Is the reason that CKD is a risk factor for AKI is that it is just easier to cross the threshold into KDIGO AKI stage 1 with a higher baseline Cr?
July 10, 2025 at 11:53 AM
Is the reason that CKD is a risk factor for AKI is that it is just easier to cross the threshold into KDIGO AKI stage 1 with a higher baseline Cr?
“AKI on CKD” is such an embarrassing thing to be seen documented on a patient who’s been going to dialysis for five years.
August 16, 2024 at 4:00 PM
“AKI on CKD” is such an embarrassing thing to be seen documented on a patient who’s been going to dialysis for five years.
Avoiding contrast in AKI/CKD & delaying needed & important scans likely more harmful than “contrast-nephropathy”.
IV contrast does not appear to be associated w/ ↑AKI risk
#medsky #EMsky #HMsky #GPsky
IV contrast does not appear to be associated w/ ↑AKI risk
#medsky #EMsky #HMsky #GPsky
'Conclusion
Based upon the available literature, the use of IV contrast for CT imaging does not appear to be associated with an increased risk of #AKI' acute kidney injury, IV contrast dye for imaging probably dsnt harm kidneys. #angiogram
#emimcc #cardiosky
www.jem-journal.com/article/S073...
Based upon the available literature, the use of IV contrast for CT imaging does not appear to be associated with an increased risk of #AKI' acute kidney injury, IV contrast dye for imaging probably dsnt harm kidneys. #angiogram
#emimcc #cardiosky
www.jem-journal.com/article/S073...
Is Intravenous Contrast Associated with Increased Risk of Acute Kidney Injury?
Computed tomography (CT) is a common imaging modality used in the Emergency Department.
Intravenous (IV) contrast can assist with visualization of pathology, particularly
for inflammatory conditions a...
www.jem-journal.com
December 3, 2024 at 12:54 AM
This is just what happens when you play the billing and coding game with the same tools the insurers are using. If every mild AKI and stage 2 CKD is appropriately documented and contributes to encounter complexity then insurers have to pay out more, simple as. www.yahoo.com/news/us/arti...
Hospital AI billing tools added $942 million in BCBS costs
A BCBSA study found coding for more complex patient conditions rose sharply, but treatment rates did not change to match
www.yahoo.com
September 29, 2026 at 5:01 PM
This is just what happens when you play the billing and coding game with the same tools the insurers are using. If every mild AKI and stage 2 CKD is appropriately documented and contributes to encounter complexity then insurers have to pay out more, simple as. www.yahoo.com/news/us/arti...
Thanks to everyone who replied. Let me summarize what others have added:
💡Renal ultrasound to assess kidney size/echogenicity better differentiates AKI from CKD
💡Although PTH can increase in AKI, the magnitude of rise is greater in CKD
💡Prior labs and response to treatment are probably best!
💡Renal ultrasound to assess kidney size/echogenicity better differentiates AKI from CKD
💡Although PTH can increase in AKI, the magnitude of rise is greater in CKD
💡Prior labs and response to treatment are probably best!
QUESTION
🤔How quickly does PTH increase in acute kidney injury (AKI)?
I learned (and have taught) that PTH can be used to suggest chronic kidney disease. At today's Clinical Reasoning Conference, our discussion (Jeff Williams) cautioned me not to just come to this conclusion.
🤔How quickly does PTH increase in acute kidney injury (AKI)?
I learned (and have taught) that PTH can be used to suggest chronic kidney disease. At today's Clinical Reasoning Conference, our discussion (Jeff Williams) cautioned me not to just come to this conclusion.
November 13, 2024 at 2:43 PM
Thanks to everyone who replied. Let me summarize what others have added:
💡Renal ultrasound to assess kidney size/echogenicity better differentiates AKI from CKD
💡Although PTH can increase in AKI, the magnitude of rise is greater in CKD
💡Prior labs and response to treatment are probably best!
💡Renal ultrasound to assess kidney size/echogenicity better differentiates AKI from CKD
💡Although PTH can increase in AKI, the magnitude of rise is greater in CKD
💡Prior labs and response to treatment are probably best!
It’s #WorldKidneyDay
We commonly see #CanineKidneyDisease in our older foster Shelties.
What do CKD, BUN, USG, and AKI mean on your animal’s #veterinary bloodwork & diagnostic notes?
www.amcny.org/blog/2022/03...
#sheltie #ShetlandSheepdog #Shelties #ShetlandSheepdogs
#BlueSkySheltie #science
We commonly see #CanineKidneyDisease in our older foster Shelties.
What do CKD, BUN, USG, and AKI mean on your animal’s #veterinary bloodwork & diagnostic notes?
www.amcny.org/blog/2022/03...
#sheltie #ShetlandSheepdog #Shelties #ShetlandSheepdogs
#BlueSkySheltie #science
CKD, BUN, USG, and AKI: How to Talk to Your Pet’s Veterinarian About Kidney Disease - The Animal Medical Center
AMC's Dr. Ann Hohenhaus explains common acronyms veterinarians use when talking or writing about kidney disease.
www.amcny.org
March 13, 2025 at 4:17 PM
It’s #WorldKidneyDay
We commonly see #CanineKidneyDisease in our older foster Shelties.
What do CKD, BUN, USG, and AKI mean on your animal’s #veterinary bloodwork & diagnostic notes?
www.amcny.org/blog/2022/03...
#sheltie #ShetlandSheepdog #Shelties #ShetlandSheepdogs
#BlueSkySheltie #science
We commonly see #CanineKidneyDisease in our older foster Shelties.
What do CKD, BUN, USG, and AKI mean on your animal’s #veterinary bloodwork & diagnostic notes?
www.amcny.org/blog/2022/03...
#sheltie #ShetlandSheepdog #Shelties #ShetlandSheepdogs
#BlueSkySheltie #science
Things We Do For No Reason: Avoiding IV iodinated contrast in AKI or CKD
I think of those who give prolonged meropenem for "undifferentiated sepsis" but refuse to arrange contrast CT to look for the source because the patient has abnormal RFT
doi.org/10.1002/jhm....
#IDSky
I think of those who give prolonged meropenem for "undifferentiated sepsis" but refuse to arrange contrast CT to look for the source because the patient has abnormal RFT
doi.org/10.1002/jhm....
#IDSky
April 23, 2025 at 3:17 PM
Things We Do For No Reason: Avoiding IV iodinated contrast in AKI or CKD
I think of those who give prolonged meropenem for "undifferentiated sepsis" but refuse to arrange contrast CT to look for the source because the patient has abnormal RFT
doi.org/10.1002/jhm....
#IDSky
I think of those who give prolonged meropenem for "undifferentiated sepsis" but refuse to arrange contrast CT to look for the source because the patient has abnormal RFT
doi.org/10.1002/jhm....
#IDSky
Renalism: The failure to perform appropriate diagnostic/ therapeutic interventions in patients with CKD due to concern about risk of AKI #Nephpearls #NephSky
👉🏼 pubmed.ncbi.nlm.nih.gov/15339996/
👉🏼 pubmed.ncbi.nlm.nih.gov/15339996/
October 24, 2025 at 7:42 AM
Renalism: The failure to perform appropriate diagnostic/ therapeutic interventions in patients with CKD due to concern about risk of AKI #Nephpearls #NephSky
👉🏼 pubmed.ncbi.nlm.nih.gov/15339996/
👉🏼 pubmed.ncbi.nlm.nih.gov/15339996/
#SpatialTranscriptomics #Visium #SlideSeq2
Human Kidney N>20
Healthy #AKI #CKD
Crazy loads of data to explore🤠
Does vascular niche affect the regenerative vs degenerative transition of adaptive epithelial states?🤓
#Nature 2024
www.nature.com/articles/s41...
Human Kidney N>20
Healthy #AKI #CKD
Crazy loads of data to explore🤠
Does vascular niche affect the regenerative vs degenerative transition of adaptive epithelial states?🤓
#Nature 2024
www.nature.com/articles/s41...
February 1, 2025 at 1:16 PM
#SpatialTranscriptomics #Visium #SlideSeq2
Human Kidney N>20
Healthy #AKI #CKD
Crazy loads of data to explore🤠
Does vascular niche affect the regenerative vs degenerative transition of adaptive epithelial states?🤓
#Nature 2024
www.nature.com/articles/s41...
Human Kidney N>20
Healthy #AKI #CKD
Crazy loads of data to explore🤠
Does vascular niche affect the regenerative vs degenerative transition of adaptive epithelial states?🤓
#Nature 2024
www.nature.com/articles/s41...
I have heard people talk about PTH as an indicator of CKD and it doesn't ring true to me since hypocalcemia is a prominent symptom of AKI just like it is in CKD.
November 12, 2024 at 9:57 PM
I have heard people talk about PTH as an indicator of CKD and it doesn't ring true to me since hypocalcemia is a prominent symptom of AKI just like it is in CKD.
🧵 What does single-cell transcriptomics reveal about individual patients with acute (AKI) and chronic (CKD) kidney 🫘 disease? Can we use it to find new biomarkers? In our new preprint 👇, we asked this using biopsies from 150+ participants from the Kidney Precision Medicine Project.
March 17, 2026 at 5:04 PM
🧵 What does single-cell transcriptomics reveal about individual patients with acute (AKI) and chronic (CKD) kidney 🫘 disease? Can we use it to find new biomarkers? In our new preprint 👇, we asked this using biopsies from 150+ participants from the Kidney Precision Medicine Project.
Chronic kidney disease (#CKD) affects 788–844 million adults worldwide — and is projected to become the fifth leading cause of death by 2040.
A new Series, presented today at #ERA2026, examines what is needed to change this trajectory: spkl.io/63321765k5
A new Series, presented today at #ERA2026, examines what is needed to change this trajectory: spkl.io/63321765k5
June 3, 2026 at 7:33 AM
Chronic kidney disease (#CKD) affects 788–844 million adults worldwide — and is projected to become the fifth leading cause of death by 2040.
A new Series, presented today at #ERA2026, examines what is needed to change this trajectory: spkl.io/63321765k5
A new Series, presented today at #ERA2026, examines what is needed to change this trajectory: spkl.io/63321765k5
Dr. Ben Humphreys gave an incredible Grand Rounds presentation, and we had the honor of hosting him here in #Seattle. Thank you for your amazing talk, "Insights into #AKI and Transition to #CKD by Single #Cell Technologies."
@uwnephrology.bsky.social @uwmedicine.bsky.social #kidney
@uwnephrology.bsky.social @uwmedicine.bsky.social #kidney
December 11, 2024 at 11:53 PM
Dr. Ben Humphreys gave an incredible Grand Rounds presentation, and we had the honor of hosting him here in #Seattle. Thank you for your amazing talk, "Insights into #AKI and Transition to #CKD by Single #Cell Technologies."
@uwnephrology.bsky.social @uwmedicine.bsky.social #kidney
@uwnephrology.bsky.social @uwmedicine.bsky.social #kidney
Welcome @wisit661.bsky.social to the Kidney News Editorial Board!
Dr. Cheungpasitporn is a nephrologist at @MayoClinic, specializing in treating AKI, CKD, dialysis, hypertension, kidney stones, and electrolyte abnormalities, with expertise in AI and machine learning applications in kidney care.
Dr. Cheungpasitporn is a nephrologist at @MayoClinic, specializing in treating AKI, CKD, dialysis, hypertension, kidney stones, and electrolyte abnormalities, with expertise in AI and machine learning applications in kidney care.
March 11, 2025 at 2:00 PM
Welcome @wisit661.bsky.social to the Kidney News Editorial Board!
Dr. Cheungpasitporn is a nephrologist at @MayoClinic, specializing in treating AKI, CKD, dialysis, hypertension, kidney stones, and electrolyte abnormalities, with expertise in AI and machine learning applications in kidney care.
Dr. Cheungpasitporn is a nephrologist at @MayoClinic, specializing in treating AKI, CKD, dialysis, hypertension, kidney stones, and electrolyte abnormalities, with expertise in AI and machine learning applications in kidney care.
The upside of defining contrast nephropathy in this way is it becomes very easy to measure the incidence of AKI. In 6 recent well done studies, the incidence runs from 1 to 11% among patients with CKD.
December 1, 2024 at 9:14 PM
The upside of defining contrast nephropathy in this way is it becomes very easy to measure the incidence of AKI. In 6 recent well done studies, the incidence runs from 1 to 11% among patients with CKD.
It's publicly available through PubMed! pmc.ncbi.nlm.nih.gov/articles/PMC... #Kidney #Rhabdo #MedSky
April 20, 2026 at 4:04 AM
It's publicly available through PubMed! pmc.ncbi.nlm.nih.gov/articles/PMC... #Kidney #Rhabdo #MedSky
Glad to share our publication in #indianjournalofnephrology
@kajareeg.bsky.social @sayalibthakare.bsky.social
Outcomes of Sepsis associated AKI-28% progressed to CKD on follow up
@kajareeg.bsky.social @sayalibthakare.bsky.social
Outcomes of Sepsis associated AKI-28% progressed to CKD on follow up
February 25, 2025 at 5:43 AM
Glad to share our publication in #indianjournalofnephrology
@kajareeg.bsky.social @sayalibthakare.bsky.social
Outcomes of Sepsis associated AKI-28% progressed to CKD on follow up
@kajareeg.bsky.social @sayalibthakare.bsky.social
Outcomes of Sepsis associated AKI-28% progressed to CKD on follow up
Just received my complimentary copy of Tropical Nephrology (2nd Ed.) 📘🌿
Recently discussed my chapter on kidney disease from herbal medicine with our fellows—2 days later we saw an AKI case linked to these products.
We must ask about herbal meds/supplements routinely. #AKI #CKD
Recently discussed my chapter on kidney disease from herbal medicine with our fellows—2 days later we saw an AKI case linked to these products.
We must ask about herbal meds/supplements routinely. #AKI #CKD
November 25, 2025 at 4:57 PM
„Schlussfolgerung: In dieser
großen Real-World-Studie waren COVID-19-Infektionen mit einem 2,3-fachen Risiko für die Entwicklung von AKI, einem 1,4-fachen Risiko für CKD und einem 4,7-fachen Risiko für ESRD im Vergleich zu Influenza verbunden.
Nierenerkrankungen bei Personen
großen Real-World-Studie waren COVID-19-Infektionen mit einem 2,3-fachen Risiko für die Entwicklung von AKI, einem 1,4-fachen Risiko für CKD und einem 4,7-fachen Risiko für ESRD im Vergleich zu Influenza verbunden.
Nierenerkrankungen bei Personen
June 29, 2024 at 9:34 PM
„Schlussfolgerung: In dieser
großen Real-World-Studie waren COVID-19-Infektionen mit einem 2,3-fachen Risiko für die Entwicklung von AKI, einem 1,4-fachen Risiko für CKD und einem 4,7-fachen Risiko für ESRD im Vergleich zu Influenza verbunden.
Nierenerkrankungen bei Personen
großen Real-World-Studie waren COVID-19-Infektionen mit einem 2,3-fachen Risiko für die Entwicklung von AKI, einem 1,4-fachen Risiko für CKD und einem 4,7-fachen Risiko für ESRD im Vergleich zu Influenza verbunden.
Nierenerkrankungen bei Personen
The transition from AKI to CKD is not uncommon, making long-term damage & kidney function trajectories #PASC particularly concerning. Even mild AKI increases the risk of developing CKD.
www.urologyexpert.co.uk/covid-19-cau....
www.urologyexpert.co.uk/covid-19-cau....
COVID 19 Causes Kidney Damage - Birmingham Doctor
COVID 19 Causes Kidney Damage Early signs of kidney involvement in patients with COVID-19 include abnormal kidney blood tests and high levels of protein in Urine Sutton Coldfield
www.urologyexpert.co.uk
September 5, 2025 at 2:26 AM
The transition from AKI to CKD is not uncommon, making long-term damage & kidney function trajectories #PASC particularly concerning. Even mild AKI increases the risk of developing CKD.
www.urologyexpert.co.uk/covid-19-cau....
www.urologyexpert.co.uk/covid-19-cau....
neigen dazu, Infektionen als meist kurzfristige Krankheiten zu betrachten, deren gesundheitliche Auswirkungen sich um den Zeitpunkt der Infektion herum manifestieren. Unsere Daten widerlegen diese Annahme. Meiner Meinung nach lehrt uns COVID-19 weiterhin - und das ist eine
May 30, 2024 at 4:08 PM
neigen dazu, Infektionen als meist kurzfristige Krankheiten zu betrachten, deren gesundheitliche Auswirkungen sich um den Zeitpunkt der Infektion herum manifestieren. Unsere Daten widerlegen diese Annahme. Meiner Meinung nach lehrt uns COVID-19 weiterhin - und das ist eine
COVID-19 infection linked to higher risk of new-onset mild/moderate chronic kidney disease (CKD) in US children & adolescents. With preexisting CKD/AKI, COVID-19 associated with 30-50% decline in eGFR. National Institutes of Health's Researching COVID to Enhance Recovery (RECOVER) initiative.
April 16, 2025 at 1:57 AM
COVID-19 infection linked to higher risk of new-onset mild/moderate chronic kidney disease (CKD) in US children & adolescents. With preexisting CKD/AKI, COVID-19 associated with 30-50% decline in eGFR. National Institutes of Health's Researching COVID to Enhance Recovery (RECOVER) initiative.
⚠️ AKI superimposed on CKD is common and outcomes are worse.
Why are CKD patients more prone to AKI and are we expecting a fully recover?
#ECNeph
Why are CKD patients more prone to AKI and are we expecting a fully recover?
#ECNeph
May 30, 2025 at 4:05 PM
⚠️ AKI superimposed on CKD is common and outcomes are worse.
Why are CKD patients more prone to AKI and are we expecting a fully recover?
#ECNeph
Why are CKD patients more prone to AKI and are we expecting a fully recover?
#ECNeph
In this secondary analysis of the STARRT-AKI, surviving patients after a severe AKI were evaluated to determine if RRT initiation strategy had an effect on CKD progression. Patients with severe AKI had a high chance of progression to CKD regardless of the RRT strategy that was used.
CKD Progression following Acute Kidney Injury: A Secondary... : Kidney360
vere AKI.
Methods:
This secondary analysis of the STARRT-AKI trial included participants with outpatient serum creatinine values available in the year prior to hospitalization and who were alive at...
journals.lww.com
December 6, 2024 at 2:29 AM
In this secondary analysis of the STARRT-AKI, surviving patients after a severe AKI were evaluated to determine if RRT initiation strategy had an effect on CKD progression. Patients with severe AKI had a high chance of progression to CKD regardless of the RRT strategy that was used.