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Measuring glomerular filtration rate in the intensive care unit: no substitutes please

机译:在重症监护病房中测量肾小球滤过率:请没有替代品

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Acute kidney injury (AKI), due to its increasing incidence, associated morbidityand mortality, and potential for development of chronic kidney disease withacceleration to end-stage renal disease, has become of major interest tonephrologists and critical care physicians. The development of biomarkers todiagnose AKI, quantify risk and predict prognosis is receiving considerableattention. Yet techniques to accurately assess functional changes withinpatients still rely on the use of an insensitive marker (creatinine),creatinine-based estimating equations and unreliable urinary tests. Therefore,it is critical that functional tests be developed and used in combination withbiomarkers, thus allowing improved care in AKI and chronic kidney diseasepatient populations.
机译:急性肾损伤(AKI)由于其发病率,相关的发病率和死亡率的增加以及慢性肾病的发展以及加速发展为终末期肾病的潜力,已成为肾病学家和重症监护医师的主要兴趣。诊断AKI,量化风险和预测预后的生物标志物的开发受到了广泛的关注。然而,准确评估患者体内功能变化的技术仍然依赖于使用不敏感的标记物(肌酐),基于肌酐的估计方程式和不可靠的尿液检查。因此,至关重要的是要开发功能测试并将其与生物标志物结合使用,从而改善AKI和慢性肾脏病患者的护理水平。

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