Skip to main content

Table 1 The classification and staging of the RIFLE, AKIN and KDIGO criteria

From: Diagnosis, pathophysiology and preventive strategies for cardiac surgery-associated acute kidney injury: a narrative review

Workgroup

RIFLE

AKIN

KDIGO

Acute dialysis quality initiative group

Acute kidney injury Network

Kidney disease improving Global outcome

Criteria

SCr, UO, GFR, clinical outcome

SCr, UO

SCr, UO, GFR

Staging

Risk

SCr increased by 1.5 × 

UO < 0.5 mL/kg/h for 6 h

eGFR decreased by > 25% within 7 d

Stage 1

SCr increased > 0.3 mg/dL

SCr increased by 1.5 × to 2.0 × 

UO < 0.5 mL/kg/h for > 6 h

Stage 1

SCr increased ≥ 0.3 mg/dL within 48 h

SCr increased by 1.5 × to 1.9 × , which is known or presumed to have occurred within prior 7 d

UO < 0.5 mL/kg/h for 6–12 h

 

Injury

SCr increased by 2.0 × 

UO < 0.5 mL/kg/h for 12 h

eGFR decreased by > 50%

Stage 2

SCr increased by > 2.0 × to 3.0 × 

UO < 0.5 mL/kg/h for > 12 h

Stage 2

SCr increased by 2.0 × to 2.9 × 

UO < 0.5 mL/kg/h for 12 h

 

Failure

SCr increased by 3.0 × 

SCr ≥ 4 mg/dL with acute rise ≥ 0.5 mg/dL

UO < 0.3 mL/kg/h for 24 h

Anuria for 12 h

eGFR decreased by > 75%

Stage 3

SCr increased by > 3.0 × 

SCr ≥ 4 mg/dL with acute rise ≥ 0.5 mg/dL

UO < 0.3 mL/kg/h for 24 h

Anuria for 12 h

Stage 3

SCr increased by ≥ 3.0 × 

SCr ≥ 4 mg/dL

Initiation of RRT

UO < 0.3 mL/kg/h for 24 h

Anuria for 12 h

eGFR < 35 mL/min/1.73 m2(in patients < 18 yr)

 

Loss

Complete loss of kidney function > 4 wk

  
 

End-stage kidney disease

Complete loss of kidney function > 3 mo

  
  1. AKI acute kidney injury, GFR glomerular filtration rate, SCr serum creatinine, RRT renal replacement therapy, UO urine output, ×(symbol) times baseline