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. 2020 Dec;16(12):707-708.
doi: 10.1038/s41581-020-00351-w.

Wait and see approach for dialysis in acute kidney injury

Josée Bouchard  1 , Ravindra Mehta  2
Affiliations

Wait and see approach for dialysis in acute kidney injury

Josée Bouchard et al. Nat Rev Nephrol. 2020 Dec.

Abstract

Timing of dialysis initiation in critically ill patients is controversial. The STARRT-A KI trial reports that an accelerated initiation strategy did not improve 90- day survival and increased dialysis dependency compared with a standard approach in which patients had greater fluid accumulation and metabolic complications at initiation but 38% avoided dialysis.

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