Cochrane Renal Group

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autoid 95
crg_id CRG010600031
titleoftrial Outcome of Acute Renal Failure with different treatment modalities
acronymnoftrial SHARF Treatment Modalities
website http://
identificationno NCT00322933
leadprefix Prof
leadsurname Lins
leadgivennames Robert L
leadposition Medical Director
leaddepartment Nephrology Hypertension ZNA Stuivenberg
leadorganisation ZNA Jan Palfijn
leadaddress L. Bremstraat 70, 2170 Antwerpen, Belgium
leademail robert.Lins@pro.tiscali.be
leadphone +32 3 640 20 00
leadfax +32 3 646 44 79
leadsuffix
contactprefix Prof
contactsurname Elseviers
contactgivennames Monique M
contactposition Epidemiological Researcher
contactdepartment Faculty of Medicine
contactorganisation University of Antwerp
contactaddress Nieuwe laan 4, 2950 Kapellen
contactemail monique.elseviers@ua.ac.be
contactphone +32 3 664 84 59
contactfax +32 3 664 84 59
funding Other
otherfunding WEVENEF vzw [trust raised by the Dept of Nephrology-Hypertension of ZNA Stuivenberg Hospital, Antwerp Belgium]
fundingnameofsponsors WEVENEF vzw
ethicsapproval yes
studytype randomised
studytype_other
groupassignment parallel
blinding_patients no
blinding_investigators no
blinding_outcomes no
blinding_analysts no
proposedstart April 2002
actualstart April 2002
proposedcompletiondate March 2004
actualcompletiondate March 2004
multi_center_study yes
numberofcentres 10
multi_national_study no
countrycentres Belgium
researchquestion To investigate outcome in patients with acute renal failure admitted to the ICU, stratified according to severity of disease (SHARF score) and randomised to different treatment options
study_status_recruitment no_longer_recruiting
study_status_recruitment_follow completed
healthcarecondition acute renal failure (serum creatinine > 2 mg/dl)
intervention1 IRRT (intermittent haemodialysis during 4-6 hours daily)
intervention2 CRRT (continuous veno-venous hemofiltration)
intervention3
intervention4
participants_gender both
participants_other adults
age N/A
totalrecruitment 1600
inclusion all adult patients (age > 18y)
consecutively admitted to the ICU
with a serum creatinine > 2 mg/dl
patients were stratifies according disease severity (SHARF score)
those in need for RRT were randomized to IRRT or CRRT
exclusion patients with known pre-existing chronic kidney
disease (serum creatinine > 1.5 mg/dl with clearly
reduced kidney size on first echography after
admission
primaryoutcomes Short-term: hospital mortality, length of stay in
ICU and hospital, renal function at hospital discharge
Longterm: mortality after one and two years, renal
function, comorbidity (Charlson), quality of life
(SF-36), economic impact
secondaryoutcomes Length of stay in ICU and hospital
Comorbidity after 1 year (Charlson index)
Quality of life after 1 year (SF-36)
Cost evaluation during hospitalisation an dfor on eyear after hospital discharge
Mortality subgroup analysis for older patients, ventilated patients, patients with sepsis, patients with pre-renal or renal type of ARF
reference
  • Lins RL, Elseviers MM, Van der Niepen P, Hoste E, Malbrain ML, Damas P, Devriendt J; SHARF investigators. Intermittent versus continuous renal replacement therapy for acute kidney injury patients admitted to the intensive care unit: results of a randomized clinical trial. Nephrology Dialysis Transplantation. 2009 Feb;24(2):512-8. Epub 2008 Oct 14.
  • Lins R, Elseviers M, Van der Niepen P et al. Outcome of different treatment modalities in ARF: Randomized population. Abstract ASN 37th Annual Renal Week, Baltimore, 2004
  • Lins R, Elseviers M, Van der Niepen P et al. OUTCOME OF DIFFERENT TREATMENT MODALITIES IN ARF: COMPARATIVE RESULTS IN THE OVERALL STUDY POPULATION. Abstract ASN 37th Annual Renal Week, Baltimore, 2004
  • Lins R, Elseviers M, Van der Niepen P et al. OUTCOME OF DIFFERENT TREATMENT MODALITIES IN ARF: DESCRIPTIVE RESULTS. Abstract ASN 37th Annual Renal Week, Baltimore, 2004
  • Lins R, Elseviers M, Van der Niepen P et al. A randomized trial of different renal replacement modalities in acute renal failure: results of the SHARF 4 study. Abstract XLII ERA_EDTA Congress,Istanbul, 2004
  • Lins R, Elseviers M, Van der Niepen P et al. Conservative treatment versus renal replacement therapy in patients with acute renal failure: results of the SHARF study. Abstract XLII ERA_EDTA Congress,Istanbul, 2004
  • Lins R, Elseviers M, Van der Niepen P et al. Delayed ICU admission as independent risk factor for mortality in ARF patients: Results of the SHARF4 study. Abstract ASN 38th Annual Renal Week, Philadelphia, 2005
  • Lins R, Elseviers M, Van der Niepen P et al. Influence of dialysis dose on outcome in ARF patients: results of SHARF4 study. Abstract ASN 38th Annual Renal Week, Philadelphia, 2005