In cirrhosis with suspected HRS-AKI and baseline CKD or chronically elevated creatinine, how do you define a clinically meaningful ‘improvement’ during an albumin trial (over 24–48 hours) to distinguish HRS-AKI from volume-responsive AKI?
1 Answers
Mednet Member
Hepatology · University of Toronto
If the acute rise in serum creatinine returns to the pre-AKI level, the patient has volume-responsive AKI.