Pediatric renal angina criteria

Level of risk based on clinical status	Renal angina threshold
Moderate-risk patients
Patients admitted to PICU	Doubling of serum Cr OR eCrCl decrease >50 percent OR ICU fluid overload >15 percent
High-risk patients
Acute decompensated heart failure Stem cell transplant recipient	Serum Cr increase ≥0.3 mg/dL OR eCrCl decrease 25 to 50 percent OR ICU fluid overload >10 percent
Very-high-risk patients
Receiving mechanical ventilation and one or more vasoactive medications	Any serum Cr increase OR eCrCl decrease >25 percent OR ICU fluid overload >5 percent

PICU: pediatric intensive care unit; Cr: creatinine; eCrCl: estimated creatinine clearance; ICU: intensive care unit.

Reproduced from: Basu RK, Chawla LS, Wheeler DS, et al. Renal angina: an emerging paradigm to identify children at risk for acute kidney injury. Pediatr Nephrol 2012; 27:1067. Copyright © 2012; with kind permission from Springer Science + Business Media B.V.

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Pediatric renal angina criteria