ARF (APACHE): Difference between revisions

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* 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:

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

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

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

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

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

*** 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.

* otherwise choose "yes"'''

~~{{DL |~~

* Allan added the following at the top:

*NOTE: This should not be coded/used if the person has a past history of [[Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15]] -- unless they have had a renal transplant that was functioning before the acute renal failure occurred.

:: But that shouldn't duplicate instructions at this level so they can't get out of synch. So I moved it here. And once I do, I think it's already stated in there, right? So, do we want to keep all or some of what Allan added or was this already clear before? [[User:Ttenbergen|Ttenbergen]] 14:04, 2022 August 24 (CDT)

}}

* otherwise choose "yes"'''

== Data Use ==

@@ Line 21: / Line 21: @@
 * 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:
 * '''Choose "no"''' if the pt
-** does not meet the [[#KDIGO Guidelines for Acute Kidney Injury (AKI)]] or
+** does not meet the [[#KDIGO Guidelines for Acute Kidney Injury (AKI)]] '''or'''
-** has a diagnosis of [[Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15]]
+** has a diagnosis of [[Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15]] (with or without dialysis)
 *** 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.
+* otherwise choose "yes"'''
-{{DL |
-* Allan added the following at the top:
- *NOTE: This should not be coded/used if the person has a past history of [[Chronic kidney disease (end-stage renal/kidney disease, ESRD), Stage 5, GFR LT 15]] -- unless they have had a renal transplant that was functioning before the acute renal failure occurred.
-:: But that shouldn't duplicate instructions at this level so they can't get out of synch. So I moved it here. And once I do, I think it's already stated in there, right?  So, do we want to keep all or some of what Allan added or was this already clear before? [[User:Ttenbergen|Ttenbergen]] 14:04, 2022 August 24 (CDT)
-}}
-* otherwise choose "yes"'''
 == Data Use ==