About this trial
The only supportive therapy for patients with AKI is renal replacement therapy (RRT). In the ICU setting, continuous RRT (CRRT) is mostly favored. In a post-hoc analysis of the RICH trial (regional citrate versus systemic heparin anticoagulation for CRRT in critically ill patient with AKI), it was shown that the filter life span is associated with an increased rate of new infection and that the type of anticoagulants did not directly affect infection rate. The mechanisms of this infection rate is unknown.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adult patients (age ≥18 years)
Critically ill patients with dialysis-dependent AKI
Continuous renal replacement therapy (CRRT)
Written informed consent
Disqualifiers
Chronic kidney disease with estimated glomerular filtration rate (eGFR)<30ml/min/1.73m2
Chronic dialysis dependency
Kidney transplant
(Glomerulo-)nephritis, interstitial nephritis, vasculitis
Trial population
Critically ill patients
Trial design
Cohort
Prospective
Treatments tested in this trial
Critically ill patients with continuous renal replacement therapy
Procedure/SurgeryDue to the observational design of the study, no study-specific interventions are performed. The treatment of the patients is completely guided by the responsible ICU physicians.
Treatment groups
Trial outcomes
Primary outcomes
Number of new infections since start of dialysis
Secondary outcomes
Number of new blood stream infections
Number of new pneumonia
Number of new urinary tract infection
Number of new catheter blood stream infection
Other outcomes
Transmigration of neutrophils
Transmigration of neutrophils
Transmigration of neutrophils
Transmigration of neutrophils
Sponsors and contacts
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University Hospital Muenster
Lead sponsor
Baxter Healthcare Corporation
Collaborator