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Aim of the study is to reduce the incidence of RIFLE stadium L and E after acute kidney injury in patients with severe sepsis/septic shock
Patient with proved severe sepsis/septic shock, treated in accordance to actual sepsis guidelines, who develope akute kidney injury (RIFLE I) or kidney failure (RIFLE F), were randomized in two groups.
One group is treated with CVVHD/ local citrat anticoagulation (standart clinical practice).
The other group ist treated with an additional cytokine adsorber ( 300ml CytoSorb device, 3804606CE01)
CytoSorb therapy is performed for 24h, then the adsorber is changed into a new device.
Cytosorb therapy is stopped, when Interleukin 6 leves drop below 1000 pg/ml in patient serum.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| intervention | Active Comparator | Standart CVVHD plus CytoSorb 300 ml device (3804606CE01) |
|
| control | No Intervention | Standart CVVHD |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CytoSorb 300 ml device (3804606CE01) | Device | additional cytokine adsorber |
|
| Measure | Description | Time Frame |
|---|---|---|
| RIFLE stadium L or E after acute kidney injury related to sepsis | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| mortality | 3 months | |
| length of renal replacement therapy | 3 months | |
| SOFA score |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ralph Bogdanski, MD | Contact | +498941405472 | ralph.bogdanski@tum.de | |
| Barbara Kapfer, MD | Contact | +498941405473 | b.kapfer@tum.de |
| Name | Affiliation | Role |
|---|---|---|
| Kochs Eberhard, Chairman | Department of Anaesthsiology | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Klinik für Anästhesiologie | Recruiting | München | Bavaria | 81675 | Germany |
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| ID | Term |
|---|---|
| D051437 | Renal Insufficiency |
| D007676 | Kidney Failure, Chronic |
| D018805 | Sepsis |
| D058186 | Acute Kidney Injury |
| ID | Term |
|---|---|
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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| 3 months |
| cumulative dose of vasopressor support | 4 weeks |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D051436 | Renal Insufficiency, Chronic |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D007239 | Infections |
| D018746 | Systemic Inflammatory Response Syndrome |
| D007249 | Inflammation |