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Acute kidney injury from sepsis: current concepts, epidemiology, pathophysiology, prevention and treatment

Open access
Peerapornratana, Sadudee, Manrique-Caballero, Carlos L., Gómez, Hernando, Kellum, John A.·2019·Kidney International

Abstract

Sepsis-associated acute kidney injury (S-AKI) is a frequent complication of the critically ill patient and is associated with unacceptable morbidity and mortality. Prevention of S-AKI is difficult because by the time patients seek medical attention, most have already developed acute kidney injury. Thus, early recognition is crucial to provide supportive treatment and limit further insults. Current diagnostic criteria for acute kidney injury has limited early detection; however, novel biomarkers of kidney stress and damage have been recently validated for risk prediction and early diagnosis of acute kidney injury in the setting of sepsis. Recent evidence shows that microvascular dysfunction, inflammation, and metabolic reprogramming are 3 fundamental mechanisms that may play a role in the development of S-AKI. However, more mechanistic studies are needed to better understand the convoluted pathophysiology of S-AKI and to translate these findings into potential treatment strategies and add to the promising pharmacologic approaches being developed and tested in clinical trials.

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Metadata

Authors
Peerapornratana, S., Manrique-Caballero, C. L., Gómez, H., & Kellum, J. A.
Venue
Kidney International
Publisher
Elsevier BV
Published
2019-11
Volume
96
Issue
5
Pages
1083-1099
ISSN
0085-2538 (ISSN-L)
OpenAlex
W2950811882
Cited by
1,471
References
17
FWCI
79.06
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Acute kidney injury from sepsis: current concepts, epidemiology, pathophysiology, prevention and treatment. https://app.cochat.ai/papers/10.1016/j.kint.2019.05.026
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Peerapornratana, S., Manrique-Caballero, C. L., Gómez, H., & Kellum, J. A. (2019). Acute kidney injury from sepsis: current concepts, epidemiology, pathophysiology, prevention and treatment. Kidney International. https://doi.org/10.1016/j.kint.2019.05.026

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.