Table 1

Risk, Injury, Failure, Loss of Kidney Function, End-stage Kidney Disease classification [2]

Class
GFR criteria
Urinary output criteria

Risk
Serum creatinine × 1.5 or GFR decrease > 25%
< 0.5 ml/kg/hour × 6 hours
Injury
Serum creatinine × 2 or GFR decrease > 50%
< 0.5 ml/kg/hour × 12 hours
Failure
Serum creatinine × 3, GFR decrease > 75% or serum creatinine ≥4 mg/dl with an acute rise > 0.5 mg/dl
< 0.3 ml/kg/hour × 24 hours, or anuria × 12 hours
Loss
Persistent acute renal failure = complete loss of kidney function > 4 weeks

End-stage kidney disease
End-stage kidney disease > 3 months


For conversion of creatinine expressed in conventional units to standard units, multiply by 88.4. Patients are categorized on serum creatinine or urinary output, or both, and the criteria that lead to the worst classification are used. Glomerular filtration rate (GFR) criteria are calculated as an increase of serum creatinine above the baseline serum creatinine level. When the baseline serum creatinine is unknown and there is no past history of chronic kidney disease, serum creatinine is calculated using the Modification of Diet in Renal Disease formula for assessment of kidney function [14], assuming a GFR of 75 ml/min/1.73 m2.

Lopes et al. Critical Care 2008 12:R110   doi:10.1186/cc6997