Actively Recruiting

Age: 18Years +
All Genders
ID07262320

Epidemiology and Processes of Care for Renal Replacement Therapy in Acute Kidney Injury in Latin America

Led by University of Alabama at Birmingham · Updated on 2026-03-12

1000

Participants Needed

15

Research Sites

13 weeks

Total Duration

On this page

Sponsors

U

University of Alabama at Birmingham

Lead Sponsor

V

Vantive Health LLC

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are conducting an international, multicenter observational study to understand acute kidney injury requiring renal replacement therapy (AKI-RRT) in Latin American countries. The study focuses on the epidemiology, outcomes, and care processes for patients with AKI-RRT, comparing variations across different countries and examining factors such as demographics, clinical profiles, and socioeconomic status that may influence patient outcomes. The aim is to establish a comprehensive database to support clinical research and improve understanding of AKI-RRT in this region. The study observes critically ill adult patients admitted to intensive care units (ICUs) who are undergoing any form of renal replacement therapy. It collects detailed clinical, laboratory, treatment, and outcome data without assigning treatments, as it is observational. Patients are followed from enrollment through hospital discharge or up to 90 days, including ICU stay and 90-day post-ICU follow-up to track mortality, renal recovery, and complications related to renal replacement therapy. Participants' involvement includes monitoring during ICU and hospital stays with data collected on mortality rates, length of stay, renal function recovery, dependence on renal replacement therapy, and complications such as infections or anticoagulation issues. The primary outcome measured is in-hospital mortality, with secondary outcomes covering ICU mortality, 90-day mortality, length of stay, recovery, and procedural complications. This study spans from enrollment until 90 days after ICU admission, providing extensive observational data on AKI-RRT in Latin America.

CONDITIONS

Brief Title

Epidemiology and Processes of Care for Renal Replacement Therapy in Acute Kidney Injury in Latin America

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adult patient aged 18 years or older admitted to the intensive care unit (ICU)
  • First ICU admission during current hospitalization
  • Diagnosis of acute kidney injury stage 3 according to KDIGO guidelines
  • Renal replacement therapy (RRT) started no earlier than 3 days before and no later than 7 days after ICU admission
Not Eligible

You will not qualify if you...

  • Transfer from another hospital with ongoing renal replacement therapy
  • Renal replacement therapy exposure less than 2 days if continuous or peritoneal dialysis, or less than 2 hemodialysis or sustained low-efficiency dialysis sessions
  • Patients with end-stage renal disease on maintenance dialysis
  • Kidney transplant recipients
  • Previous or new diagnosis of glomerulonephritis

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Monitoring

Duration - Up to 90 days or until hospital discharge

Participants who undergo routine care for acute kidney injury requiring renal replacement therapy are observed during their ICU and hospital stay.

Daily assessments during ICU and hospital stay

Long-term Monitoring

Duration - Up to 90 days post-ICU admission

Participants are followed up for outcomes up to 90 days post-ICU admission to assess mortality and renal function recovery.

Follow-up visits or contacts as scheduled up to 90 days

Trial Site Locations

Total: 15 locations

1

Hospital Obrero No 2

Cochabamba, Bolivia

Actively Recruiting

2

Ana Nery Hospital

Bahia, Brazil

Not Yet Recruiting

3

Hospital Sao Lucas da PUCRS

Porto Alegre, Brazil

Not Yet Recruiting

4

Hospital das Clínicas da Universidade de São Paulo

São Paulo, Brazil

Not Yet Recruiting

5

Hospital Las Higueras

Talcahuano, Chile

Not Yet Recruiting

6

Fundación Cardioinfantil

Bogotá, Colombia

Actively Recruiting

7

Hospital San Jose de Popayan

Popayán, Colombia

Actively Recruiting

8

Hospital General de la Plaza de la Salud

Santo Domingo, Dominican Republic

Actively Recruiting

9

DIALNEF

Quito, Ecuador

Not Yet Recruiting

10

Instituto Guatemalteco de Seguridad Social

Guatemala City, Guatemala

Not Yet Recruiting

11

Hospital Civil de Guadalajara

Guadalajara, Mexico

Actively Recruiting

12

Hospital General de México Dr Eduardo Liceaga

Mexico City, Mexico

Not Yet Recruiting

13

Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán

Mexico City, Mexico

Actively Recruiting

14

Hospital Universitario "José Eleuterio González"

Monterrey, Mexico

Actively Recruiting

15

Hospital Nacional Arzobispo Loayza

Lima, Peru

Actively Recruiting

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Research Team

J

Javier A Neyra, MD, MSCS

P

Patricia J Busta Flores

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

1

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Published Research Related To This Trial

International Society of Nephrology Global Kidney Health Atlas: structures, organization, and services for the management of kidney failure in North America and the Caribbean.

Aminu K Bello, Mark McIsaac, Ikechi G Okpechi...

https://pubmed.ncbi.nlm.nih.gov/33981472

A global snapshot on health systems capacity for detection, monitoring, and management of acute kidney injury: A multinational study from the ISN-GKHA.

Marina Wainstein, Yannick Nlandu, Andrea Viecelli...

https://pubmed.ncbi.nlm.nih.gov/39405323

Recognition and management of acute kidney injury in the International Society of Nephrology 0by25 Global Snapshot: a multinational cross-sectional study.

Ravindra L Mehta, Emmanuel A Burdmann, Jorge Cerdá...

https://pubmed.ncbi.nlm.nih.gov/27086173

Barriers and Facilitators to Renal Replacement Therapy for Acute Kidney Injury in Latin America: Insights From an Expert Roundtable.

Aqeeb Ur Rehman, Stefania Renzi, David Andres Ballesteros Castro...

https://pubmed.ncbi.nlm.nih.gov/40814609