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Acute kidney injury (AKI) is a frequent problem in the intensive care unit (ICU) affecting more than 50 % of patients. AKI is associated with several adverse outcomes, including increased mortality and increased length of ICU- and hospital stay, in particular in patients requiring Renal Replacement Therapy (RRT).
Choosing the optimal time for attempting liberation from RRT is still unclear. With this study, we will describe the ability of renal ultrasound in predicting the outcome of dialysis weaning.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ICU patients | Patients who are treated with dialysis as CRRT and planned to undergo dialysis weaning. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dialysis weaning | Other | Dialysis weaning as planned by the attending ICU-physician. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Dialysis weaning | If discontinuation of Dialysis is successful or not. Successful dialysis weaning is defined as no renal replacement therapy (RRT) required within the first 7 days after stopping continuous renal replacement therapy (CRRT) and non-successful weaning as the need for RRT within the first 7 days. | 7 days |
| Measure | Description | Time Frame |
|---|---|---|
| Renal Doppler arterial Resistive Index (RI) | Measured in the interlobar vessels | Measured at the beginning of weaning and after 6 hours. |
| Renal Doppler Renal Venous Stasis Index (RVSI) | Measured in the interlobar vessels |
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Inclusion Criteria:
Exclusion Criteria:
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Patients admitted to the ICU, Aarhus University Hospital who are treated with dialysis as CRRT and planned to undergo dialysis weaning as determined their attending ICU physician.
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| Name | Affiliation | Role |
|---|---|---|
| Peter Juhl-Olsen, MD, PhD | Aarhus University Hospital | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Aarhus University Hospital, Department of Anaesthesiology | Aarhus | 8200 | Denmark |
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| ID | Term |
|---|---|
| D058186 | Acute Kidney Injury |
| ID | Term |
|---|---|
| D051437 | Renal Insufficiency |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
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| Measured at the beginning of weaning and after 6 hours. |
| Renal Doppler Venous Impedance Index (VII) | Measured in the interlobar vessels | Measured at the beginning of weaning and after 6 hours. |
| Portal vein Doppler Pulsatility Fraction PF) | Measured in the interlobar vessels | Measured at the beginning of weaning and after 6 hours. |
| Urine Output | 4 days |
| Urine Creatinine Clearance | 4 days |
| D005261 |
| Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |