From: Clinical review: Optimal dose of continuous renal replacement therapy in acute kidney injury
 | VA/NIH ATN study | RENAL study |
---|---|---|
Number | 1,124 | 1,508 |
Age, years | 59.7 | 64.5 |
Percentage of males | 70.6% | 64.6% |
CKD classificationa | Â | Â |
   0-2 | 61.0% | 68.6% |
   3a | 21.1% | 9.7% |
   3b | 11.0% | 10.4% |
   4 | Excluded | 11.3% |
   5 | Excluded | Excluded |
Sepsis | 63.0% | 47.9% |
Mechanical ventilation | 80.6% | 73.9% |
Illness severity score | APACHE II: 26.4 | APACHE III: 102.4 |
Total SOFA score (respiratory, cardiovascular, liver, coagulation) | 7.55 | 7.40 |
Modalities of RRT | CVVHDF, SLEDD, or IHD | CVVHDF |
RRT prior to randomization | 64.3% (only patients who had undergone fewer than two sessions of IHD or SLEDD or less than 24 hours CRRT were included) | 0% (patients with prior RRT excluded) |
Commenced on CRRT | 69.7% | 100% |
CRRT mode | Pre-dilution CVVHDF | Post-dilution CVVHDF |
CRRT high-dose effluent target | 35 mL/kg per hour | 40 mL/kg per hour |
CRRT low-dose effluent target | 20 mL/kg per hour | 25 mL/kg per hour |
Time from ICU admission to first study RRT | 6.7 days | 2.1 days |
Urea at study enrolment | 23.8 mmol/L | 24.2 mmol/L |
Achieved dose of CRRT (high dose) | 27.1 mL/kg per hourb | 33.4 mL/kg per hour |
Achieved dose of CRRT (low dose) | 17.5 mL/kg per hourb | 22 mL/kg per hour |
Mean daily urea on CRRT (high dose) | 11.7 mmol/L | 12.7 mmol/L |
Mean daily urea on CRRT (low dose) | 16.8 mmol/L | 15.9 mmol/L |
Daily fluid balance on therapy | +130 mL | -20 mL |
Survival at day 60 | 47.5% | Not reported |
Survival at day 90 | Not reported | 55.3% |
Percentage of survivors dependent on RRT | Â | Â |
   At day 28 | 45.2% | 13.3% |
   At day 60 | 24.6% | Not reported |
   At day 90 | Not reported | 5.6% |