ARF (APACHE): Difference between revisions

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== Additional Info ==

Use the following uniform definition for ARF/AKI everywhere, including for APACHE II.

~~== Additional Info ==~~

*In original APACHE II there were no criteria given for what constitutes Acute Renal Failure. So, from 1988 until 2018 we used a set of simple criteria based only on the admission serum creatinine and absolute urine output. But, when on January 1, 2019 we moved to ICD10 and CCI coding, we decided to use a uniform definition for ARF/AKI everywhere, including for APACHE II, as follows:

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

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

** does not meet the ~~above~~ [[KDIGO Guidelines]]

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

== Data Use ==

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== Historical==

*In original APACHE II there were no criteria given for what constitutes Acute Renal Failure. So, from 1988 until 2018 we used a set of simple criteria based only on the admission serum creatinine and absolute urine output. But, when on January 1, 2019 we moved to ICD10 and CCI coding, we decided to use a

*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.

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 }}
+== Additional Info ==
+Use the following uniform definition for ARF/AKI everywhere, including for APACHE II.
-== Additional Info ==
-*In original APACHE II there were no criteria given for what constitutes Acute Renal Failure.  So, from 1988 until 2018 we used a set of simple criteria based only on the admission serum creatinine and absolute urine output. But, when on January 1, 2019 we moved to ICD10 and CCI coding, we decided to use a uniform definition for ARF/AKI everywhere, including for APACHE II, as follows:
 {{ICD10 Guideline KDIGO Guidelines for Acute Renal Failure}}
@@ Line 25: / Line 25: @@
 *'''Choose "no"''' if the pt
 ** has a diagnosis of [[Chronic kidney disease (end-stage kidney disease, ESRD), Stage 5]] or
-** does not meet the above [[KDIGO Guidelines]]
+** does not meet the [[#KDIGO Guidelines for Acute Kidney Injury (AKI)]]
 == Data Use ==
@@ Line 41: / Line 41: @@
 == Historical==
+*In original APACHE II there were no criteria given for what constitutes Acute Renal Failure.  So, from 1988 until 2018 we used a set of simple criteria based only on the admission serum creatinine and absolute urine output. But, when on January 1, 2019 we moved to ICD10 and CCI coding, we decided to use a
 *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.