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International Registry of Acute Kidney Injury in Cirrhosis: The GLOBAL AKI Project

Key facts

Who runs it
Azienda Ospedaliera di Padova
Where
Boston, Charlottesville, Dallas, Indianapolis, and New Orleans, United StatesSee the 5 sitesAlso in 20 other countries, 33 sites
Trial code
Status
Completed
People taking part
1,456 people enrolled
Started
1 Jul 2022
Ended
30 Nov 2023
Type of study
Observational
Treatments tested
  • Crystalloids, albumin, vasoconstrictors, diuretics, renal replacement therapy
Record updated
30 January 2024

Who can take part

Age
18 years and older
Sex
Women and men
Healthy volunteers
Cannot take part

The registry criteria, word for word

Show all 9 criteriaShow less

Who can take part

  • Patients with cirrhosis admitted to hospital for the treatment of a complication of liver disease (ascites, gastrointestinal bleeding, hepatic encephalopathy, bacterial infections, jaundice, etc)

Who cannot take part

  • Previously known severe extrahepatic diseases (e.g., chronic renal failure requiring hemodialysis, severe congestive heart disease [NYHA class ≥ 3]; severe chronic obstructive pulmonary disease [GOLD class ≥ 3], psychiatric disorders)
  • Previous solid organ transplantation
  • Patients who cannot provide prior informed consent and no legal surrogate decision maker
  • Extrahepatic malignancy other than non-melanoma skin cancer within last 5 years
  • HIV infection with CD4 ≤ 250/µL
  • Age < 18 years old
  • Pregnancy
  • Hepatocellular carcinoma outside Milan criteria (i.e., a single lesion <5 cm or multiple lesions [maximum of three], the largest of which measures ≤ 3 cm)

Where in United States

Also in 20 other countries, 33 sites

  • Massachusetts General HospitalBoston, United StatesNo longer taking part
  • University of VirginiaCharlottesville, United StatesNo longer taking part
  • Baylor University Medical CenterDallas, United StatesNo longer taking part
  • Indiana UniversityIndianapolis, United StatesNo longer taking part
  • Ochsner Medical CenterNew Orleans, United StatesNo longer taking part

About the trial

What the trial wants to find out

The aims of this study will be to identify the clinical characteristics, the management and the outcomes of acute kidney injury in patients with cirrhosis worldwide.

Read full original descriptionShow less

Specific aims:

1. To establish the severity of AKI across different regions 2. To identify precipitants of AKI across different centers 3. To identify the phenotypes of AKI across different centers 4. To evaluate differences in the management of AKI across different centers and their impact on clinical outcomes 5. To assess outcomes of acute kidney injury (resolution of AKI, in-hospital mortality, 28-day mortality, 90-day mortality)

Treatments tested

  • Crystalloids, albumin, vasoconstrictors, diuretics, renal replacement therapy

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
Characteristics and Management of Acute Kidney Injury in Hospitalized Patients With Cirrhosis: a Multicenter Intercontinental Observational Prospective Study: The International Club of Ascites GLOBAL AKI Project
Record updated
30 January 2024