Promoting Kidney Recovery After Acute Kidney Injury Receiving Dialysis

NACompletedINTERVENTIONAL
Enrollment

110

Participants

Timeline

Start Date

April 12, 2022

Primary Completion Date

December 20, 2024

Study Completion Date

December 20, 2024

Conditions
Acute Kidney Injury
Interventions
OTHER

Standardized Dialysis and Structured Discontinuation (S2D2)

"Prescription to minimize dialysis-induced ischemia~* Cool dialysate (35.0◦C)~* Dialysate sodium of 145mmol/L~* Dialysate calcium of 1.5mmol/L~* Maximum ultrafiltration rate of 10mL/kg/hour (if no weight, maximum is 500mL/hour)~ * Note: If dialysis machines cannot get to the specified values, values closest to these are acceptable.~Structured dialysis discontinuation (all criteria met)~* Most recent pre-dialysis potassium \<6mmo/L and bicarbonate \>12mmol/L~* Most recent urine volume ≥1L/day OR last ultrafiltration on dialysis \<1L/session~* If available, timed urine collection with result for mean creatinine and/or urea clearance \>12mL/min"

OTHER

Usual Care

Dialysis prescription ordered by their clinical team. Decisions on dialysis discontinuation will be left to individual clinicians and will not be guided by a standard protocol.

Trial Locations (1)

K7L 2V7

Kingston Health Sciences Centre, Kingston

All Listed Sponsors
collaborator

Unity Health Toronto

OTHER

lead

Samuel Silver

OTHER