Hemodialysis Clinical Trial
Official title:
HEMOTOL: Effects of New Dialysis On-line Monitoring Devices on Hemodynamic Stability During Intermittent Hemodialysis in Critically Ill Patients With Acute Kidney Injury : a Prospective Randomized Study.
The purpose of this randomized controlled study is to compare the effects of different new dialysis on-line monitoring devices on hemodynamic stability during intermittent hemodialysis in critically ill patients with acute kidney injury.
Acute kidney injury (AKI) is associated with high mortality and morbidity rates in
critically ill patients despite advances in renal replacement therapy (RRT). Over the last
few years, new devices in dialysis equipment, such as blood temperature and blood volume
on-line monitors, have been developed to improve hemodynamic tolerance, and these new
modalities have demonstrated their positive impact on decrease in intra-dialytic hypotension
rate in chronic hemodialysis patients. In order to evaluate these new devices in critically
ill patients with acute kidney injury we decided to conduct a prospective randomized
controlled trial.
We based calculation of the sample size on a power analysis that assumed an expected
decrease in intra-dialytic hypotension rate of 40% (from a crude intra-dialytic hypotension
rate of 30% to 18%) in groups B and C, compared with group A. Analysis is done by intention
to treat, according to prescribed new dialysis on-line monitoring devices.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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