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March 3, 2009Heart

Ultrafiltration for decompensated heart failure: renal implications: Table 1

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Why the study?

Does extracorporeal ultrafiltration improve kidney function in patients with decompensated heart failure?

Population

Patients with decompensated heart failure

Comparison

Extracorporeal ultrafiltration vs Diuretics

Design

Review

Authors

AKAmir KazoryHeart Failure / CardiomyopathyEREric A. RossFox Chase Cancer Center

Discussion

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Implication

Current evidence does not support ultrafiltration for kidney protection in decompensated HF; leaves open optimal fluid management strategies.

Structured PICO

Does extracorporeal ultrafiltration improve kidney function in patients with decompensated heart failure?

P
Population
Patients with decompensated heart failure
I
Intervention
Extracorporeal ultrafiltration
C
Comparator
Diuretics
O
Outcome
Kidney function

Despite theoretical biological advantages, clinical trials have not confirmed a protective role of ultrafiltration against worsening renal function in decompensated heart failure.

Cite This Study

Kazory et al. (2009) studied this question.

synapsesocial.com/papers/6a8a8279e0083a7c2c437b46https://doi.org/10.1136/hrt.2008.160218

Topics

Heart failureHFrEF treatment
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Ultrafiltration Versus Usual Care for Hospitalized Patients With Heart Failure2005 · 420 citations
  2. 2Intermittent haemodiafiltration in refractory congestive heart failure: BNP and balance of inflammatory cytokines2007 · 52 citations
  3. 3Renal Function, Neurohormonal Activation, and Survival in Patients With Chronic Heart Failure2000 · 1,048 citations
  4. 4Decreased Cardiac Output, Venous Congestion and the Association with Renal Impairment in Patients with Cardiac Dysfunction2007 · 476 citations
  5. 5Prognostic Importance of Elevated Jugular Venous Pressure and a Third Heart Sound in Patients with Heart Failure2001 · 666 citations