KDIGO · Global

KDIGO Clinical Practice Guideline for Acute Kidney Injury

AKI definition and staging, nephrotoxin stewardship and indications for renal replacement therapy.

2012Version 2012 (AKD update 2024)Nephrology

Key recommendations

  • GuidelineNot graded

    Define AKI as creatinine rise ≥ 0.3 mg/dL in 48 h, ≥ 1.5× baseline in 7 days, or urine output < 0.5 mL/kg/h for 6 h.

  • BStrong

    Avoid nephrotoxic agents and use isotonic crystalloid rather than colloid for volume expansion.

  • GuidelineNot graded

    Start renal replacement therapy emergently for life-threatening changes in fluid, electrolyte and acid-base balance.

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