
#KidneyDoctor #Researcher Member of @goKDIGO ExCom Member @SLANH #AKI committee Views do not represent those of my employer #NephroRunner #StopAKI
Joined March 2015
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#KidneyWk ππ»Rethinking post-AKI care!
π₯ COPE-AKI trial: Can multidisciplinary care improve recovery after severe AKI?
π©ββοΈ Nurse navigator + pharmacist + nephrologist + remote monitoring
π―: hospital-free days at 90 days.
Kidney recovery needs team-based care beyond discharge!
#KidneyWk 2026 | Post-AKI care: One size does NOT fit all!
KAMPS provides a framework:
π©Ί Kidney function
π’ Advocacy
π Medications
π©Έ Pressure
β οΈ Sick-day rules
π‘ Recovery care must be individualized by AKI etiology, comorbidities & medication needs.
#KidneyWk 2026 | Closing the post-AKI care gap
π AKI documentation at discharge improved from 22% to 92% with bundled intervention.
β οΈ Yet fewer than 25% receiveπ« function testing within 90 days.
AKI recovery requires structured follow-up, better βΉοΈ & multidisciplinary care!
#KidneyWk 2026 | Moving from AKI recognition to prevention!
π Tackling AKI: Better care, shorter hospital stays, but no mortality benefit.
π NINJA: 23.8% reduction in nephrotoxic AKI across centers.
π‘ The future of AKI prevention lies in system-level interventions!
#KidneyWk 2026 | AKI care gaps
β οΈ Patient education and post-AKI follow-up remain inadequate.
4οΈβ£ priorities:
1οΈβ£ Early recognition
2οΈβ£ Better discharge communication
3οΈβ£ Structured follow-up
4οΈβ£ Global implementation (ISN 0by25 & 5R)
AKI care must extend beyond hospital discharge
#KidneyWk 2026
Key predictors of successful dialysis discontinuation:
π§ Higher urine output
π Creatinine clearance β₯10 mL/min (stronger signal at 15β20)
π§ͺ UACR for assessing kidney recovery potential
Simple clinical tools remain essential for individualized RRT decisions.
π¬ #KidneyWk 2026 | Biomarkers in AKI
Urinary CCL14 outperformed NGAL, CHI3L1, cystatin C & proenkephalin in predicting persistent severe AKI.
π Higher CCL14 levels were linked to greater RRT requirements.
CCL14 may improve risk stratification and guide kidney care decisions.
π¬ #KidneyWk 2026
Beyond urine output & CrCl, proenkephalin (penKid) may help predict kidney recovery.
π ELAIN analysis: Lower pre-RRT penKid predicted earlier successful dialysis liberation.
π‘ Biomarkers + functional assessment may guide personalized RRT discontinuation.
π¬ #KidneyWk 2026 |
Urine microscopy is valuable for AKI diagnosis, but its role in guiding RRT discontinuation remains unvalidated.
β οΈ Operator dependence & unreliable urine chemistry limit its use.
Diagnostic utility β predictive value for π«recovery.
Pre-admission proteinuria is a key predictor of renal non-recovery! In patients with baseline eGFR 15β29, 90-day kidney recovery declined from 45.5% to 25.3% with β₯2+ proteinuria.
AKI recovery depends not only on injury severity, but also on pre-existing π«health. #KidneyWk
Can the furosemide stress test predict π« recovery after CRRT?
In 25 patients, urine output after IV furosemide was significantly β¬οΈin those who recovered π«function (654 vs 48 mL; AUC 0.84). A promising functional tool to guide RRT liberation, beyond serum sCr alone.
#KidneyWk
A paradigm shift in AKI-D management #KidneyWk The LIBERATE-D study challenges the idea that π« function must recover before stopping dialysis. Even with CrCl of 5β<10 mL/min, 44% remained dialysis-free for 7 days.
Could stopping dialysis be part of the path to kidney recovery?
𧬠From the RNA world to complex life!
At #KidneyWk 2026, Craig Mello explores how biological information evolvedβfrom RNA & DNA to intricate networks of molecular interactions.
Lifeβs information is not just encoded in genes; it emerges from dynamic, self-organizing networks.
𧬠Identical transgenes at the same chromosomal site can remain ON or OFF through stable gene silencing.
A striking example of RNA-mediated epigenetic regulationβand its potential to inspire precision therapies! π¬#KidneyWk
𧬠At #KidneyWk 2026, Craig Mello highlights RNAiβs therapeutic power: synthetic siRNAs guide Argonaute (RISC) to complementary mRNAs, triggering their degradation and reducing disease-causing protein production.
Precision medicine at the RNA level! π¬
𧬠From C. elegans to precision medicine
At #KidneyWk 2026, Craig Mello highlights how RNAi transformed basic science into targeted therapeutics.
The breakthrough: silencing disease-causing genes at the mRNA level, opening new avenues for treating previously undruggable targets
Inspiring start to Day 3 of #KidneyWk 2026! Listening to Nobel Laureate Craig C. Mello on RNA interference, from discoveries in C. elegans to a revolution in molecular biology and medicine. A powerful reminder of how basic science transforms human health! π¬π§¬
Rolando Claure, MD, FASN, FISN π§π΄ retweeted
#KidneyWk NephRun 2 is in the books! Lead by the blazing pacesetter @kidney_boy himself.
Proud to see my mentor, Prof. @RavindraLMehta1, receive the prestigious @ASNKidney 2026 Robert G. Narins Award at #KidneyWk!
As a former mentee, I am deeply grateful for his guidance, inspiration, and lasting impact on my professional journey. Well-deserved recognition, Ravi!
πββοΈ Second @NephJC morning run in Denver before Day 3 of #KidneyWk 2026!
This time led by @kidney_boy! πποΈ
Great way to start the day with friends, exercise, and the amazing nephrology community!
@NephJC @ASNKidney
#NephRun #KidneyWk















































