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Acute Kidney Injury (AKI) is diagnosed based on changes in kidney function, specifically through increases in serum creatinine levels or decreases in urine output. The diagnostic criteria include an increase in serum creatinine by 0.3 mg/dL or more within 48 hours, or a rise to 1.5 times or more from the baseline within seven days, or urine output less than 0.5 mL/kg/hour for six hours.
AKI is staged into three levels of severity. Stage 1 involves a slight increase in creatinine or reduced urine output. Stage 2 indicates a more significant rise in creatinine or lower urine output. Stage 3 is the most severe, with a substantial increase in creatinine, very low urine output, or the need for dialysis. Staging helps doctors understand the severity of AKI and guide appropriate treatment.
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Dr. Atchyuth R. Gongada, HOD and Sr Consultant, Dept of Critical Care and Anaesthesiology, Apollo Hospitals, Health City, Visakhapatnam, explains to us the diagnostic criteria and staging of Acute Kidney Injury (AKI).
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