AKIN criteria (AKI staging)

AKIN criteria (Mehta 2007): the acute-kidney-injury stage 1-3 from the creatinine rise (absolute or ratio within 48 h), the urine-output category, or initiation of renal replacement therapy; the worst criterion governs.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Baseline creatinine
1.0 mg/dL
Current creatinine
3.5 mg/dL

Result: AKIN stage 3 (governed by creatinine).

The tool opens with these values already filled in. Replace them with your own.

What the result means

Stages
within 48 h: stage 1 (rise >= 0.3 mg/dL or x1.5-2), stage 2 (x2-3), stage 3 (x3, or creatinine >= 4.0 with rise >= 0.5, or RRT).

What you enter

  • Baseline creatinine
  • Current creatinine
  • Renal replacement therapy initiated
  • Urine-output category
How this is calculated
Rule
RRT initiation forces stage 3; the stage is the worse of the creatinine and urine-output criteria.

Mehta RL, Kellum JA, Shah SV, et al; Acute Kidney Injury Network. Acute Kidney Injury Network: report of an initiative to improve outcomes in acute kidney injury. Crit Care. 2007;11(2):R31. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.