title: The perfect storm: older adults and acute kidney injury.
abstract: Older adults have a high risk for acute kidney injury (AKI), often necessitating critical care admission. The majority of older adults live with 1 or more chronic conditions requiring multiple medications, and when faced with acute illness increased vulnerability can lead to poor health outcomes. When combined with circumstances that exacerbate chronic conditions, clinicians may witness the perfect storm. Some factors that contribute to AKI risk include the aging kidney, sepsis, polypharmacy, and nephrotoxic medications and contrast media. This paper discusses specific risks and approaches to care for older adults with AKI who are in critical care.
authors.affiliation: Christine E Lynn College of Nursing, Florida Atlantic University, Boca Raton, Florida (Dr Hain); and Department of Nephrology & Hypertension, Cleveland Clinic Florida, Weston, Florida (Drs Hain and Paixao).
authors.forename: Debra
authors.initials: D
authors.lastname: Hain
authors.forename: Rute
authors.initials: R
authors.lastname: Paixao
mesh_terms: D058186:Acute Kidney Injury / Q000209:etiology / Q000401:mortality / Q000628:therapy*; D000368:Aged; D003422:Critical Care; D064648:Critical Care Nursing; D006801:Humans; D019338:Polypharmacy; D012307:Risk Factors; D018805:Sepsis / Q000150:complications