This guideline covers preventing, detecting, and managing acute kidney injury in children (aged above 1 month and below 12 years), young people (aged 12 to 17 years) and adults (aged 18 years or older). It aims to improve assessment and detection by non-specialist clinicians, and specifies when they should refer people to specialist services. This will reduce the chance of death or complications for people at risk of acute kidney injury.
This guideline includes recommendations on:
- assessing risk
- identifying the causes of acute kidney injury
- information and support for patients and carers
Who is it for?
- Healthcare professionals
- Commissioners and providers
- People with or at risk of acute kidney injury and their families and carers
Is this guideline up to date?
We checked this guideline in November 2017. A partial update of the guideline will be planned. The update will focus on the prevention of acute kidney injury in adults having iodinated contrast agents, specifically on the use of intravenous volume expansion.
Guideline development process
This guideline was previously called acute kidney injury: prevention, detection and management of acute kidney injury up to the point of renal replacement therapy.
The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals and practitioners are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or the people using their service. It is not mandatory to apply the recommendations, and the guideline does not override the responsibility to make decisions appropriate to the circumstances of the individual, in consultation with them and their families and carers or guardian.
Local commissioners and providers of healthcare have a responsibility to enable the guideline to be applied when individual professionals and people using services wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with complying with those duties.
Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.