Intensive Care Medicine

, Volume 36, Issue 9, pp 1454–1464

Acute kidney injury in elderly intensive care patients: a review

  • Alexandra Chronopoulos
  • Mitchell H. Rosner
  • Dinna N. Cruz
  • Claudio Ronco
Review

DOI: 10.1007/s00134-010-1957-7

Cite this article as:
Chronopoulos, A., Rosner, M.H., Cruz, D.N. et al. Intensive Care Med (2010) 36: 1454. doi:10.1007/s00134-010-1957-7

Abstract

The elderly are at high risk for acute kidney injury (AKI). With the aging of the population, the demand for intensive care unit (ICU) admission from older patients will continue to rise, and this clinical entity will likely become increasingly common. In this article we review the relevant literature, discuss the age-related changes that render older people prone to AKI development, and examine the most frequent etiologies for renal impairment in these patients. We also consider the difficulties in achieving an early diagnosis in the elderly ICU patient, the particularities related to AKI treatment in this age group, and the data available on differences in renal recovery and mortality between the young and the old with renal injury. More importantly, we highlight the methods for prevention of AKI development or worsening in the elderly critically ill patient.

Keywords

ElderlyAgingAcute kidney injuryAcute renal failureIntensive careCritical illness

Copyright information

© Copyright jointly held by Springer and ESICM 2010

Authors and Affiliations

  • Alexandra Chronopoulos
    • 1
    • 2
  • Mitchell H. Rosner
    • 3
  • Dinna N. Cruz
    • 1
    • 4
  • Claudio Ronco
    • 1
    • 4
  1. 1.Department of NephrologySan Bortolo HospitalVicenzaItaly
  2. 2.Department of MedicineHôpital Hôtel-Dieu de LévisLévisCanada
  3. 3.Division of NephrologyUniversity of Virginia Health SystemCharlottesvilleUSA
  4. 4.International Renal Research Institute Vicenza (IRRIV)VicenzaItaly