Dynamic Change of Doppler-based Renal Resistive Index in Predicting Renal Recovery

Study Overview
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Brief Summary
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The goal of this observational study is to observe the correlation between dynamic changes in the Doppler-based renal resistive index (RI) and the occurrence of persistent acute kidney injury (AKI) in critically ill patients. The main questions it aims to answer are: Are dynamic changes of RI within 24 or 48 hours associated with the prognosis of AKI (NO AKI, transient AKI, persistent AKI)? what are the influencing factors of changes in RI? Participants will measure values of RI in patients at admission (0 hour), after 24 hours and after 48 hours, respectively, and collect characters such as age, sex, vital signs, Apache II, diagnosis, renal function, applied drugs, fluid, 72-hour renal function and renal replacement, followed renal replacement and the mortality rate at 28 days.

Detailed Description
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NO AKI is defined as No AKI occurred within 72 hour after ICU admission; Transient AKI is defined as AKI with recovery, which refers to the reduction in AKI stage ( (i.e., a decrease of serum creatinine, reversal of oliguria without diuretic therapy, and without need for renal replacement therapy) occurring with 72 hour after ICU admission; Persistent AKI is defined as AKI without recovery occurring with 72 hour after ICU admission.

Official Title
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Dynamic Change of Doppler-based Renal Resistive Index in Predicting Renal Recovery From Acute Kidney Injury in Critically Ill Patients: a Prospective Observational Multicenter Study

Conditions
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Acute Kidney Injury

Intervention / Treatment
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* Diagnostic Test: Doppler-based renal resistive index


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: • Patients admitted to the ICU within 24 h of admission. Exclusion Criteria: Chronic kidney disease stage III-V; History of kidney transplantation; Previously known renal artery stenosis or renal vein thrombosis； Cardiac arrhythmia precluding renal Doppler measurement; Expected hospital stay < 72 h； Pregnant patients Last, patients with hospital stays < 72 h, since they could not be classified as having transient or persistent AKI according to our definitions, were secondarily excluded.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| critically ill patients<br>All newly admitted ICU patients | Diagnostic Test: Doppler-based renal resistive index<br>* The kidney's interlobular or arcuate artery was preferentially selected and measured by pulse-wave Doppler.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The prognosis of AKI | NO AKI, transient AKI, persistent AKI. Transient AKI refers to the reduction in AKI stage ( (a decrease of serum creatinine, reversal of oliguria without diuretic therapy, and without need for renal replacement therapy) occurring with 72 hour after ICU admission. Persistent AKI refers to AKI without recovery occurring within 72 hours after ICU admission. | 72 hours | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Recovery of kidney function | A decrease of serum creatinine, reversal of oliguria without diuretic therapy, and without need for renal replacement therapy. | 28 days | 
| Mortality | Death or suivival | 28 days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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prognosis, acute kidney injury, renal resistive index, critically ill patients