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Timely identification of acute kidney injury (AKI), whether occurring in the hospital or in the community, is key to improving its management and long-term outcomes. The current KDIGO definition of AKI relies on the rise in serum creatinine (sCr) and fails to identify patients with community-acquired AKI for whom hospitalisation coincides with recovery of AKI. The extended KDIGO (eKDIGO) definition which incorporates the fall in sCr may be better suited to capturing the full temporal spectrum of AKI.
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Wainstein et al. (2024) studied this question.
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