Health Condition 1: N178- Other acute kidney failure
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: ARDS patients who receive either oxygen therapy, non-invasive ventilation or invasive ventilation (endotracheal or tracheostomy) within the first 24 hours of diagnosis. Patients should have an acute decrease in ratio of partial pressure of arterial oxygen to fraction of inspired oxygen of less than or equal to 200. Evidence of bilateral pulmonary infiltrates on a chest radiograph consistent with ARDS C-reactive protein levels less than 50mg per L Bedside ultrasonogram confirming normal kidneys on admission.
Exclusion criteria
Exclusion criteria: No past history of kidney injury, obstructive nephropathy, pyelonephritis, circulatory shock requiring vasopressors, cardio-respiratory arrest or IV contrast which can contribute to AKI. No history of nephrotoxic drugs for the past 2 weeks Patients with any mode of ventilation less than 24 hours received from outside hospital.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Prevalence of acute kidney injury among spontaneous or controlled ventilation patients with ARDSTimepoint: Blood and urine samples will be collected within 12-24 hours of time of admission | — |
Secondary
| Measure | Time frame |
|---|---|
| To determine the feasibility of using the inflammatory and urinary biomarkers for predicting acute kidney injury in moderate to severe ARDS patients who are on spontaneous or controlled ventilation and develop a prediction toolTimepoint: 12-24 hours of admission | — |
Countries
India
Contacts
Kasturba Medical College, Manipal Academy of Higher Education, Manipal