2017年ADQI急性肾脏病和肾脏恢复的专家共识解读

Acute kidney disease and renal recovery: consensus report of the Acute Disease Quality Initiative(ADQI) 2017

急性肾损伤(AKI)是发病率高、死亡率高、临床不良事件发生率高的重大疾病,其中部分AKI患者可发展为慢性肾脏病(CKD)。AKI发生后7 d至90 d这一特定时间我们如何定义与管理对后续的CKD发生发展具有重要影响,因此近年来AKI后续治疗与管理倍受国内外学者关注。2017年急性疾病质量倡议(ADQI)会议就有关问题达成了专家共识,并于2017年正式发布。该共识再次提出了急性肾脏病(AKD)概念,并系统阐述了其定义、临床分期及相关管理措施,同时指出了AKD今后的临床研究方向,为AKD临床诊疗与管理奠定了基础。本文对此专家共识进行了初步解读,旨在引起同行重视。

Acute kidney injury （AKI） is a severe disease with a high incidence and mortality, which also has a high incidence of clinical adverse events. Some AKI patients even may develop into chronic kidney diseases （CKD） ultimately. The specific period of 7 days to 90 days after the onset of AKI is called acute kidney diseases （AKD）. It is of great significance for us to understand and manage AKD so that we can prevent the development of AKI into CKD. Therefore, AKD has already attracted considerable attention of scholars recently at home and abroad. Acute Disease Quality Initiative （ADQI） 2017 reached a consensus on this issue and it was officially published in 2017. The consensus updated the concept of AKD, and elaborated its clinical stages and prevention as well as treatment systematically. Moreover, it pointed out the future direction of clinical research of AKD, and laid the foundation for the clinical diagnosis and management measures of AKD. This article carried out a preliminary interpretation of this consensus in order to arouse peer attention.