Effect of Transient and Sustained Acute Kidney Injury on Readmissions in Acute Decompensated Heart Failure

Although acute kidney injury (AKI) is common in heart failure, yet the impact of the onset, timing, and duration of AKI on short-term outcomes is not well studied. AKI was defined as an increase in serum creatinine SCr of ≥0.3 mg/dl or 1.5 times relative to the admission and further categorized as t...

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Bibliographic Details
Published in:The American journal of cardiology 2017-06, Vol.119 (11), p.1809-1814
Main Authors: Freda, Benjamin J., DO, Knee, Alexander B., MS, Braden, Gregory L., MD, Visintainer, Paul F., PhD, Thakar, Charuhas V., MD
Format: Article
Language:English
Subjects:
Acetazolamide
Acute Disease
Acute Kidney Injury - diagnosis
Acute Kidney Injury - epidemiology
Acute Kidney Injury - etiology
Age
Aged
Aldosterone
Amiloride
Angiotensin
Arches
Bumetanide
Cardiovascular
Categories
Circulation
Classification
Clusters
Costs
Creatinine
Creatinine - blood
Dating
Demographic variables
Demography
Diabetes mellitus
Diagnosis
Diuretics
Dosage
End-stage renal disease
Ethacrynic acid
Female
Follow-Up Studies
Furosemide
Glucose
Health care policy
Health risks
Heart
Heart attacks
Heart diseases
Heart failure
Heart Failure - complications
Heart Failure - mortality
Hemodialysis
Hospitalization
Hospitals
Humans
Hydrochlorothiazide
Incidence
Injuries
Kidney diseases
Kidney Function Tests
Kidneys
Male
Mortality
Myocardial infarction
Nitrogen
Patient Readmission - trends
Peptides
Renal failure
Renal function
Retrospective Studies
Risk
Risk Assessment - methods
Risk Factors
Survival Rate - trends
Time Factors
United States - epidemiology
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Description
Summary:Although acute kidney injury (AKI) is common in heart failure, yet the impact of the onset, timing, and duration of AKI on short-term outcomes is not well studied. AKI was defined as an increase in serum creatinine SCr of ≥0.3 mg/dl or 1.5 times relative to the admission and further categorized as transient AKI (T-AKI: SCr returning to within 10% of baseline); sustained AKI (S-AKI: those with at least 72 hours of hospital stay and did not meet T-AKI); and unknown duration AKI (U-AKI: those with less than 72 hours stay and did not meet T-AKI). Reference category was no AKI (stable or
ISSN:0002-9149
1879-1913
DOI:10.1016/j.amjcard.2017.02.044