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RIFLE criteria for acute kidney injury

Classifies AKI severity from creatinine change and urine output.

RIFLE criteria for acute kidney injury
Current serum creatinine
mg/dL
Baseline serum creatinine
mg/dL
Urine output
Complete the fields above to see the result.

When to use

  • Grading severity of acute kidney injury (Risk, Injury, Failure).

Formula

Risk: creatinine >=1.5x baseline or UO <0.5 mL/kg/h x6 h. Injury: >=2x or UO <0.5 x12 h. Failure: >=3x (or creatinine >=4 mg/dL) or UO <0.3 x24 h / anuria x12 h. The worse of the two criteria defines the class.

Pearls and pitfalls

  • Loss and ESKD (end-stage) categories are time-based outcomes (>4 weeks and >3 months) and are not computed here.

References

  1. Bellomo R, et al (ADQI). Crit Care. 2004;8(4):R204-R212.