Table 1 |
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|
Summary of studies evaluating the timing of initiation of renal replacement therapy |
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| BUN at initiation of RRT (mg/dl) |
Survival (%) |
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|
|
|
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| Study |
Year |
Mode of RRT |
Study design |
N |
Early |
Late |
Early |
Late |
|
|
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| Parsons et al. [25] |
1961 |
IHD |
Retrospective |
33 |
120–150 |
>200 |
75 |
12 |
| Fisher et al. [26] |
1966 |
IHD |
Retrospective |
162 |
~150 |
>200 |
43 |
26 |
| Kleinknecht et al. [27] |
1972 |
IHD |
Retrospective |
500 |
<93 |
>163 |
73 |
58 |
| Conger [28] |
1975 |
IHD |
RCT |
18 |
<70 |
~150 |
64 |
20 |
| Gillum et al. [29] |
1986 |
IHD |
RCT |
34 |
<60 |
~100 |
41 |
53 |
| Gettings et al. [31] |
1999 |
CRRT |
Retrospective |
100 |
<60 |
>60 |
39 |
20 |
| Bouman et al. [12] |
2002 |
CRRT |
RCT |
106 |
LV: 48 (40–66)a |
LV: 105 (62–116)a |
LV: 69 |
LV: 75 |
| HV: 46 (38–58)a |
HV: 74 |
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| Demirkiliç et al. [32] |
2004 |
CRRT |
Retrospectiveb |
61 |
NS |
NS |
77 |
45 |
| Elahi et al. [33] |
2004 |
CRRT |
Retrospectiveb |
64 |
67 ± 35c |
75 ± 61c |
78 |
57 |
| Piccinni et al. [34] |
2006 |
CRRT |
Retrospectived |
80 |
NS |
NS |
55 |
28 |
| Liu et al. [35] |
2006 |
IHD and CRRT |
Observational |
243 |
≤ 76 |
>76 |
65 |
59 |
|
|
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|
aMedian blood urea nitrogen (BUN; quartiles). bRRT started based on urine output <100 ml over 8 hours in early group and based on biochemical parameters in late group. cMean BUN ± standard deviation. dPatients with sepsis and oliguria; RRT started within 12 hours of ICU admission in early group and based on 'conventional indications'. CRRT, continuous renal replacement therapy; HV, high-volume hemofiltration; IHD, intermittent hemodialysis; LV, low-volume hemofiltration; NS, not specified; RCT, randomized controlled trial; RRT, renal replacement therapy. |
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|
Palevsky Critical Care 2007 11:232 doi:10.1186/cc6121 |
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