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. Author manuscript; available in PMC: 2013 Apr 1.
Published in final edited form as: Am J Kidney Dis. 2012 Jan 11;59(4):569–576. doi: 10.1053/j.ajkd.2011.11.035

Table 1. Overview of Dosing Trials in Aki.

Study Design & Location No. of patients RRT Modality Replacement Solution & Administration Dose calculation & Prescribed dose
Continuous renal replacement therapy trials
Ronco et al13 single center RCT; Italy 425 CVVH Lactate; Post-filter Effluent flow rate; 20mL/kg/hr vs. 35mL/kg/hr vs. 45 mL/kg/hr
Bouman et al15 2 center RCT; The Netherlands 106 CVVH Bicarbonate; Post-filter Effluent flow rate; 19 mL/kg/hr vs. 48mL/kg/hr
Saudan et al16 single center RCT; Switzerland 206 CVVH /CVVH DF Lactate and bicarbonate; Post-filter Effluent flow rate; CVVH – 25mL/kg/hr CVVHDF – 42mL/kg/hr
Tolwani et al17 single center RCT; USA 200 CVVHD F Bicarbonate; Pre-filter Effluent flow rate; 20mL/kg/hr vs. 35mL/kg/hr
Bellomo et al19 multicenter RCT; Australia, NZ 1,508 CVVHD F Bicarbonate; Post-filter Effluent volume; 25mL/kg hr vs. 40mL/kg/hr
Intermittent hemodialysis trial
Schiffl et al14 single center Alt Assign,; Germany 160 IHD NA Kt/Vurea and frequency of IHD; Kt/Vurea of 1.2 per IHD every other day vs daily
Extended dialysis trial
Faulhaber-Walter et al20 multicenter RCT; Germany 156 ED NA Plasma urea level 120-150 mg/dl vs. <90 mg/dl
Combination modality trial
Palevsky et al18 multicenter RCT; USA 1,124 IHD, SLED, CVVHD F Bicarbonate; Pre-filter Kt/Vurea and Effluent volume; Kt/Vurea of 1.3 in IHD and SLED – 3 vs. 6 times/wk;Effluent Volume, 20mL/kg/hr vs. 35mL/kg/hr

Alt Assign – alternate assignment; CVVH – continuous venovenous hemofiltration; CVVHDF – continuous venovenous hemodiafiltration; ED – extended dialysis; SLED – sustained low efficiency dialysis; IHD – intermittent hemodialysis; NA -- Not applicable; RCT – randomized controlled trial; All trials controlled for severity of illness using APACHE II or III or SOFA scoring.