ADQI/ICA — Acute kidney injury in patients with cirrhosis: ADQI and ICA joint multidisciplinary consensus
Acute Disease Quality Initiative / International Club of Ascites, 2024
HRS-AKI requires cirrhosis with ascites, AKI by creatinine and/or urine-output criteria, no improvement within about 24 hours after adequate resuscitation when indicated, and no strong alternative primary cause. HRS-AKI may coexist with tubular injury, proteinuria or CKD; a systematic 48-hour albumin challenge is not required for diagnosis.
Clinical Context & Relevant Topics (3)
Disease ReferenceDiagnosis and ICU management of HRS-AKI with albumin, vasoconstrictors, respiratory-safety monitoring, RRT and transplant planning
Recognition and organ-support of decompensated cirrhosis and acute-on-chronic liver failure, including bleeding, infection, encephalopathy and transplant triage
Sepsis-AKI microcirculatory decoupling, KDIGO staging, Furosemide Stress Test (FST), urine microscopy, and the AEIOU dialysis threshold framework.