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 "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~~)]].

~~{{DiscussTask |I have~~ a ~~patient with GFR 12, but not yet on HD at home. She came in septic, in AKI, which lead to a new start of HD~~ during this admission. ~~I entered CKD stage 5 in comorbs~~, ~~AKI in admits, but '''it won~~'t ~~allow me to enter~~ "~~YES~~" ~~for ARF (APACHE),~~''' and "4CRF-sevr" under CHRONIC in APACHE. The definitions of chronic and acute renal failure are different for ICD10 and APACHE, so I am confused. What is the correct way of doing the APACHE for this patient? --[[User:Jvelasco|Jvelasco]] 10:34, 2020 May 21 (CDT)}}

== 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)]].
-{{DiscussTask |I have a patient with GFR 12, but not yet on HD at home. She came in septic, in AKI, which lead to a new start of HD during this admission. I entered CKD stage 5 in comorbs, AKI in admits, but '''it won't allow me to enter "YES" for ARF (APACHE),''' and "4CRF-sevr" under CHRONIC in APACHE. The definitions of chronic and acute renal failure are different for ICD10 and APACHE, so I am confused. What is the correct way of doing the APACHE for this patient? --[[User:Jvelasco|Jvelasco]] 10:34, 2020 May 21 (CDT)}}
 == Data Use ==