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Review
. 2023 Dec 1;29(6):566-579.
doi: 10.1097/MCC.0000000000001090. Epub 2023 Sep 21.

Quality of life after acute kidney injury

Bairbre McNicholas  1   2 , Ayse Akcan Arikan  3 , Marlies Ostermann  4
Affiliations
Review

Quality of life after acute kidney injury

Bairbre McNicholas et al. Curr Opin Crit Care. .

Abstract

Purpose of review: Deciphering the effect of acute kidney injury (AKI) during critical illness on long-term quality of life versus the impact of conditions that brought on critical illness is difficult.

Recent findings: Reports on patient-centred outcomes such as health-related quality of life (HRQOL) have provided insight into the long-lasting impact of critical illness complicated by AKI. However, these data stem from observational studies and randomized controlled trials, which have been heterogeneous in their patient population, timing, instruments used for assessment and reporting. Recent studies have corroborated these findings including lack of effect of renal replacement therapy compared to severe AKI on outcomes and worse physical compared to cognitive dysfunction.

Summary: In adults, more deficits in physical than mental health domains are found in survivors of AKI in critical care, whereas memory deficits and learning impairments have been noted in children. Further study is needed to understand and develop interventions that preserve or enhance the quality of life for individual patients who survive AKI following critical illness, across all ages.

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References

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