Acute kidney injury survivors should have long-term follow-up

Wim Vandenberghe,Eric Aj Hoste

doi:10.1186/s13054-014-0703-x

Wim Vandenberghe, Eric Aj Hoste

Open Access

https://doi.org/10.1186/s13054-014-0703-x

Copy DOI

Abstract

Acute kidney injury (AKI) is a frequently occurring complication in ICU patients and is associated with decreased short- and long-term survival. Gammelager and colleagues showed that AKI patients are at increased risk for developing heart failure and myocardial infarction at long-term follow-up. Their study provides strong epidemiological data on cardiorenal syndrome type 3, and their findings help explain the worse long-term survival of AKI patients. Finally, it also highlights the need for specific follow-up programs for ICU survivors.

Highlights

Acute kidney injury (AKI) is a frequently occurring complication in ICU patients and is associated with decreased short- and long-term survival
Gammelager and colleagues [1] investigated the association between acute kidney injury (AKI) and long-term cardiac morbidity and stroke in a representative ICU cohort
AKI leading to acute cardiac events has been termed cardiorenal syndrome type 3 (CRS-3) [6]

Summary

Introduction

Acute kidney injury (AKI) is a frequently occurring complication in ICU patients and is associated with decreased short- and long-term survival. Gammelager and colleagues [1] investigated the association between acute kidney injury (AKI) and long-term cardiac morbidity and stroke in a representative ICU cohort. AKI occurs in one- to twothirds of ICU patients and is associated with worse outcome [2,3].

Results

Conclusion