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)]].~~

~~{{DA|I have~~ a patient with past history of ~~CRF~~ stage 5 ~~on HD so Apache CRF-yes , they have come to ICU post op transplanted kidney due to hemorrhage intraop~~, and ~~new~~ kidney ~~has not quite taken so they had to be dialyzed~~. ~~Should ARF still be no in the APACHE? [[User:Lkaita|Lisa Kaita]] 07:30~~, ~~2022 March 23 (CDT)~~

*AG REPLY --- 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)]].
-{{DA|I have a patient with past history of CRF stage 5 on HD so Apache CRF-yes , they have come to ICU post op transplanted kidney due to hemorrhage intraop, and new kidney has not quite taken so they had to be dialyzed.  Should ARF still be no in the APACHE? [[User:Lkaita|Lisa Kaita]] 07:30, 2022 March 23 (CDT)
-*AG REPLY --- 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 ==