ARI: Difference between revisions

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*''' Creatinine >250 mmol or a Rise >100 mmol from baseline over 24 hours'''

* a patient is '''not''' on chronic hemodialysis or peritoneal dialysis

* I don't think that just having a creatinine of >250 should automatically mean ARI. This could be the patient's baseline and therefore is a chronic issue. My opinion is to only use the rule of >100 mmol over baseline over 24 hours for '''acute''' renal insufficiency (without dialysis), or use ATN if this is documented. --[[User:LKolesar|LKolesar]] 07:13, 2014 October 8 (CDT)

** Are we to change what we have being doing for over 10 years ?--[[User:PStein|PStein]] 09:54, 2014 October 15 (CDT)

** I am just putting my opinion here, if any changes are done they will have to go through the task group first.--[[User:LKolesar|LKolesar]] 11:28, 2014 October 15 (CDT)

*** I am just putting my opinion here, if any changes are done they will have to go through the task group first.--[[User:LKolesar|LKolesar]] 11:28, 2014 October 15 (CDT)

== {{Data Integrity Checks}} ==

There are a number of coding rules related to renal diagnoses, centralized info about them is in [[Renal Coding Considerations]].

** I always check what the pts baseline creatinine was prior to admission if the pt had chronic renal insuffiency and creatinine was 250 last admission I will code as mod CRI if the present creatinine was say 350 I will code acute RI in admits and CRI in comorbids ( acute on chronic )If the creat was the same as last admission say 250 and pt has CRI I only code in comorbids because it is not acute.

*I always check what the pts baseline creatinine was prior to admission if the pt had chronic renal insuffiency and creatinine was 250 last admission I will code as mod CRI if the present creatinine was say 350 I will code acute RI in admits and CRI in comorbids ( acute on chronic )If the creat was the same as last admission say 250 and pt has CRI I only code in comorbids because it is not acute.

**This is what I do also. This makes sense to me, not arbitrarily putting a value of >250 as acute renal insufficiency.--[[User:LKolesar|LKolesar]] 17:29, 2014 October 15 (CDT)

[[Category: Diagnosis Coding]]

[[Category: Charlson - Renal]]

@@ Line 5: / Line 5: @@
 *''' Creatinine >250 mmol or a Rise >100 mmol from baseline over 24 hours'''
 * a patient is '''not''' on chronic hemodialysis or peritoneal dialysis
+{{Discussion}}
 * I don't think that just having a creatinine of >250 should automatically mean ARI.  This could be the patient's baseline and therefore is a chronic issue.  My opinion is to only use the rule of >100 mmol over baseline over 24 hours for '''acute''' renal insufficiency (without dialysis), or use ATN  if this is documented.  --[[User:LKolesar|LKolesar]] 07:13, 2014 October 8 (CDT)
 ** Are we to change what we have being doing for over 10 years ?--[[User:PStein|PStein]] 09:54, 2014 October 15 (CDT)
-** I am just putting my opinion here, if any changes are done they will have to go through the task group first.--[[User:LKolesar|LKolesar]] 11:28, 2014 October 15 (CDT)
+*** I am just putting my opinion here, if any changes are done they will have to go through the task group first.--[[User:LKolesar|LKolesar]] 11:28, 2014 October 15 (CDT)
 == {{Data Integrity Checks}} ==
 There are a number of coding rules related to renal diagnoses, centralized info about them is in [[Renal Coding Considerations]].
-** I always check what the pts baseline creatinine was prior to admission if the pt had chronic renal insuffiency  and creatinine was 250 last admission I will code as mod CRI if the present creatinine was say 350 I will code acute RI in admits and CRI in comorbids ( acute on chronic )If the creat was the same as last admission  say 250 and pt has CRI I only code in comorbids because it is not acute.
+*I always check what the pts baseline creatinine was prior to admission if the pt had chronic renal insuffiency  and creatinine was 250 last admission I will code as mod CRI if the present creatinine was say 350 I will code acute RI in admits and CRI in comorbids ( acute on chronic )If the creat was the same as last admission  say 250 and pt has CRI I only code in comorbids because it is not acute.
 **This is what I do also.  This makes sense to me, not arbitrarily putting a value of >250 as acute renal insufficiency.--[[User:LKolesar|LKolesar]] 17:29, 2014 October 15 (CDT)
 [[Category: Diagnosis Coding]]
 [[Category: Charlson - Renal]]