Severe acute kidney injury (KDIGO stage 3) in critically ill patients undergoing renal replacement therapy (CRRT or SLED) Critical illness acute kidney injury Renal replacement therapy Micronutrient supplementation SOFA score
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Age more than 18 years 2.ICU patients with severe acute kidney injury KDIGO stage 3 3.Receiving renal replacement therapy CRRT or SLED 4. Informed consent obtained from patient or legal representative
Exclusion criteria
Exclusion criteria: 1.Use of oral nutritional supplements 2. ICU stay more than 7 days before enrollment 3. Receiving parenteral nutrition 4. History of kidney transplantation 5.Pregnancy or breastfeeding 6.Known allergy to study supplements 7.Acute liver failure or fulminant hepatitis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in Sequential Organ Failure Assessment-2 (SOFA-2) score 28 day Sequential Organ Failure Assessment-2 (SOFA-2) score calculated using clinical and laboratory parameters. | — |
Secondary
| Measure | Time frame |
|---|---|
| Duration of renal replacement therapy 28 days Number of days receiving renal replacement therapy recorded from medical records.,Length of ICU stay 28 days Number of days receiving renal replacement therapy recorded from medical records,Duration of mechanical ventilation 28 days Number of days receiving mechanical ventilation from initiation to discontinuation, obtained from medical records.,C-reactive protein (CRP) level 28 days Serum CRP level measured using standard laboratory assay from blood samples.,Interleukin-6 (IL-6) level 28 days Serum Interleukin-6 (IL-6) level measured using standard laboratory assay from blood samples.,Total antioxidant capacity 28 days Total antioxidant capacity measured using standard laboratory assay from blood samples. | — |
Countries
Thailand
Contacts
Nephrology department King Chulalongkorn Memorial Hospital