Title
Identifying Acute Kidney Injury Trajectory Phenotypes Associated with Hospital Mortality
Date Issued
01 June 2019
Access level
open access
Resource Type
conference paper
Author(s)
University of Kentucky
Publisher(s)
Institute of Electrical and Electronics Engineers Inc.
Abstract
Acute kidney injury (AKI) is a complex systemic syndrome associated with high morbidity and mortality and risk for the subsequent development of kidney and non-kidney complications. Nearly 50% of patients in the intensive care unit (ICU) experience AKI. AKI severity is a key metric for evaluating patients risk of hospital mortality. Current AKI serum creatinine (SCr) stratification is based on absolute changes in Serum Creatinine (SCr) and the maximal increase relative to the patients baseline value. However, such characterization does not include either the progression or duration of AKI, both of which are associated with adverse outcomes. In this article, by leveraging a large volume of SCr temporal variabilities within the first 7 days of ICU stay, we propose a novel model called Trajectory of Acute Kidney Injury (TAKI) for the identification of AKI trajectory subtypes. Experimental results demonstrate that TAKI is a feasible method of AKI subtyping and superior to the current AKI KDIGO definition for the association with hospital mortality in this subset of critically ill patients.
Number
8904739
Language
English
OCDE Knowledge area
Cuidado crítico y de emergencia
Epidemiología
Subjects
Scopus EID
2-s2.0-85075951372
Resource of which it is part
2019 IEEE International Conference on Healthcare Informatics, ICHI 2019
ISBN of the container
978-153869138-0
Conference
7th IEEE International Conference on Healthcare Informatics, ICHI 2019
Sources of information:
Directorio de Producción Científica
Scopus