Systematic review and meta-analysis of renal replacement therapy modalities for acute kidney injury in the intensive care unit

Nash, Danielle M.; Przech, Sebastian; Wald, Ron; O’Reilly, Daria

doi:10.1016/j.jcrc.2017.05.002

Cited by 142 publications

(111 citation statements)

References 39 publications

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“…Results regarding to comparison in renal recovery, in-hospital mortality, and in-ICU mortality between AKI patients given CRRT and those given SLED were corresponding to previous studies 4,30 published in recent years. According to previous studies, worse baseline renal function and more frequent intradialytic hypotension were associated with lower likelihood of renal recovery.…”

Section: Discussionsupporting

confidence: 53%

“…Approximately 5%‐10% of critically ill patients with severe AKI need RRT. RRT traditionally included intermittent hemodialysis (IHD) or one of the various modalities of continuous renal replacement therapy (CRRT) in the ICU 4 . IHD is administered over 3‐4 hours and is a model of intermittent renal replacement therapies (IRRTs).…”

Section: Introductionmentioning

confidence: 99%

“…RRT traditionally included intermittent hemodialysis (IHD) or one of the various modalities of continuous renal replacement therapy (CRRT) in the ICU. 4 IHD is administered over 3-4 hours and is a model of intermittent renal replacement therapies (IRRTs). CRRT permits slow and continuous removal of water and solutes from the plasma.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Effect of renal replacement therapy modalities on renal recovery and mortality for acute kidney injury: A PRISMA‐compliant systematic review and meta‐analysis

Zhao

Chen

2020

Seminars in Dialysis

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Previous investigations showed inconsistent results for comparison in renal recovery, in‐hospital, and in‐intensive care unit (ICU) mortalities between acute kidney injury (AKI) patients treated with continuous renal replacement therapy (CRRT) and some kinds of intermittent renal replacement therapies (IRRTs). We systematically searched for articles published in the databases (PubMed, Web of Science, EMBASE, Medline, and Google Scholar) until June 2019. We made all statistical analysis using STATA 12.0 software. In the present meta‐analysis, relative risks with 95% confidence intervals were calculated for binary outcomes (renal recovery status or mortality). The present study indicated no significant differences in renal recovery, in‐hospital mortality, and in‐ICU mortality between AKI patients given CRRT and those given sustained low‐efficiency dialysis (SLED). Additionally, the study showed no significant difference in in‐hospital mortality between AKI patients given CRRT and those given intermittent hemodialysis (IHD), whereas elevated in‐ICU mortality was detected in AKI patients given CRRT, compared to those given IHD. The three modalities (CRRT, IHD, and SLED) have their own advantages and disadvantages. More rigorous trials design with large cohort should be made to explore the differences in renal recovery, in‐hospital, and in‐ICU mortalities between different kinds of RRTs.

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Section: Discussionsupporting

confidence: 53%

Section: Introductionmentioning

confidence: 99%

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Effect of renal replacement therapy modalities on renal recovery and mortality for acute kidney injury: A PRISMA‐compliant systematic review and meta‐analysis

Zhao

Chen

2020

Seminars in Dialysis

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“…Renal replacement therapeutic modalities for AKI are discussed in the literature. There are no definitive advantage between continuous renal replacement therapy, intermittent hemodialysis . We performed intermittent hemodialysis judging from the relatively mild pathological changes in this patient and his non‐shock status.…”

Section: Discussionmentioning

confidence: 98%

“…There are no definitive advantage between continuous renal replacement therapy, intermittent hemodialysis. 11 We performed intermittent hemodialysis judging from the relatively mild pathological changes in this patient and his non-shock status. The treatment of N. gonorrhoeae is problematic worldwide.…”

Section: Discussionmentioning

confidence: 99%

Acute kidney injury caused by systemic Neisseria gonorrhoeae infection after successful kidney transplantation

Harada

Mitsuke

Fukuzawa

et al. 2018

Transplant Infectious Dis

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Neisseria gonorrhoeae is one of the microbes that can causes male urethritis. This microbe is most likely to be transmitted via sexual intercourse. In men, the representative infection sites are the urethra, and oral mucosa but gonococcemia is rere. We present a case of gonococcemia in a 47-year-old male successful kidney recipient. He temporarily lost his graft function due to acute kidney injury followed by sepsis; however, short-course intermittent hemodialysis and long-term intensive ceftriaxone inoculation saved his life and his graft function.

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Renal Replacement Therapy in Acute Kidney Injury

Connor

Neyra

Ostermann

2022

Evidence‐Based Nephrology

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Systematic review and meta-analysis of renal replacement therapy modalities for acute kidney injury in the intensive care unit

Cited by 142 publications

References 39 publications

Effect of renal replacement therapy modalities on renal recovery and mortality for acute kidney injury: A PRISMA‐compliant systematic review and meta‐analysis

Effect of renal replacement therapy modalities on renal recovery and mortality for acute kidney injury: A PRISMA‐compliant systematic review and meta‐analysis

Acute kidney injury caused by systemic Neisseria gonorrhoeae infection after successful kidney transplantation

Renal Replacement Therapy in Acute Kidney Injury

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