Paediatric-modified RIFLE criteria, staged on estimated creatinine clearance and urine output.
The pRIFLE — Paediatric Acute Kidney Injury is a renal scoring tool used in paediatric practice. Paediatric-modified RIFLE criteria, staged on estimated creatinine clearance and urine output. It scores 3 criteria and interprets the total across 6 bands, so the number always arrives with the severity it implies rather than on its own. In PediAid each criterion is shown as a labelled option with the weight it carries, so the total can be checked rather than taken on trust.
3. They are Change in estimated creatinine clearance (eCCl); Urine output; Duration of failure (if applicable).
The total is interpreted as: any score - No AKI: neither creatinine-clearance nor urine-output criteria met - no AKI by pRIFLE; 1 point or more - RISK: pRIFLE class R (Risk). Review nephrotoxins, optimise perfusion and fluid balance, monitor creatinine and urine output closely; 2 points or more - INJURY: pRIFLE class I (Injury). Stop nephrotoxic drugs, adjust drug dosing for renal function, and involve nephrology; 3 points or more - FAILURE: pRIFLE class F (Failure). Urgent nephrology input; assess need for renal replacement therapy; 4 points or more - LOSS: class L (Loss) - persistent failure beyond 4 weeks. Ongoing renal replacement and long-term nephrology follow-up; 5 points or more - END-STAGE: class E (End-stage) - ESRD beyond 3 months. Long-term dialysis or transplant planning.
No. It is a structured way to record and communicate severity. A clinician concerned about a child should act on that concern regardless of the total.
Class is assigned by the WORSE of the two criteria (creatinine clearance or urine output).
Yes. Score definitions are bundled with the PediAid app, so the score computes without a connection.