Ultrasound clue could flag which ICU patients need dialysis
NCT ID NCT06995222
First seen Aug 05, 2026 · Last updated Aug 06, 2026 · Updated 1 time
Summary
This study tests whether a non-invasive ultrasound measurement called the renal resistive index (RRI) can predict if acute kidney injury (AKI) will progress to a severe stage in intensive care unit (ICU) patients. Researchers will measure RRI in 120 adults with early-stage AKI within 24 hours of ICU admission and track their kidney function daily. The goal is to see if RRI can identify patients who may need renal replacement therapy (dialysis) and to assess its link to mortality at 14 and 28 days.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Renal resistive index measurement using Doppler ultrasound
- What this could lead to
- If effective, this non-invasive ultrasound measure could help doctors predict which ICU patients with kidney injury will worsen and need dialysis, enabling earlier intervention.
- What could go wrong
- The trial is relatively small and early, and the renal resistive index's reliability in this setting is debated. It may not accurately predict outcomes for all patients.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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120 people
The number who actually took part.
- Started
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Jan 2025
- Finished
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Jul 2026
- Lead sponsor
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A government agency
The lead sponsor is a government body.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Male and female patients over 18 years of age who met KDIGO ABH stage 1 or stage 2 criteria and were hemodynamically stable in the first 24 hours of admission to the Internal Medicine Intensive Care Unit of Gülhane Training and Research Hospital, University of Health Sciences.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Being over 18 years of age 2. Having KDIGO stage 1 or stage 2 acute kidney injury within the first 24 hours of admission Exclusion Criteria: * 1\. Patients who did not provide a consent form for participation in the study 2. Patients under 18 years of age 3. Pregnant women 4. Patients with postrenal acute kidney injury 5. Patients 24 hours after the diagnosis of acute kidney injury 6. Patients with acute kidney injury in the recovery period 7. Patients who were evaluated as KDIGO ABH stage 3 during hospitalization 8. Patients with a known history of renal artery stenosis 9. Patients with a diagnosis of cardiac arrhythmia 10. Patients with a diagnosis of chronic kidney disease and a glomerular filtration rate below 30 ml/min/1.73m2 11. Patients with intra-abdominal pressure above 20 mmHg 12. Patients with a hospitalization period of less than 24 hours
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Gulhane Education and Research Hospital Ankara Türkiye
Ankara, Türkiye, 06010, Turkey (Türkiye)
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Other studies related to the condition(s) this trial covers.
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