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In patients with sepsis and AKI, increasing the intensity of renal replacement therapy from 50 mL/kg/h (HVHF) to 85 mL/kg/h (EHVHF)will increase the survival at 28 days and 90 days.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| extra high volume hemofiltration | Experimental | extra high volume hemofiltration (85 mL/kg/h, EHVHF) |
|
| high volume hemofiltration | Sham Comparator | high volume hemofiltration (50 mL/kg/h, HVHF) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| extra high volume hemofiltration | Other | extra high volume hemofiltration (85 mL/kg/h, EHVHF) |
|
| Measure | Description | Time Frame |
|---|---|---|
| 90 days survival | The primary study outcome was death from any cause within 90 days. Results were analyzed by Kaplan-Meier survival curves |
| Measure | Description | Time Frame |
|---|---|---|
| length of stay in the ICU and hospital | Secondary outcomes were length of stay in the ICU and hospital and renal outcome of survivors at 90 days after randomization. |
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Inclusion Criteria:
met at least one of the following criteria: oliguria (urine output less than 100 mL in a 6 h period and unresponsive to fluid resuscitation), serum potassium concentration more than 6.5 mmol/L, severe acidemia (pH < 7.2), serum creatinine more than 250 µmol/L, or presence of severe organ edema (e.g. pulmonary edema).
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| jianghua chen, MD | Kidney disease center, the first affiliated hospital, medical college of Zhejiang university | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kidney disease center, the first affiliated hospital, medical college of Zhejiang university | Hangzhou | Zhejiang | 310003 | China |
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| ID | Term |
|---|---|
| D018805 | Sepsis |
| D058186 | Acute Kidney Injury |
| ID | Term |
|---|---|
| D007239 | Infections |
| D018746 | Systemic Inflammatory Response Syndrome |
| D007249 | Inflammation |
| D010335 | Pathologic Processes |
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| high volume hemofiltration | Other | high volume hemofiltration (50 mL/kg/h, HVHF) |
|
| D013568 |
| Pathological Conditions, Signs and Symptoms |
| D051437 | Renal Insufficiency |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |