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Different prescribed doses of high volume peritoneal dialysis and outcome of patients with acute kidney injury

Completed
Conditions
Acute Kidney Injury
Urological and Genital Diseases
Registration Number
ISRCTN52811271
Lead Sponsor
São Paulo State University (Universidade Estadual Paulista [UNESP]) (Brazil)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
120
Inclusion Criteria

1. Adults with Acute Kidney Injury (AKI) according to Acute Kidney Injury Network (AKIN) criteria
2. Clinical diagnosis of severe acute tubular necrosis (ATN) caused by a recent ischemic or nephrotoxic injury. Severe ATN was defined as a history of prolonged and profound hypotension, severe nephrotoxic drugs overdose, or excess endogenous nephrotoxic pigments (hemoglobinuria, myoglobinuria). Diagnosis was based on clinical history, results of physical examination, relevant blood tests, and urinalysis (microscopical examination of urinary sediment), a fractional excretion of sodium that exceeded 1% and the findings on renal ultrasonography.

Exclusion Criteria

1. Under 18 years of age
2. Functional azotemia
3. Urinary tract obstruction
4. Acute interstitial nephritis
5. Rapidly progressive glomerulonephritis
6. History of chronic renal insufficiency (serum creatinine 43mg per 100 ml)
7. Renal transplantation
8. Pregnancy
9. Severe hypercatabolism according to Scherier criteria
10. Absolute contraindication for PD were recent abdominal surgery (less than one month)
11. Multiple abdominal surgeries (more than three)
12. Patients submitted to less than one session of high volume PD (HVPD), defined as 24 h.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Death within 30 days
Secondary Outcome Measures
NameTimeMethod
1. Recovery of kidney function within 30 days<br>2. Metabolic control
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