[Acute kidney injury - Update 2021].

Area of Science:

• Nephrology
• Critical Care Medicine
• Health Informatics

Background:

• Acute kidney injury (AKI) impacts 20% of hospitalized patients, significantly raising mortality risks (up to 15-fold).
• AKI is a critical risk factor for developing chronic kidney disease and experiencing cardiovascular events.
• Understanding recent advancements in AKI management and detection is crucial for improving patient outcomes.

Purpose of the Study:

• To review recent studies on automated AKI detection using electronic health records (EHRs).
• To summarize current knowledge on renal replacement therapy (RRT), including optimal timing and anticoagulation.
• To discuss findings related to acute kidney injury associated with coronavirus disease 2019 (COVID-19).

Main Methods:

• Literature review of recently published studies.
• Focus on studies employing electronic health records-based alert systems for AKI detection.
• Analysis of research on renal replacement therapy protocols and COVID-19 associated AKI.

Main Results:

• Electronic health records-based alert systems show promise for automated AKI detection.
• Optimal timing and anticoagulation regimens for renal replacement therapy are areas of ongoing research.
• Coronavirus disease 2019 is frequently associated with acute kidney injury, requiring specific clinical considerations.

Conclusions:

• Automated AKI detection systems can enhance early identification and intervention.
• Further research is needed to refine renal replacement therapy strategies.
• Managing COVID-19 associated AKI requires tailored approaches within critical care settings.