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Critically ill patients are at high risk of developing acute kidney injury (AKI). Lithium is freely filtrated at the glomerulus and almost completely reabsorbed in the proximal tubule, which provides a quantitative estimation of proximal tubule reabsorption. The investigators hypothesized that endogenous lithium reabsorption is impaired in the early stages of critical illness.
Investigators would like to study 10 ICU patients with AKI diagnosed, 10 patients without AKI, and 10 healthy controls.
Blood and urine samples will be obtained at 08:00, 14:00 and 20:00 during one day. Renal clearance of creatinine (CCr) and lithium will be calculated.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1 | ICU patients with AKI |
| |
| Group 2 | ICU patients with normal renal function |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Lithium clearance | Diagnostic Test | Blood and urine samples |
|
| Measure | Description | Time Frame |
|---|---|---|
| Renal lithium clearance | Clearance of lithium from the body | 2 days |
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Inclusion Criteria:
Exclusion Criteria:
-
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Critically ill patients and healthy controls
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| Name | Affiliation | Role |
|---|---|---|
| Lars MG Ytrebø, MD PhD | University Hospital of North Norway | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital of North Norway | Tromsø | Troms | 9038 | Norway |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41507830 | Derived | Jakobsen K, Backmann H, Nicolaysen NG, Zahn R, Huber S, Skogen V, Kildal AB, Ytrebo LM. Renal clearance of endogenous lithium as a marker of proximal tubule function in sepsis and sepsis-associated acute kidney injury : A prospective single-centre study. BMC Nephrol. 2026 Jan 8;27(1):93. doi: 10.1186/s12882-026-04743-1. |
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Urine and blood