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Early versus conventional start of dialysis in children with acute kidney disease

Phase 3
Conditions
Health Condition 1: N179- Acute kidney failure, unspecified
Registration Number
CTRI/2022/03/041209
Lead Sponsor
Kambagiri Pratyusha
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

Critically ill children from 6 months to <16 years of age with acute kidney injury stage 3 defined by KDIGO criteria

Exclusion Criteria

Children already initiated on RRT, Fluid overload > 10-15%, Severe metabolic acidosis pH <7.1, Severe Pulmonary edema, Hyperkalemia > 6.0 mEq/L refractory to medical management, Uremic encephalopathy, Inborn errors of metabolism/ Intoxication/ poisoning where hemodialysis is required urgently

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
All-cause mortality at 90 daysTimepoint: All-cause mortality at 90 days
Secondary Outcome Measures
NameTimeMethod
Dependency on RRT at 60 days / mean duration of RRTTimepoint: Dependency on RRT at 60 days / mean duration of RRT;eGFR, ACR and blood pressure at 90 daysTimepoint: eGFR, ACR and blood pressure at 90 days;Improvement in the pSOFA score in both the groupsTimepoint: Improvement in the pSOFA score in both the groups;Incidence of catheter related nosocomial infectionTimepoint: Incidence of catheter related nosocomial infection;Median duration of inotropesTimepoint: Median duration of inotropes;Median duration of ventilationTimepoint: Median duration of ventilation;Median length of hospital stayTimepoint: Median length of hospital stay;Median length of ICU stayTimepoint: Median length of ICU stay;Mortality at 28 daysTimepoint: Mortality at 28 days;Requirement of RRT in the conventional groupTimepoint: Requirement of RRT in the conventional group
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