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Results of RENAL—what is the optimal CRRT target dose?

The abstract of the RENAL Replacement Therapy study concludes that in critically ill patients with acute kidney injury, treatment with higher-intensity continuous renal replacement therapy did not reduce mortality. However, the real news is that survival and recovery of renal function might depend on how therapy is provided.

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Figure 1: Relationship between delivered RRT intensity and survival in critically ill patients with acute kidney injury (AKI).

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Correspondence to John A. Kellum.

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J. A. Kellum declares associations with Baxter International, Fresenius and Gambro, as consultant, recipient of honoraria from the speakers bureau and as recipient of grant/research support. C. Ronco declares no competing interests.

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Kellum, J., Ronco, C. Results of RENAL—what is the optimal CRRT target dose?. Nat Rev Nephrol 6, 191–192 (2010). https://doi.org/10.1038/nrneph.2010.15

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