Acute Kidney Injury
Conditions
Brief summary
The investigators conducted a comparison trial between SLED and CRRT in critically ill patients to evaluate the outcome for all cause mortality at 30 day . The secondary outcome were recovery of renal function, complications during therapy and duration of hospitalization.
Detailed description
The investigators performed a single center experience accumulated over 12 months since February 2009 with a continuous venovenous hemodiafiltration (CVVHDF) and hybrid technique named sustained low-efficiency dialysis (SLED). The primary end point was death from any cause by day 30. Intensive care unit (ICU) patients were eligible for inclusion when serum creatinine was \> 2 mg/dL, and renal replacement therapy (RRT) was initiated. The selected patients were treated with CVVHDF or SLED.
Interventions
Slow dialysis 4 times weekly 8 hours CVVHDF predilution mode
Sponsors
Study design
Eligibility
Inclusion criteria
\- The inclusion criteria were 1. AKI requiring RRT 2. Hemodynamic instability defined by systolic blood pressure ≤ 90 mmHg and/or diastolic blood pressure ≤ 60 mmHg 3. Patients requiring initiation to vasopressor support
Exclusion criteria
* Patients with pre-existing chronic kidney disease ( eGFR less than 30 mLmin/1.73m2) were excluded
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| All-cause mortality | 30 day | ll-cause mortality at 30 days following RRT initiation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Numbers of patients with abnormal laboratory values | 30 days | Renal function impairment |
| ICU stay | 30 days | Total days in ICU |
Other
| Measure | Time frame | Description |
|---|---|---|
| Adverse events during treatment | 30 days | Number of patients with catheter infection |
Countries
Thailand