Evidence map›Paper›PMID 30541593›Full record

ArticleTrials2018

VolumE maNagement Under body composition monitoring in critically ill patientS on CRRT: study protocol for a randomized controlled trial (VENUS trial).

Hyung Jung Oh, Jung Nam An, Sohee Oh, Harin Rhee, Jung Pyo Lee, Dong Ki Kim, Dong-Ryeol Ryu, Sejoong Kim

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03330626 (VolumE maNagement Under Body Composition Monitoring in Critically Ill patientS on CRRT; Randomized-controlled Trial), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03330626 naunknown statusnot on this map

VolumE maNagement Under Body Composition Monitoring in Critically Ill patientS on CRRT; Randomized-controlled Trial (VENUS Trial)

TypeinterventionalSponsorSeoul National University HospitalRan2017 to 2019Enrolled244ConditionsRenal Dialysis, Fluid OverloadArmsInBody group, IO group
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Hyung Jung OhEwha Institute of Convergence Medicine, Ewha Womans University Mokdong Hospital, Seoul, Republic of Korea.
Jung Nam AnDepartment of Critical Care Medicine, Seoul National University Boramae, Medical Center, Seoul, Republic of Korea.
Sohee OhDepartment of Biostatistics, Seoul National University Boramae, Medical Center, Seoul, Republic of Korea.
Harin RheeDepartment of Internal Medicine, Pusan National University School of Medicine, Busan, Republic of Korea.
Jung Pyo LeeDepartment of Internal Medicine, Seoul National University Boramae, Medical Center, Seoul, Republic of Korea.
Dong Ki KimDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
Dong-Ryeol RyuDepartment of Internal Medicine, School of Medicine, Ewha Womans University, Seoul, Republic of Korea.
Sejoong KimDepartment of Internal Medicine, Seoul National University Bundang Hospital, 82, Gumi-ro 173 beon-gil, Bundang-gu, Seongnam-si, Gyeonggi-do, 13620, Republic of Korea. sejoong@snubh.org.ORCID http://orcid.org/0000-0002-7238-9962

Funding

KoreaHealth Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, Republic of Korea HI17C1827
6 · The paper itself

Abstract

backgroundDespite recent technical advances in the management of acute kidney injury (AKI), such as continuous renal replacement therapy (CRRT), intensive care unit mortality is still high, at approximately 40 to 50%. Although several factors have been reported to predict mortality in AKI patients, fluid overload (FO) during CRRT is a well-known predictor of patient survival. However, FO has been mostly quantified as an arithmetical calculation and determined on the basis of the physicians' perception. Even though such quantification and assessment provides an easy evaluation of a patient's fluid status and is a simple method, it is not applicable unless a detailed record of fluid monitoring is available. Furthermore, the method cannot differentiate excess water in individual water compartments but can only reflect excess total body water. Bioimpedance analysis (BIA) has been used to measure the nutritional component of body composition and is a promising tool for the measurement of volume status. However, there has been no prospective interventional study for fluid balance among CRRT-treated AKI patients using BIA. Therefore, we will investigate the usefulness of fluid management using the InBody S10 (InBody®, Seoul, Korea), a BIA tool, compared with that of generally used quantification methods. METHODS/

designThis will be a multicenter, prospective, randomized controlled trial. A total of 244 patients undergoing CRRT treatment will be enrolled and randomly assigned to receive either to InBody S10-guided management or to fluid management based only on clinical information for 7 days. The primary outcome is to compare the rate of euvolemic status 7 days after the initiation of CRRT, with a secondary outcome being to compare the 28-, 60-, and 90-day mortality rates between the two groups. DISCUSSION: This will be the first clinical trial to investigate the effect of using BIA-guided fluid management to achieve euvolemia in CRRT-treated AKI patients.

trial registrationClinicalTrials.gov, ID: NCT03330626 . Registered on 6 November 2017.

Indexed as

Body CompositionWater-Electrolyte BalanceAcute Kidney InjuryCritical IllnessElectric ImpedanceFluid TherapyHumansKidneyMulticenter Studies as TopicPredictive Value of TestsProspective StudiesRandomized Controlled Trials as TopicRenal Replacement TherapyRepublic of KoreaRisk FactorsTime FactorsBioimpedance analysis (InBody S10 (InBody®) Seoul, Korea)Continuous renal replacement therapy (CRRT)Fluid balance

Identifiers

PMID30541593
PMCPMC6292088

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.