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. 2020 Jul;115(1):127-133.
doi: 10.36660/abc.20190207. Epub 2020 Aug 7.

Acute Cardiorenal Syndrome: Which Diagnostic Criterion to Use And What is its Importance for Prognosis?

[Article in English, Portuguese]
Andréa de Melo Leite  1 , Bruno Ferraz de Oliveira Gomes  2 , André Casarsa Marques  2 , João Luiz Fernandes Petriz  2 , Denilson Campos de Albuquerque  2 , Pedro Pimenta de Mello Spineti  3 , Antonio José Lagoeiro Jorge  1 , Humberto Villacorta  1 , Wolney de Andrade Martins  1
Affiliations

Acute Cardiorenal Syndrome: Which Diagnostic Criterion to Use And What is its Importance for Prognosis?

[Article in English, Portuguese]
Andréa de Melo Leite et al. Arq Bras Cardiol. 2020 Jul.

Abstract

The absence of a consensus about the diagnostic criteria for acute cardiorenal syndrome (ACRS) affects its prognosis. This study aimed at assessing the diagnostic criteria for ACRS and their impact on prognosis. A systematic review was conducted using PRISMA methodology and PICO criteria in the MEDLINE, EMBASE and LILACS databases. The search included original publications, such as clinical trials, cohort studies, case-control studies, and meta-analyses, issued from January 1998 to June 2018. Neither literature nor heart failure guidelines provided a clear definition of the diagnostic criteria for ACRS. The serum creatinine increase by at least 0.3 mg/dL from baseline creatinine is the most used diagnostic criterion. However, the definition of baseline creatinine, as well as which serum creatinine should be used as reference for critical patients, is still controversial. This systematic review suggests that ACRS criteria should be revised to include the diagnosis of ACRS on hospital admission. Reference serum creatinine should reflect baseline renal function before the beginning of acute kidney injury.

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Conflict of interest statement

Potencial conflito de interesses

Declaro não haver conflito de interesses pertinentes.

Figures

Figura 1
Figura 1. – Fluxograma dos estudos avaliados (metodologia PRISMA17).
Figure 1
Figure 1. – Flowchart of the studies assessed (PRISMA methodology17).
See this image and copyright information in PMC

References

    1. 1. Rohde LEP, Montera, MW, Bocchi EA, Clausell NO, Albuquerque DC, Rassi S, Colafranceschi AS, et al. Diretriz Brasileira de Insuficiência Cardíaca Crônica e Aguda. Arq Bras Cardiol. 2018;111(3):436-539. - PubMed
    1. 2. Yancy CW, Jessup M, Bozkurt B, Butler J, Casey DE Jr, Drazner MH, et al. 2013 ACCF/AHA guideline for the management of heart failure: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 2013;62(16):e147-239. - PubMed
    1. 3. Albuquerque DC, Neto JDS, Bacal F, Rohde LEP, Bernardez-Pereira S, Berwanger O, et al. I Brazilian registry of heart failure - clinical aspects, care quality and hospitalization outcomes. Arq Bras Cardiol. 2015;104(6):433-42. - PMC - PubMed
    1. 4. Ledoux P. Cardiorenal syndrome. Avenir Med. 1951;48(8):149-53. - PubMed
    1. 5. Ronco C, McCullough P, Anker SD, Anand I, Aspromonte N, Bagshaw SM, et al. Cardio-renal Syndromes: report from the consensus conference of the Acute Dialysis Quality Initiative. Eur Heart J. 2010;31(6):703-11. - PMC - PubMed

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