Nephrology and Internal Medicine doctor |Promoter of Healthy Habits| @GlomCon Graduate 22-23 | I tweet in English & Spanish
Mar 30 • 8 tweets • 3 min read
AKI guidelines hadn’t been updated since 2012.
The KDIGO 2026 AKI/AKD Public Review Draft just dropped and it changes how we define, diagnose, and follow up after acute kidney injury.
Here’s what every nephrologist, intensivist, and internist needs to know 🧵
⚠️ Public review draft only · Not yet final guidelines
1/ The biggest conceptual shift: AKI is no longer a standalone event.
The 2026 draft formalizes the AKI → AKD → CKD continuum:
🔵 AKI → days
🟡 AKD → <3 months
🔴 CKD → >3 months
AKD without prior AKI must be differentiated from AKD following AKI — different causes, different management.
Hospital discharge is not the finish line. It’s the starting point.