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Midodrine is Effective in Management of Intradialytic Hypotension Among Critically-ill Patients With Acute Kidney Injury

Not Applicable
Completed
Conditions
Acute Kidney Injury
Interventions
Drug: Placebo
Registration Number
NCT03431194
Lead Sponsor
Benha University
Brief Summary

The aim of this randomized trial was to assess the efficacy of oral midodrine tablets for the management of intradialytic hypotension among critically ill patients with acute kidney injury.

Detailed Description

In This open -label study, patients in ICU with acute kidney injury are randomized to either midodrine tablets or placebo. the number of intradialytic episodes and both systolic and diastolic blood pressure between both groups are compared. Mortality and adverse effects are monitored and compared as well.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
80
Inclusion Criteria
  • ICU patients
  • acute kidney injury
  • age above 18 years
  • documented hypotension during dialysis
Exclusion Criteria
  • packed red blood cells transfusion
  • intravenous inotropes
  • alteration of blood pressure medications

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
placebo groupPlaceboPatients receive sugary oral tablets therapy
midodrine groupmidodrinePatients will receive midodrine tablets
Primary Outcome Measures
NameTimeMethod
Number of hypotensive episodes30 days from start of hemodialysis

Number of hypotensive episodes

Secondary Outcome Measures
NameTimeMethod
mean systolic blood pressure30 days from start of hemodialysis

compare mean systolic blood pressure between the two arms

mean diastolic blood pressure30 days from start of hemodialysis

compare mean diastolic blood pressure between the two arms

Mortality in each arm30 days from start of hemodialysis

Number of dead patients in each arm

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