Inclusion criteria | Exclusion Criteria |
---|---|
Adult participants aged 18 years to 89 years. | Inability to provide informed or surrogate consent. |
Children aged greater than one month to less than 18 years old at cohort entry. | Died prior to the three-month study visit. |
Documented "baseline" serum creatinine defined as the outpatient, non-emergency department test value nearest to the index hospitalization within 7 and 365 days prior to admission using an IDMS-traceable serum creatinine assay. | Incarcerated, institutionalized, or otherwise unable to participate in the study within a home, community, or clinical setting. |
In the TRIBE-AKI consortium, pre-operative serum creatinine results from an IDMS-traceable assay obtained within seven days before cardiac surgery can be used to define "baseline" kidney function for the subset of participants who are undergoing non-urgent cardiac surgery. | Enrolled in an active interventional study at the three-month in-person study visit. |
For pediatric participants in TRIBE-AKI, a pre-operative serum creatinine concentration measured in the local hospital clinical laboratory among patients scheduled for elective cardiac surgery. | Actively pregnant or breastfeeding. Prior chronic hemodialysis, peritoneal dialysis (lasting ≥three months), or estimated GFR <15 ml/min/1.73 m2 not receiving renal replacement therapy. History of solid organ and/or hematopoietic cell transplants. |
 | Acute glomerulonephritis diagnosed clinically or by biopsy. |
 | Clinically significant urinary tract obstruction, confirmed by imaging. |
 | Hospitalization involving acute nephrectomy. |
 | History of multiple myeloma. |
 | Hepatorenal syndrome. |
 | Metastatic cancer or systemic cancer receiving active treatment. |
 | New York Heart Association Class IV heart failure prior to index admission. |
 | Predicted survival of 12 months or less as determined by the participant's treating physician or Clinical Research. |
 | Center Principal Investigator. |
 | AKI participants who remain hospitalized 90 or more days after the AKI episode. |
 | ESRD at the time of the three-month study visit. |
 | Unable to provide at least 1.5 mL of plasma for adults at the Inpatient visit. |
 | Unable to provide at least 3 mL of urine for adults at the Inpatient visit. |
 | Unable to provide at least 10 mL of blood for adults and 1 mL of blood for children at the three-month visit. |