Status and phase
Conditions
Treatments
Study type
Funder types
Identifiers
About
The aim of this study is to evaluate the effect of regional citrate anticoagulation within the scope of continuous renal replacement (CRRT) in critically ill patients with acute kidney injury (AKI) on filter life span and 90-day all cause mortality.
Full description
Purpose of clinical trial:
To evaluate the effect of regional citrate anticoagulation within the scope of continuous renal replacement (CRRT) in critically ill patients with acute kidney injury (AKI) on filter life span and 90-day all cause mortality.
Patient population: critically ill patients with acute kidney injury requiring renal replacement therapy.
Primary objective:
Anticoagulation of the extracorporeal circuit is required in continuous RRT (CRRT). To this date, it is not clear which anticoagulant should be used for CRRT. Regional citrate anticoagulation (RCA) for CRRT in critically ill patients with AKI prolongs filter life span and reduces 90-day all cause mortality by approximately 8% (from 48% to 40%) compared to systemic heparin anticoagulation for CRRT
Enrollment
Sex
Ages
Volunteers
Inclusion criteria
Critically ill patients with clinical indication for CRRT (clinical decision to use continuous RRT due to hemodynamic instability)
Or
Severe acute kidney injury (KDIGO 3-classification) despite optimal resuscitation
At least one of the following conditions
18-90 years old
Intention to provide full intensive care treatment for at least 3 days
Written informed consent of the patient or the legal representatives or the authorized representative or the inclusion due to an emergency situation
Exclusion criteria
Primary purpose
Allocation
Interventional model
Masking
638 participants in 2 patient groups
Loading...
Data sourced from clinicaltrials.gov
Clinical trials
Research sites
Resources
Legal