diff --git a/mimic-iv/concepts_duckdb/organfailure/kdigo_stages.sql b/mimic-iv/concepts_duckdb/organfailure/kdigo_stages.sql
index c9eb0294..8b0b6369 100644
--- a/mimic-iv/concepts_duckdb/organfailure/kdigo_stages.sql
+++ b/mimic-iv/concepts_duckdb/organfailure/kdigo_stages.sql
@@ -14,7 +14,10 @@ WITH cr_stg AS (
       THEN 3
       WHEN cr.creat >= 4
       AND (
-        cr.creat_low_past_48hr <= 3.7 OR cr.creat >= (
+        cr.creat >= (
+          cr.creat_low_past_48hr + 0.3
+        )
+        OR cr.creat >= (
           1.5 * cr.creat_low_past_7day
         )
       )
diff --git a/mimic-iv/concepts_postgres/organfailure/kdigo_stages.sql b/mimic-iv/concepts_postgres/organfailure/kdigo_stages.sql
index bb63624e..3946bccf 100644
--- a/mimic-iv/concepts_postgres/organfailure/kdigo_stages.sql
+++ b/mimic-iv/concepts_postgres/organfailure/kdigo_stages.sql
@@ -15,7 +15,10 @@ WITH cr_stg AS (
       THEN 3
       WHEN cr.creat >= 4
       AND /* For patients reaching Stage 3 by SCr >4.0 mg/dl */ /* require that the patient first achieve ... */ /*      an acute increase >= 0.3 within 48 hr */ /*      *or* an increase of >= 1.5 times baseline */ (
-        cr.creat_low_past_48hr <= 3.7 OR cr.creat >= (
+        cr.creat >= (
+          cr.creat_low_past_48hr + 0.3
+        )
+        OR cr.creat >= (
           1.5 * cr.creat_low_past_7day
         )
       )