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| ID | Type | Description | Link |
|---|---|---|---|
| IIR from Vantive | Other Grant/Funding Number | Vantive |
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| Name | Class |
|---|---|
| Vantive Health LLC | INDUSTRY |
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This is an international, multicenter, observational study aimed at investigating acute kidney injury requiring renal replacement therapy (AKI-RRT) in Latin American countries. The main questions this study aims to answer are:
The main aims of this study are to:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Acute kidney injury patients requiring renal replacement therapy | Critically ill adult patients with acute kidney injury undergoing any form of renal replacement therapy in Latin American hospitals |
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| Measure | Description | Time Frame |
|---|---|---|
| In-hospital mortality | The variable is coded as 1 = deceased and 0 = alive by the time of hospital discharge | From enrollment to hospital discharge or 90 days (whichever occurs first) |
| Measure | Description | Time Frame |
|---|---|---|
| ICU mortality | The variable is coded as 1 = deceased and 0 = alive by the time of ICU discharge | From enrollment to ICU discharge or 90 days (whichever occurs first) |
| 90-day follow-up mortality |
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Inclusion Criteria:
Exclusion Criteria:
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Critically ill patients with AKI requiring RRT in Latin American countries
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Javier A Neyra, MD, MSCS | Contact | 205-975-2021 | jneyra@uabmc.edu | |
| Patricia J Busta Flores | Contact | 205-975-2251 | pjbustaflores@uabmc.edu |
| Name | Affiliation | Role |
|---|---|---|
| Javier A Neyra, MD, MSCS | University of Alabama at Birmingham | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital Obrero No 2 | Recruiting | Cochabamba | Bolivia |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24744281 | Background | Lombardi R, Rosa-Diez G, Ferreiro A, Greloni G, Yu L, Younes-Ibrahim M, Burdmann EA; Acute Kidney Injury Committee of the Latin American Society of Nephrology and Hypertension Working Group. Acute kidney injury in Latin America: a view on renal replacement therapy resources. Nephrol Dial Transplant. 2014 Jul;29(7):1369-76. doi: 10.1093/ndt/gfu078. Epub 2014 Apr 16. | |
| 33981472 |
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The variable is coded as 1 = deceased and 0 = alive by the time of 90-day follow-up
| From enrollment to 90-days post-ICU admission follow-up |
| Length of stay in the ICU | Length of stay will be calculated as the total number of full days between admission and discharge from the ICU. A calendar day will be counted toward the total only if the duration of stay on that day is two hours or longer. | From ICU admission to death or ICU discharge (truncated at 90 days) |
| Length of stay in the hospital | Length of stay will be calculated as the total number of full days between admission and discharge from the hospital. A calendar day will be counted toward the total only if the duration of stay on that day is two hours or longer. | From hospital admission to death or hospital discharge (truncated at 90 days) |
| Renal function recovery at hospital discharge | Recovery will be defined as improvement in kidney function based on serum creatinine value at hospital discharge compared with baseline serum creatinine. Baseline serum creatinine will be defined as either of the following (in order of priority) 1) Average of 3 closest outpatient values 7-365 days before index hospitalization; 2) Lowest value in the inpatient setting 7-365 days before index hospitalization; 3) Lowest value in the first 30 days during index hospitalization (not during or within 48h after RRT discontinuation). Patients who have serum creatinine <0.3 mg/dL higher than baseline at hospital discharge will be considered to have recovered renal function. | From enrollment to hospital discharge or 90 days (whichever occurs first) |
| Renal function recovery at follow-up | Recovery will be defined as improvement in kidney function based of serum creatinine value at follow-up compared with baseline serum creatinine. Baseline serum creatinine will be defined as either of the following (in order to priority) 1) Average of 3 closest outpatient values 7-365 days before index hospitalization; 2) Lowest value in the inpatient setting 7-365 days before index hospitalization; 3) Lowest value in the first 30 days during index hospitalization (not during or within 48h after RRT discontinuation). Patients who have serum creatinine <0.3 mg/dl higher than baseline at follow-up will be considered to have recovered renal function. | From enrollment to 90-days post-ICU admission follow-up |
| RRT dependence at hospital discharge | Patients will be classified as RRT-dependent if they continue to require any form of RRT at discharge. Patients who no longer require RRT will be classified as RRT-independent. | From RRT initiation to hospital discharge or 90 days (whichever occurs first) |
| RRT dependence at follow-up | Patients will be classified as RRT-dependent if they continue to require any form of RRT at follow-up assessment. Patients who no longer require RRT will be considered RRT-independent. | From RRT initiation (day 0) to 90-days post-ICU admission follow-up |
| Anticoagulation-related complications associated with RRT | These include complications attributable to different types of anticoagulation (systemic unfractionated heparin, systemic low molecular weight heparin, regional citrate anticoagulation, other) used during RRT. Events include hemorrhage, heparin-induced thrombocytopenia (where relevant), citrate excess (where relevant), and citrate deficit (where relevant). | RRT initiation (day 0) to RRT day 6 or RRT termination (whichever occurs first) |
| Infectious complications associated with RRT | These include infections associated with RRT. Events include catheter-related bloodstream infections, catheter insertion-site infections, and secondary peritonitis. | RRT initiation (day 0) to RRT day 6 or RRT termination (whichever occurs first) |
| RRT-related procedural complications | Procedural or mechanical complications occurring during RRT will be identified from medical records and bedside documentation. These include catheter malfunction (e.g., kinking, disconnection, malposition, migration, catheter tip adherence to vessel wall), circuit interruptions, circuit replacements, RRT downtime (where relevant). | RRT initiation (day 0) to RRT day 6 or RRT termination (whichever occurs first) |
| Ana Nery Hospital | Not yet recruiting | Bahia | Brazil |
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| Hospital Sao Lucas da PUCRS | Not yet recruiting | Porto Alegre | Brazil |
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| Hospital das Clínicas da Universidade de São Paulo | Not yet recruiting | São Paulo | Brazil |
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| Hospital Las Higueras | Not yet recruiting | Talcahuano | Chile |
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| Fundación Cardioinfantil | Recruiting | Bogotá | Colombia |
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| Hospital San Jose de Popayan | Recruiting | Popayán | Colombia |
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| Hospital General de la Plaza de la Salud | Recruiting | Santo Domingo | Dominican Republic |
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| DIALNEF | Not yet recruiting | Quito | Ecuador |
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| Instituto Guatemalteco de Seguridad Social | Not yet recruiting | Guatemala City | Guatemala |
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| Hospital Civil de Guadalajara | Recruiting | Guadalajara | Mexico |
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| Hospital General de México Dr Eduardo Liceaga | Not yet recruiting | Mexico City | Mexico |
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| Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán | Recruiting | Mexico City | Mexico |
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| Hospital Universitario "José Eleuterio González" | Recruiting | Monterrey | Mexico |
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| Hospital Nacional Arzobispo Loayza | Recruiting | Lima | Peru |
|
| Bello AK, McIsaac M, Okpechi IG, Johnson DW, Jha V, Harris DCH, Saad S, Zaidi D, Osman MA, Ye F, Lunney M, Jindal K, Klarenbach S, Kalantar-Zadeh K, Kovesdy CP, Parekh RS, Prasad B, Khan M, Riaz P, Tonelli M, Wolf M, Levin A; ISN North America and the Caribbean Regional Board. International Society of Nephrology Global Kidney Health Atlas: structures, organization, and services for the management of kidney failure in North America and the Caribbean. Kidney Int Suppl (2011). 2021 May;11(2):e66-e76. doi: 10.1016/j.kisu.2021.01.001. Epub 2021 Apr 12. |
| 39405323 | Background | Wainstein M, Nlandu Y, Viecelli A, Neyra JA, Arruebo S, Caskey FJ, Damster S, Donner JA, Jha V, Levin A, Nangaku M, Saad S, Tonelli M, Ye F, Okpechi IG, Bello AK, Johnson DW, Cerda J. A global snapshot on health systems capacity for detection, monitoring, and management of acute kidney injury: A multinational study from the ISN-GKHA. PLOS Glob Public Health. 2024 Oct 15;4(10):e0003823. doi: 10.1371/journal.pgph.0003823. eCollection 2024. |
| 27086173 | Background | Mehta RL, Burdmann EA, Cerda J, Feehally J, Finkelstein F, Garcia-Garcia G, Godin M, Jha V, Lameire NH, Levin NW, Lewington A, Lombardi R, Macedo E, Rocco M, Aronoff-Spencer E, Tonelli M, Zhang J, Remuzzi G. Recognition and management of acute kidney injury in the International Society of Nephrology 0by25 Global Snapshot: a multinational cross-sectional study. Lancet. 2016 May 14;387(10032):2017-25. doi: 10.1016/S0140-6736(16)30240-9. Epub 2016 Apr 13. |
| 40814609 | Background | Rehman AU, Renzi S, Castro DAB, Cervantes L, Clavero R, Davidson B, Farias MR, Girard VC, Claure-Del Granado R, Ramirez-Guerrero G, Jimenez D, Leon Rabanal CP, Molano Trivino A, Reis T, Rizo-Topete L, Vega-Vega O, Viecelli AK, Kamile Singer Wallbach-Massai K, Wainstein M, Karam S, Neyra JA. Barriers and Facilitators to Renal Replacement Therapy for Acute Kidney Injury in Latin America: Insights From an Expert Roundtable. Kidney Int Rep. 2025 Jun 19;10(8):2515-2519. doi: 10.1016/j.ekir.2025.06.030. eCollection 2025 Aug. No abstract available. |
| 27578995 | Background | Ponce D, Balbi A. Acute kidney injury: risk factors and management challenges in developing countries. Int J Nephrol Renovasc Dis. 2016 Aug 22;9:193-200. doi: 10.2147/IJNRD.S104209. eCollection 2016. |
| 23744003 | Background | Susantitaphong P, Cruz DN, Cerda J, Abulfaraj M, Alqahtani F, Koulouridis I, Jaber BL; Acute Kidney Injury Advisory Group of the American Society of Nephrology. World incidence of AKI: a meta-analysis. Clin J Am Soc Nephrol. 2013 Sep;8(9):1482-93. doi: 10.2215/CJN.00710113. Epub 2013 Jun 6. |
| 42342404 | Derived | Rehman AU, Nombera-Aznaran N, Renzi S, Ghazi L, Tolwani AJ, Molano Trivino A, Reis T, Vega-Vega O, Rizo-Topete L, Claure-Del Granado R, Neyra JA. LATAM-AKID registry: an international multicentre, observational study of acute kidney injury requiring dialysis in Latin America. BMJ Open. 2026 Jun 24;16(6):e115953. doi: 10.1136/bmjopen-2025-115953. |
| ID | Term |
|---|---|
| D058186 | Acute Kidney Injury |
| ID | Term |
|---|---|
| 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 |
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