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

Hermite 2012.

Methods
  • Study design: parallel RCT

  • Study duration: May 2009 to August 2010

  • Duration of follow‐up: not reported

Participants
  • Setting: Single centre (2 units)

  • Country: France

  • ICU adult participants ≥18 years with AKI requiring continuous or intermittent HD

  • Number (participants/catheters): treatment group (39/39); control group (39/39)

  • Mean age ± SD (years): treatment group (64 ± 15); control group (65 ± 16)

  • Sex (M/F): treatment group (23/16); control group (30/9)

  • Exclusion criteria: allergy to citrate; pregnancy; liver failure; history of thromboembolic disease

Interventions Treatment group
  • Citrate solution: 46.7%


Control group
  • Saline solution: 10 mL

Outcomes
  • CRI

  • Probable CRI

  • Catheter malfunction

Notes
  • Funding source: "This work was financed by the University Hospital of Dijon Clinical Research Division"

Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Study was described as randomised, method of randomisation was not reported
Allocation concealment (selection bias) Unclear risk Insufficient information to permit judgement
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk This was an open‐label trial; but "as far as possible, the nurses and physicians in the unit in charge of the routine care were blinded to each patient’s treatment."
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Outcomes were evaluated by an independent clinical event committee who were blinded to participants’ treatment group assignments.
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 Low risk Study appears free of other biases