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Long-term Implications of Severe Acute Kidney Injury

Sushrut S. Waikar, MD, MPH; Wolfgang C. Winkelmayer, MD, MPH, ScD

JAMA. 2009;302(11):1227-1229.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Every year more than 1 million hospitalizations in the United States are complicated by acute kidney injury, accounting for an estimated $10 billion in excess costs to the health care system.^1-4 Acute kidney injury has been shown to be a potent predictor of excess length of stay, morbidity, and mortality in a number of clinical settings. The incidence of acute kidney injury has increased more than 4-fold since 1988 and is estimated to have a yearly population incidence of more than 500 per 100 000 population^2-3—higher than the yearly incidence of stroke.^5-6 Survival from an episode of acute kidney injury may be increasing by virtue of advances in critical care medicine and dialysis technologies. In short, more hospitalized patients are being discharged alive after an episode of acute kidney injury.

The report by Wald and colleagues⁷ in this issue . . . [Full Text of this Article]

Author Affiliations: Renal Division, Brigham and Women's Hospital, Department of Medicine, Harvard Medical School, Boston, Massachusetts (Dr Waikar); and Division of Nephrology, Stanford University School of Medicine, Palo Alto, California (Dr Winkelmayer).

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