TAILIEUCHUNG - Introductions of transplantation at a glance: Part 2

(BQ) Continued part 1, part 2 of the document Introductions of transplantation at a glance has contents: Delayed graft function, transplant rejection, chronic renal allograft dysfunction, pancreas transplantation, islet transplantation, intestinal failure and assessment, intestinal transplantation,. and other contents. Invite you to refer. | 2 End-stage renal failure a Temporal classification of renal failure Acute kidney injury AKI Chronic kidney disease CKD Onset Days - weeks Months - years Aetiology Pre-renal Post-renal Renal Renal Post-renal Pre-renal b Aetiological classification of renal failure c Staging of AKI and CKD AKI stage Serum creatinine Urine output criteria 1 Increase of L dL or 150-200 of baseline increase kg hour 6 hours 2 Increase to 200-300 of baseline 2-3 fold increase kg hour 12 hours 3 354pmol L 4mg dL with an acute rise of at least 44pmol L dL or 300 of baseline 3 fold increase kg hour 24 hours or anuria for 12 hours CKD stage eGFR ml min m2 Other features 1 90 Normal renal function but urine dipstick abnormalities or known structural abnormality of renal tract or diagnosis of genetic kidney disease 2 60-89 Mildly reduced renal function plus urine structural abnormalities or diagnosis of genetic kidney disease 3 30-59 Moderately reduced renal function 4 15-29 Severely reduced renal function 5 15 End-stage renal failure Classification of renal failure for health is relatively common and the prevalence increases with End-stage renal failure ESRF as evidenced by a decline in age. It can be classified in two ways either according to its tem- glomerular filtration rate GFR such that function is inadequate poral progression or according to its cause. Transplantation at a Glance First Edition. Menna Clatworthy Christopher Watson Michael Allison and John Dark. 48 2012 John Wiley Sons Ltd. Published 2012 by John Wiley Sons Ltd. Classification by temporal progression The rapid onset of renal failure over a period of days or weeks is termed acute renal failure or acute kidney injury AKI whereas a decline in GFR occurring over months to years is termed chronic renal failure or chronic kidney disease CKD . Classification of renal failure by cause The cause of renal failure can be classified using the terms pre-renal renal post-renal. These .

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