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Acute Interstitial Nephritis (AIN) Risk Calculator

NephrologyAcute kidney injuryDiagnosisBeta toolThis tool is in beta. It has undergone internal validation but still requires additional testing. Always confirm the data entered and the results obtained before clinical use. It should not be used as the sole basis for clinical decisions.
Use mg/dL. Approved range is 0.01 through 40.
mg/dL
Use mg/dL. The model derives the BUN:creatinine ratio internally.
mg/dL
Enter specific gravity as a decimal between 1.000 and 1.050.
unitless
Dipstick proteinuria >=2+Select whether dipstick proteinuria is 2+ or greater.
Use a probability >0 and <=1. A value of 0.23 reproduces the development cohort and current MDCalc default.
probability

Clinical noticeEducational prebiopsy diagnostic-support tool only. Interpret alongside nephrology assessment, urinalysis context, and biopsy feasibility.

Context and use

AIN probability = logistic[(0.8367518 x ln(creatinine)) - (0.9181938 x ln(BUN/creatinine)) - (0.0501203 x ((specific gravity - 1) x 1000)) + (0.9360127 x proteinuria<2+) + 0.770398 + ln(local prevalence/0.23)]

The result is returned as a percentage rounded to one decimal place. Bands use the unrounded probability: <20% low, 20% to <50% intermediate, and >=50% high.

Certifications and Compliance

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