute Kidney Injury (AKI)]].
-* Special Case- If a patient comes to ICU with a past history of CRF stage 5 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 it's not ARF.
 == Data Use ==