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Initiation Strategies for Renal-Replacement Therapy in the Intensive Care Unit
Ist Teil von
The New England journal of medicine, 2016-07, Vol.375 (2), p.122-133
Ort / Verlag
United States: Massachusetts Medical Society
Erscheinungsjahr
2016
Quelle
MEDLINE
Beschreibungen/Notizen
This multicenter randomized trial compared strategies of early and delayed renal-replacement therapy in patients with severe acute kidney injury. There was no significant difference in mortality, the primary outcome, between the study groups.
Acute kidney injury is a common condition among patients in the intensive care unit
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and is associated with high morbidity and mortality.
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,
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Renal-replacement therapy is the cornerstone of the management of severe acute kidney injury. Many studies have focused on methods of renal-replacement therapy,
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,
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but the issue of when to initiate the therapy in the absence of a potentially life-threatening complication directly related to renal failure remains a subject of debate. Indirect evidence has suggested that early renal-replacement therapy could confer a survival benefit.
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However, two observational studies reported high survival rates among . . .