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. 2023 Jul 27;25(3):126–135. doi: 10.1016/j.ccrj.2023.06.002

Table 1.

Manipulation of fluid input included studies.

Reference Study Design Country Sample Size AKI Definition Population RRT Intervention Comparator Assessment of Fluid Status Duration of Intervention Difference in FB Outcome Measures
Effat 2021 SC RCT, Unblinded Egypt 40 (20/20) Unclear AKI, ICU Non-RRT patients Echo-directed SVV fluid administration CVP-directed fluid Incomplete 48 h Fluid input (2200 mL vs 3700 mL; p < 0.01). No UO or FB data. ICU LOS (6.4 days vs 12.1 days; p = 0.183). Mortality (10% vs 40%; p = 0.028).
O'Brien 2022 Post hoc analysis of RENAL MC RCT Australia & New Zealand 771 On CRRT. ICU; CRRT RRT as inclusion criteria 1) 20% albumin 2) 20% and 4% albumin 4% albumin Cumulative fluid balance Until CRRT cessation or ICU discharge Daily FB (20% HAS 288 mL, 4% HAS 245 mL, combined HAS 88 mL (p < 0.001). Cumulative FB (1.9 L vs −2.4 vs 1.3; p < 0.01). Mortality at day 90 (4% HAS 48% vs 20% HAS 52% vs Combined HAS 51%; p = 0.65); RRT dependence at day 90 (6.7% vs 5.3% vs 3.8%; p = 0.59).

Abbreviations: AKI = acute kidney injury; SC = single-centre; MC = multicentre; RCT = randomised controlled trial; CRRT = continuous renal replacement therapy; RRT = renal replacement therapy; ICU = intensive care unit; FB = fluid balance; UO = urine output; RENAL = Randomized Evaluation of Normal versus Augmented Level; HAS = human albumin solution; LOS = length of stay; CVP = central venous pressure.