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. 2018 Apr 3;2018(4):CD010597. doi: 10.1002/14651858.CD010597.pub2

CITRIM 2017.

Methods
  • Study design: parallel RCT

  • Study duration: July 2012 to July 2014

  • Duration of follow‐up: 180 days

Participants
  • Setting: single centre

  • Country: Brazil

  • Patients > 18 years; CKD or AKI requiring HD through a catheter; admitted to ICU

  • Number (catheters): treatment group (233); control group (231)

  • Mean age ± SD (years): Treatment group (58.61 ± 17.14); control group (57.44 ± 18.27)

  • Sex (males): treatment group (50.21%); control group (47.82%)

  • Exclusion criteria: patients with a tunnelled catheter; suspected heparin‐induced thrombocytopenia; allergy to heparin or trisodium citrate; systemic or localised infection; pregnant women

Interventions Treatment group
  • Trisodium citrate: 30% (Citra‐Lock™ 30 %, Fresenius MedicalCare).


Control group
  • Unfractionated sodium heparin: 5000 U/mL

Outcomes
  • CRI

  • Catheter dysfunction

Notes
  • Funding source: not reported

Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk "...computer‐generated list of random numbers in blocks of six."
Allocation concealment (selection bias) Low risk "...was performed using opaque, sealed envelopes"
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk "Patients and investigators were unaware of the treatment assignments"
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Insufficient information to permit judgement
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Insufficient information to permit judgement
Selective reporting (reporting bias) Low risk Describes the outcome according to protocol
Other bias Unclear risk Funding source not reported