Table 2

Definition and classification of neonatal acute kidney injury

AKINRIFLEKDIGO
StagesCrUOStageeGFRUOStagesCrUO
1Rise of ≥0.3 mg/dL or 1.5–1.9 times the baseline.<0.5 mL/kg/hour for 6 hours.Risk25% decrease in eGFR.<1.5 mL/kg/hour for 24 hours.0No change or rise of <0.3 mg/dL.≥0.5 mL/kg/hour.
22–3 times the baseline.<0.5 mL/kg/hour for >12 hours.Injury50% decrease in eGFR.<1.0 mL/kg/hour for 24 hours.1Rise of ≥0.3 mg/dL or 1.5–1.9 times the baseline.<0.5 mL/kg/hour for 6–12 hours.
33 times the baseline or rise of ≥4.0 mg/dL with acute rise of at least 0.5 mg/dL.<0.3 mL/kg/hour for 24 hours or anuria for 12 hours.Failure75% decrease in eGFR.<0.7 mL/kg/hour for 24 hours or anuria for 12 hours.22–2.9 times the baseline.<0.5 mL/kg/hour for ≥12 hours.
LossPersistent failure of >4 weeks.33 times the baseline or rise of ≥2.5 mg/dL or initiation of RRT.<0.5 mL/kg/hour for ≥24 hours or anuria for ≥12 hours.
End stagePersistent failure of >3 months.
  • Baseline refers to the lowest previous level of sCr.

  • AKIN, Acute Kidney Injury Network; eGFR, estimated glomerular filtration rate; KDIGO, Kidney Disease: Improving Global Outcomes; RIFLE, Risk, Injury, Failure, Loss, and End-Stage Kidney Disease; RRT, renal replacement treatment; sCr, serum creatinine; UO, urine output.