Kidney Injury in Liver Disease. Crit Care Clin 2016 Jul;32(3):343-55
Date
06/25/2016Pubmed ID
27339675DOI
10.1016/j.ccc.2016.03.005Scopus ID
2-s2.0-84974805097 (requires institutional sign-in at Scopus site) 23 CitationsAbstract
Acute kidney injury (AKI) occurs frequently in patients with liver disease and increases morbidity and mortality. Hepatorenal syndrome is a common cause of AKI in patients with decompensated cirrhosis and is due to alterations in systemic and renal hemodynamics. Serum creatinine-based estimation of kidney function is a key component of the Model for End-stage Liver Disease score in liver transplant candidates. Continuous renal replacement therapy is used in critically ill patients with liver failure and AKI. Simultaneous liver-kidney transplantation (SLK) may be required in patients with liver failure and prolonged AKI. Identification of appropriate candidates for SLK remains controversial.
Author List
Regner KR, Singbartl KAuthor
Kevin R. Regner MD Interim Chair, Professor in the Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AcidosisAcute Kidney Injury
Chronic Disease
Hepatorenal Syndrome
Humans
Kidney Transplantation
Liver Diseases
Liver Failure, Acute
Liver Transplantation
Renal Replacement Therapy