Advertisement ยท 728 ร— 90

Posts by Rolando Claure

Preview
Acute kidney injury related to pulsed-field ablation of atrial fibrillation. Protective role of the protocol-based hydration regimen. Acute kidney injury (AKI) due to hemolysis is a potential complication of pulsed-field ablation (PFA) of atrial fibrillation (AF).This study aimed to โ€ฆ

Protocol-based hydration may โฌ‡๏ธ AKI after pulsed-field ablation for AF. In this โค๏ธ Rhythm study (n=501), AKI occurred in 6.4%; CKD, extensive LA ablation, & more PF applications increased risk. A hydration regimen (โ‰ฅ2,000 mL) โฌ‡๏ธ AKI risk by 67%.
๐Ÿ”— doi.org/10.1016/j.hr...

1 day ago 0 0 0 0
Post image Post image

Great presentations & projects from the Early Career Professionals @kdigo.org meeting today #GoKDIGO

2 days ago 1 1 0 0
Post image

AKI e-alerts may improve recognition, but not major clinical outcomes. Xie et al.โ€™s nationwide real-world study confirms what prior RCTs showed: no meaningful impact on mortality, progression, or recovery. More targeted strategies are needed.
๐Ÿ”— doi.org/10.1016/j.ki...

2 days ago 0 0 0 0
Post image Post image Post image Post image

A short recovery๐Ÿƒ๐Ÿปโ€โ™‚๏ธ before #KDIGO ExCom meeting ๐Ÿ“† #Run4Kidneys ๐Ÿซ˜ #850Challenge ๐ŸŽ—๏ธ #Rome ๐Ÿ‡ฎ๐Ÿ‡น

2 days ago 1 0 0 0
Post image

The draft of @kdigo.org Clinical Practice Guideline for AKI/ AKD is now available for public review through ๐Ÿ—“๏ธ April 27, 2026 #Nephpearls #NephSky

We invite you to review the draft and share comments to help inform the final guideline

๐Ÿ‘‰ kdigo.org/guidelines/a...

1 week ago 4 2 1 0
Post image

Reminder: The draft of the KDIGO 2026 AKI/AKD Guideline is available for public review through Monday, April 27.

Download the guideline and submit comments via the feedback form on the guideline website: kdigo.org/guidelines/a...

Reviewers can comment on any section. All feedback is appreciated.

5 days ago 1 1 0 0
Post image Post image

Listening to the patient voice ๐Ÿ—ฃ๏ธ matters.
Consensus conferences & clinical practice guidelines should not rely only on evidence, but also on patientsโ€™ lived experiences, priorities, & concerns. Applause ๐Ÿ‘๐Ÿป to @KDIGO.org for making patient participation part of the process. #KDIGO

3 days ago 1 0 0 0
Post image Post image Post image Post image

#JustDoItSunday ๐Ÿƒ๐Ÿปโ€โ™‚๏ธ #Run4Kidneys ๐Ÿซ˜ #850Challenge ๐ŸŽ—๏ธ #Rome ๐Ÿ‡ฎ๐Ÿ‡น

3 days ago 0 0 0 0
Post image Post image Post image Post image

PPIs remain linked to important ๐Ÿซ˜ safety concerns ๐Ÿ‘‰๐Ÿป AKI, incident CKD, & progression to ESKD. Mechanistically, AIN appears central. Emerging data also suggest that P-CABs/vonoprazan may carry nephrotoxicity signals, comparative safety data are still evolving. #AKICRRT2026

3 days ago 0 0 0 0
Advertisement
Post image Post image Post image Post image

Saturday morning at #Rome #KidneyRunners ๐Ÿซ˜ ๐Ÿƒ๐Ÿป #Run4Kidneys #850Challenge ๐ŸŽ—๏ธ#Rome ๐Ÿ‡ฎ๐Ÿ‡น

3 days ago 1 0 0 0
Post image

In acute ๐Ÿ’” failure, priorities are clear: decongestion, rapid GDMT optimization, & prevention of severe AKI.

Residual congestion is not benignโ€”it drives worse outcomes, rehospitalization, & ๐Ÿซ˜ complications.

#AKICRRT2026

4 days ago 0 1 0 0
Post image Post image Post image Post image

Running ๐Ÿƒ๐Ÿปโ€โ™‚๏ธ around the world ๐Ÿ—บ๏ธ today we run in 2๏ธโƒฃ countries and 2๏ธโƒฃ cities ๐Ÿ™๏ธ in 35 minutesโ€ฆ Rome, ๐Ÿ‡ฎ๐Ÿ‡น and Vatican City , ๐Ÿ‡ป๐Ÿ‡ฆ #Run4Kidneys ๐Ÿซ˜ #850Challenge ๐ŸŽ—๏ธ raising awareness of #KidneyDisease #KDIGO

4 days ago 0 0 0 0
Post image

#JustDoItSunday ๐Ÿƒ๐Ÿปโ€โ™‚๏ธ #Run4Kidneys ๐Ÿซ˜ #850Challenge ๐ŸŽ—๏ธ #Ciclovia #Cochabamba ๐Ÿ‡ง๐Ÿ‡ด

1 week ago 0 0 0 0
Preview
Furosemide plus oral sodium chloride for syndrome of inappropriate antidiuresis after fluid restriction failure AbstractBackground. Syndrome of inappropriate antidiuresis (SIAD) is a common cause of hyponatraemia, with fluid restriction (FR) failing in nearly half of

In hospitalized adults with SIAD and fluid restriction failure, oral NaCl plus furosemide achieved a median serum sodium correction of 1.5 mmol/L/day. Hypokalemia, hypomagnesemia, and AKI were frequent, underscoring the need for close monitoring.
๐Ÿ”— doi.org/10.1093/ckj/...

1 week ago 0 0 0 0
Preview
A study using point of care creatinine testing in a Nigerian primary health care centre: Malaria as the leading cause of Acute Kidney Injury particularly in children. Abstract. Background: Acute kidney injury (AKI) worsens outcomes in low- and middle-income countries (LMICs), largely due to delayed diagnosis and limited access to renal replacement therapy. Itsโ€ฆ

Point-of-care creatinine testing in a Nigerian ๐Ÿ‡ณ๐Ÿ‡ฌ primary care center showed a striking contrast: AKI was rare in adults (2/301) but common in children (70/123, 56.9%), especially in those <5 years old. Malaria ๐ŸฆŸ was the leading diagnosis. #AKI
๐Ÿ”— doi.org/10.1159/0005...

1 week ago 0 0 0 0
Post image

AKI doesnโ€™t end at discharge. Survivors remain at higher risk of CKD, recurrent AKI, CV events, readmission and premature death. This review proposes 10 pragmatic tips for patient-centred post-AKI care, from early follow-up to medication optimization.
๐Ÿ”— doi.org/10.1093/ckj/...

2 weeks ago 0 0 0 0
https://journals.lww.com/jasn/fulltext/9900/acute_kidney_injury_as_a_safety_end_point_in.925.aspx

Acute โฌ†๏ธ in sCr are common safety end points in trials, but defining AKI is tricky: large irreversible changes may understate risk, while small reversible ones may overcall harm In ๐Ÿ“‘authors suggest MAKE90 as a default phase 3 kidney safety end point. ๐Ÿ”— journals.lww.com/jasn/fulltex...

2 weeks ago 0 0 0 0
Advertisement
Post image

#JustDoItSunday ๐Ÿƒ๐Ÿปโ€โ™‚๏ธ #Run4Kidneys ๐Ÿซ˜ #850Challenge ๐ŸŽ—๏ธ from #Cochabamba to #Tiquipaya ๐Ÿป

2 weeks ago 0 0 0 0
Post image

The updated @kdigo.org AKI/AKD Guideline is now open for public review. Scan the QR code to read the draft and share your comments. Help shape the final guideline and improve kidney care worldwide.

#KDIGO #Guidelines #AKI #AKD

2 weeks ago 1 1 0 0
Post image Post image Post image

Till nextโ€™s years @crrtonline #AKICRRT #KidneyRunners ๐Ÿƒ๐Ÿปโ€โ™‚๏ธ #Run4Kidneys ๐Ÿซ˜ #850Challenge ๐ŸŽ—๏ธ@javo_neyra

3 weeks ago 0 0 0 0
Preview
Is Sex by Age Interaction The Missing Factor in Acute Kidney Injury Epidemiology? AbstractBackground and hypothesis. Acute kidney injury (AKI) is a multifactorial syndrome associated with increased morbidity and mortality during hospital

Is sex-by-age interaction a missing factor in AKI epidemiology? A ๐Ÿ“‘ of 87,087 adults found AKI in 20.6% of ๐Ÿฅ admissions. Incidence was โฌ†๏ธ in ๐Ÿ‘ฉ๐Ÿป overall, but worse outcomes were seen in ๐Ÿ‘ด๐Ÿป highlighting a dynamic interaction between sex, age, & AKI risk ๐Ÿ”— doi.org/10.1093/ndt/...

3 weeks ago 0 0 0 0

Sports Nephrology: A CJASN Traineesโ€™ Spotlight highlights the growing importance of kidney health in athletes & the need to formalize Sports Nephrology through screening, kidney-focused risk assessment, & integration with sports medicine pathways. ๐Ÿ”— journals.lww.com/cjasn/citati...

3 weeks ago 0 0 0 0
Post image Post image Post image Post image

Back to a special route in โ˜€๏ธ #SanDiego, I ๐Ÿƒ๐Ÿป again @BalboaPark, the same route I used during my time as a research fellow at @ucsdnephrology. Miles full of memories that shaped my journey. Going back to where it all started is the best motivation to keep moving โžก๏ธ #850Challenge ๐ŸŽ—๏ธ #Run4Kidneys ๐Ÿซ˜

3 weeks ago 0 0 0 0
Preview
Trajectory pattern of serum urea nitrogen to creatinine ratio in acute kidney injury requiring continuous renal replacement therapy: A post hoc analysis of a retrospective multicenter cohort study Purpose: Investigate the association between the phenotypic classification of laboratory data and mortality in adult patients with acute kidney injuryโ€ฆ

A post-hoc analysis in patients with severe AKI receiving CKRT found that trajectory patterns marked by โฌ†๏ธ sBUN to Cr ratio or โฌ†๏ธ lactate levels were associated with especially poor outcomes. Findings were externally validated in MIMIC-IV #AKI #CKRT
๐Ÿ”— doi.org/10.1016/j.jc...

3 weeks ago 0 0 0 0
Preview
Urinary dipstick findings and UTI risk with SGLT2 inhibitors: a post hoc analysis of the CANVAS and CREDENCE trials AbstractBackground and Hypothesis. Despite established cardiorenal benefits, concerns about urinary tract infection (UTI) risk may limit SGLT2 inhibitor us

In a post-hoc analysis of 8,614 participants from CANVAS & CREDENCE trials, abnormal urinary leukocyte esterase & nitrite were associated with โฌ†๏ธ UTI risk. Canagliflozin did not โฌ†๏ธ UTI risk, including in those with abnormal urinary findings. #SGLT2i
๐Ÿ”— doi.org/10.1093/ndt/...

3 weeks ago 1 0 0 0
Advertisement
Post image Post image Post image Post image

#Run4Kidneys ๐Ÿซ˜ ๐Ÿƒ๐Ÿปโ€โ™‚๏ธ #850Challenge ๐ŸŽ—๏ธ #SanDiego #ADQI meeting

3 weeks ago 0 0 0 0
Post image Post image Post image Post image

Running ๐Ÿƒ๐Ÿปโ€โ™‚๏ธ around the ๐Ÿ—บ๏ธ , raising awareness of #KidneyDisease #Run4Kidneys ๐Ÿซ˜ #850Challenge ๐ŸŽ—๏ธ#SanDiego ๐Ÿ‡บ๐Ÿ‡ธ

3 weeks ago 0 0 0 0
Preview
The Expanding Role of Ultrasound in Acute Kidney Injury: From B-Mode to Microcirculation AbstractBackground. Acute kidney injury (AKI) is increasingly recognized as a dynamic systemic disorder reflecting hemodynamic instability rather than a pu

A narrative review doi.org/10.1093/ckj/... summarizes current evidence supporting multiparametric ๐Ÿซ˜ ultrasound in AKI, including B-mode imaging, arterial & venous Doppler, microvascular Doppler, & CEUS, as ๐Ÿงฐ to assess renal perfusion, congestion, & recovery. #AKI #Ultrasound

4 weeks ago 1 0 0 0
https://journals.lww.com/kidney360/abstract/9900/effect_of_preprocedural_desmopressin_on.904.aspx

Does desmopressin reduce bleeding after kidney biopsy? In a meta-analysis of 17 trials (5,394 participants), no overall benefit was seen. IV use was linked to higher๐Ÿฉธ odds, while SC & intranasal routes may help. Hyponatremia remains a concern. More trials needed.
๐Ÿ”— journals.lww.com/kidney360/ab...

4 weeks ago 1 0 0 0
Post image

Buenas noches ๐Ÿ˜ด #KidneyRunners ๐Ÿƒ๐Ÿปโ€โ™‚๏ธ #Run4Kidneys ๐Ÿซ˜ #850Challenge ๐ŸŽ—๏ธ

4 weeks ago 0 0 0 0