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Early Detection of Acute Kidney Injury (EDAKI)

Not Applicable
Conditions
Acute Kidney Injury
Acute Renal Failure
Cardiac Arrest
Abdominal Aortic Aneurysm
Hypotension
Renal and Urogenital - Kidney disease
Registration Number
ACTRN12610001012066
Lead Sponsor
niversity of Otago Christchurch
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot yet recruiting
Sex
All
Target Recruitment
100
Inclusion Criteria

On entry to the ED:
(1)Cardiac Arrest within the preceding three hours AND/OR
(2)Ruptured Abdominal Aortic Aneurysm AND/OR
(3)Sustained hypotension (defined as systolic blood pressure (SBP) <90 mmHg or Mean Arterial Pressure (MAP) < 65 mmHg after 1000ml IV fluid challenge / 60 mins (including Intravenous (IV) fluids pre hospital)) AND/OR
(4)Profound hypotension (Systolic Blood Pressue (SBP) less than 60mmHg) of any duration.

Exclusion Criteria

(1)Age<16
(2)Moribund, not expected to survive 24 hours
(3)Likely to be discharged within 24 hours
(4)Drug overdose
(5)Treatment limitation order
(6)Receiving Renal Replacement Therapy
(7)More than 4 hours since entry to ED
(8) Inter-hospital transfer unless arrival in ED within <3 hours of event
(9)Non-consent

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Reduction of False Negative rate for prediction of Acute Kidney Injury (AKI) by sampling on entry to the Emergency Department (ED) compared with on entry to the Intensive Care Unit (ICU)[Comparison between on entry to ED compared with on entry to ICU]
Secondary Outcome Measures
NameTimeMethod
Receiver Operator Characteristic (ROC) plot analysis (receiver-operating characteristic) will be used to compare the discriminative power of the biomarkers for AKI, need for Renal Replacement Therapy (RRT), Death (30 day).[On entry to ED. On entry to the ICU. During ICU stay (7 days)]
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