This study aims to investigate shorter vs. standard filter lifespans in critically ill patients receiving continuous renal replacement therapy (CRRT) for acute kidney injury (AKI). The aim of this trial is to reliably implement,scheduled filter changes and to investigate whether shorter filter lifetime is associated with a lower incidence in rate of new infections.
Own data of patients under standard care indicated that a longer filter lifetime in CRRT is associated with an increased rate of new infections. The aim of this study is to demonstrate that a protocolized filter-change strategy can be reliably implemented in critically ill patients and a high protocol adherence can be achieved. The secondary aim is to investigate whether a shorter filter-change strategy is be associated with a lower incidence of newly acquired infections.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
100
The time span of the filter change during continuous renal replacement therapy will be specified
University Hospital Münster
Münster, Germany
Mean filter lifespan per patient
Comparison of mean filter lifespans between study groups
Time frame: From start of CRRT to end of CRRT or at day 30 after randomization, whatever occurs first
Protocol adherence as documented filter change within the specified period
Proportion of protocol adherent patients, defined as patients with mean filter lifespan within the pre-specified time window in each arm (intervention group: 36±3hours; control group: 48-72hours
Time frame: From start of CRRT to end of CRRT or at day 30 after randomization, whatever occurs first
New intensive care unit-associated acquired infection up to day 30
New ICU-acquired infections, defined as new infection in patients with pre-existing infection but with another pathogen than baseline or without baseline infection. All infections need to be culture proven.
Time frame: From start of CRRT to end of CRRT or at day 30 after randomization, whatever occurs first
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.