RIFLE criteria (AKI staging)

RIFLE criteria (ADQI, Bellomo 2004): the acute-kidney-injury class (Risk / Injury / Failure) from the creatinine ratio (or eGFR fall) and the urine-output category; the worse of the two 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
2.2 mg/dL

Result: RIFLE class Injury (governed by creatinine/GFR).

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

What the result means

Creatinine/GFR
Risk x1.5 or GFR fall > 25%; Injury x2 or > 50%; Failure x3 or > 75%, or creatinine >= 4 mg/dL with an acute rise > 0.5.
Urine output
Risk < 0.5 mL/kg/hr x 6h; Injury x 12h; Failure < 0.3 x 24h or anuria x 12h. The class is the worst of the two.

What you enter

  • Baseline creatinine
  • Current creatinine
  • Urine-output category
How this is calculated

Bellomo R, Ronco C, Kellum JA, et al; Acute Dialysis Quality Initiative workgroup. Acute renal failure -- definition, outcome measures... the ADQI Second International Consensus Conference. Crit Care. 2004;8(4):R204-R212. 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.