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Final version (8 March 2011) Read All the Guidelines Download this and previous pdfs Dr Andrew Lewington & Dr Suren Kanagasundaram Please send feedback fro the next edition to Dr Andrew Lewington at Andrew. [email protected] Acute kidney injury (AKI) has now replaced the term acute renal failure and an universal definition and staging system has been proposed to allow earlier detection and management of AKI.The new terminology enables healthcare professionals to consider the disease as a spectrum of injury.There have previously been many different definitions of AKI used in the literature which has made it difficult to determine the epidemiology and outcomes of AKI.Over recent years there has been increasing recognition that relatively small rises in serum creatinine in a variety of clinical settings are associated with worse outcomes.

Most recently the international guideline group, Kidney Disease: Improving Global Outcomes (KDIGO) has brought together international experts from many different specialties to produce a definition and staging system that harmonises the previous definitions and staging systems proposed by both ADQI and AKIN.

It is anticipated that this definition and staging system will be adopted globally.

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