From: Clinical review: RIFLE and AKIN – time for reappraisal
RIFLE classification | AKIN classification |
---|---|
Risk, Injury, and Failure | Stages 1, 2 and 3 |
Loss and Endstage renal disease describe renal outcome after acute kidney injury episode | Not used |
Uses change in creatinine or glomerular filtration rate, in addition to urine output criteria | Uses change in creatinine, in addition to urine output criteria |
Risk: increased creatinine × 1.5 or glomerular filtration rate decrease >25% | Stage 1: increased creatinine × 1.5 or ≥ 0.3 mg/dl |
Stage not specified for patients starting renal replacement therapy | Patients starting renal replacement therapy are classified as Stage 3, regardless of serum creatinine or urine output |
Proposed timeframe of 1 week specified for making diagnosis of acute kidney injury | Acute kidney injury diagnosis is based on a change between two creatinine values within a 48-hour perioda |
Not specified | Diagnostic criteria to be used only "after an optimal state of hydration has been achieved" |