Nephroprotective Measures in Critically Ill Patients With Moderate/Severe Acute Kidney Injury

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorUniversität Münster

About this trial

This study investigates to which extent recommended nephroprotective measures are implemented in critically ill patients with moderate or severe acute kidney injury.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Critically ill patients with moderate or severe AKI (KDIGO stage 2 / 3)

Requirement of vasopressors or mechanical ventilation

Age ≥ 18 years

Informed consent

Disqualifiers

Chronic kidney disease (CKD) with a glomerular filtration rate < 20ml/min

Chronic dialysis dependency

History of renal transplantation

Permanent ligation of the renal arteries

Trial population

Critically ill patients (intensive care unit of the participating study sites)

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • Nephroprotective measures

    Procedure/Surgery

    Due to the observational design of the study, no study specific interventions are performed. The treatment of the patients is completely guided by the responsible physicians.

Treatment groups

257 Participants
are divided into 1 treatment group
Group A: Critically ill patients1 intervention

Trial outcomes

Primary outcomes

1

Rate of patients in whom "Kidney Disease: Improving Global Outcomes (KDIGO)" guideline recommendations are successfully implemented for 48 hours, following the onset of moderate/ severe AKI (defined by KDIGO criteria)

Time frame
60 hours after onset of moderate/severe AKI

Secondary outcomes

1

Severity of Acute Kidney Injury

Severity of AKI (worst Acute Kidney Injury (AKI) stage according to Kidney Disease: Improving Global Outcomes (KDIGO) criteria, with stage 1 being the least and stage 3 being the most severe stage)

Time frame
within 72 hours after diagnosis
2

Duration of AKI (Acute Kidney Injury)

transient AKI (\< 48 hours), persistent AKI (48 hours - 7 days) or acute kidney disease (AKD) (\> 7 days)

Time frame
from onset of AKI until follow-up day 30

Other outcomes

1

Number of participants with recovery of baseline renal function

recovery of baseline renal function measured by estimated glomerular filtration rate (eGFR) at hospital discharge

Time frame
hospital discharge (up to 30 days)
2

Number of Participants with need for renal replacement therapy

defined as whether or not any kind of renal replacement therapy became necessary at any point

Time frame
within 30 days of AKI onset
3

Free-days of mechanical ventilation

Time frame
within 30 days of AKI onset
4

Length of hospital stay

Time frame
at hospital discharge (up to 30 days)

Sponsors and contacts

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