Timing is everything? Reconciling the results of recent trials in acute kidney injury
- PMID: 27575558
- DOI: 10.1016/j.kint.2016.07.006
Timing is everything? Reconciling the results of recent trials in acute kidney injury
Abstract
Observational studies have failed to establish the optimal timing of renal replacement therapy in critically ill adults with acute kidney injury, with some studies suggesting benefit and others suggesting the potential for harm with earlier initiation. Two recent randomized trials have addressed this controversy, also with conflicting results. Careful consideration of differences between the 2 studies is essential when applying the results to clinical practice in the intensive care unit.
Copyright © 2016 International Society of Nephrology. Published by Elsevier Inc. All rights reserved.
Comment on
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Initiation Strategies for Renal-Replacement Therapy in the Intensive Care Unit.N Engl J Med. 2016 Jul 14;375(2):122-33. doi: 10.1056/NEJMoa1603017. Epub 2016 May 15. N Engl J Med. 2016. PMID: 27181456 Clinical Trial.
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Effect of Early vs Delayed Initiation of Renal Replacement Therapy on Mortality in Critically Ill Patients With Acute Kidney Injury: The ELAIN Randomized Clinical Trial.JAMA. 2016 May 24-31;315(20):2190-9. doi: 10.1001/jama.2016.5828. JAMA. 2016. PMID: 27209269 Clinical Trial.
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