ACUTE KIDNEY INJURY AND ACUTE RENAL FAILURE SOME LESSONS FROM INTERNATIONAL INITIATIVES
In 2002 a group of experts Acute Dialysis Quality Initiative (ADQI) developed a definition of acute renal kidney failure (ARF) and created a system of its risk stratification. (RIFLE criteria) In 2004 was proposed a conception of <acute injury> (AKI) and in 2007 an experimental group Acute Kidney Injury Network (AKIN) offered a diagnostic criteria system and evaluation of the degree of such condition (AKIN criteria) which was a modification of RIFLE classification system. Both systems gave a good showing of themselves in practice for the prediction of the development of AKI and its outcome in patients in critical condition. However, not the RIFLE system, nor the AKIN system initially did not suppose to include the patients with acute primary parenchymatous renal damage, which does not satisfy the nephrological community. A modification of the AKIN system, which allows to dismiss such limitation, was proposed.