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Not yet recruitingNCT07765030Updated Aug 14, 2026

Clinical Characteristics and In-Hospital Outcomes of Critically Ill Patients Receiving Hemodialysis or Continuous Venovenous Hemodiafiltration in the Emergency Department

An observational study in Acute Kidney Injury, Kidney Failure, Acute and Kidney Failure, sponsored by Antalya Health Sciences University. Not yet recruiting at 1 site in Turkey (Türkiye). Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-14.

Sponsored by Antalya Health Sciences University · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
150
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 90 studies in Acute Kidney Injury with a site in Turkey — 22 open to participants now, 23 under way, none of them phase 3. Acute Kidney Injury · Turkey.

Planned enrollment
31st of 73
150 · median 130
Started
2026
with 17 others
Observational
73 of 90
16 open now
Primary completion
2026-11
later than 9 of 22 live
Registered
81st of 90
by date
Lead sponsor
2 of 90
Antalya Health Sciences University

Among the 90 studies in Acute Kidney Injury with a site in Turkey, this one is the 31st largest by planned enrollment of the 73 observational ones, is one of 18 that started in 2026, is one of 73 observational ones, reaches primary completion later than 9 of the 22 other live ones, and was the 81st registered.

By phase

90 studies; the count open now beside each. This study's row is marked.

Observationalthis study73 · 16 open
No phase10 · 3 open
Phase 24 · 3 open
Phase 43 · 0 open

By the year they started

First in 2011; this study’s year is marked. 18 started in 2026.

Size and results

Median enrollment 108 across the 17 interventional studies, 130 across the 73 observational. Of the 60 that completed or were terminated, 2 (3%) have results posted.

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02

Study summary

This retrospective observational study aims to evaluate the clinical characteristics and in-hospital outcomes of critically ill adult patients who underwent hemodialysis (HD) or continuous venovenous hemodiafiltration (CVVHDF) in the Emergency Department of Antalya Training and Research Hospital between January 1, 2023, and August 1, 2026.

Medical records will be reviewed to collect information on patient demographics, comorbidities, clinical findings at admission, vital signs, renal replacement therapy indications, laboratory results before and after treatment, treatment modality, treatment-related complications, need for intubation or vasopressor/inotropic support, intensive care unit admission, length of stay, and hospital outcomes.

The primary outcome is in-hospital mortality. Secondary outcomes include emergency department mortality, intensive care unit admission, ward admission, discharge status, emergency department and hospital length of stay, need for intubation or vasopressor/inotropic support, treatment completion, treatment-related complications, and changes in laboratory parameters before and after renal replacement therapy. No additional intervention, test, treatment, or biological sample collection will be performed as part of this study.

Read the detailed description

Emergency renal replacement therapy may be required in critically ill patients with life-threatening conditions such as severe hyperkalemia, refractory metabolic acidosis, fluid overload or pulmonary edema, uremic complications, acute kidney injury, acute deterioration in patients with chronic kidney disease, sepsis-associated renal dysfunction, cardiorenal syndrome, or selected intoxications. In routine clinical practice, these patients are generally managed in intensive care settings. However, when intensive care capacity is limited or transfer to the hospital dialysis unit is not clinically feasible, renal replacement therapy may need to be initiated and continued in an emergency department critical care area.

This single-center, retrospective, observational, descriptive-analytical study will review the medical records of critically ill adult patients who received hemodialysis (HD) or continuous venovenous hemodiafiltration (CVVHDF) in the Emergency Department of Antalya Training and Research Hospital between January 1, 2023, and August 1, 2026. Data will be obtained from the hospital information management system, electronic medical records, laboratory records, clinical follow-up notes, renal replacement therapy records, and discharge summaries.

The study will characterize the clinical profile of patients requiring emergency renal replacement therapy and examine treatment indications, treatment modality, treatment course, pre- and post-treatment laboratory findings, treatment-related complications, and in-hospital clinical outcomes. Renal replacement therapy indications will be evaluated under predefined clinical categories, and patients with more than one indication may be classified in more than one category. Laboratory changes, particularly in potassium, pH, bicarbonate, urea, creatinine, and lactate, will be assessed using available routine clinical measurements before and after treatment.

The study is intended to provide descriptive and exploratory evidence regarding the use of HD and CVVHDF in critically ill patients managed in the emergency department and to contribute to the evaluation of emergency critical care processes in settings where intensive care capacity may be limited. No study-specific intervention will be performed, and all analyses will be based exclusively on routinely collected retrospective clinical data.

03

Conditions studied

  • Acute Kidney Injury
  • Kidney Failure, Acute
  • Kidney Failure

Keywords

  • Emergency Renal Replacement Therapy
  • Hemodialysis
  • Continuous Venovenous Hemodiafiltration
  • Acute Kidney Injury
  • In-Hospital Mortality
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The study population will consist of critically ill adult patients aged 18 years or older who were managed in the critical care area of the Emergency Department of Antalya Training and Research Hospital between January 1, 2023, and August 1, 2026, and who underwent emergency renal replacement therapy with hemodialysis (HD) or continuous venovenous hemodiafiltration (CVVHDF). All eligible patients meeting the predefined inclusion and exclusion criteria during the study period will be included using a census sampling approach. Data will be obtained retrospectively from the hospital information management system, electronic medical records, laboratory records, renal replacement therapy records, and clinical follow-up notes. No direct participant recruitment or contact will occur.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age 18 years or older.
  • Followed in the critical care area of the Emergency Department of Antalya
  • Training and Research Hospital between January 1, 2023, and August 1, 2026.
  • Presence of an indication for emergency renal replacement therapy.
  • Underwent hemodialysis (HD) or continuous venovenous hemodiafiltration (CVVHDF) in the emergency department.
  • Required critical care-level monitoring or management.
  • Availability of sufficient demographic, clinical, laboratory, and in-hospital outcome data in the hospital information system, electronic medical records, laboratory records, or clinical follow-up notes.

Exclusion criteria

Exclusion Criteria:

  • Age younger than 18 years.
  • Renal replacement therapy initiated outside the emergency department.
  • Presentation only for routine chronic hemodialysis at the hospital dialysis unit without receiving renal replacement therapy in the emergency department.
  • Renal replacement therapy planned in the emergency department but HD or CVVHDF could not be performed.
  • Missing essential clinical, laboratory, or in-hospital outcome data. In patients with repeated emergency department admissions, only the first emergency renal replacement therapy episode will be included to reduce statistical dependency.
05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
150 participants (estimated)
Patient registry
No

Groups and cohorts

  • Hemodialysis (HD) Group

    Critically ill adult patients who underwent hemodialysis (HD) in the emergency department for an emergency renal replacement therapy indication during the study period.

    Procedure: Hemodialysis (HD) · Procedure: Continuous Venovenous Hemodiafiltration (CVVHDF)

  • Continuous Venovenous Hemodiafiltration (CVVHDF) Group

    Critically ill adult patients who underwent continuous venovenous hemodiafiltration (CVVHDF) in the emergency department for an emergency renal replacement therapy indication during the study period.

    Procedure: Hemodialysis (HD) · Procedure: Continuous Venovenous Hemodiafiltration (CVVHDF)

Interventions

  • ProcedureHemodialysis (HD)

    Hemodialysis performed in the emergency department as part of routine clinical care in critically ill adult patients with an indication for emergency renal replacement therapy.

  • ProcedureContinuous Venovenous Hemodiafiltration (CVVHDF)

    Continuous venovenous hemodiafiltration performed in the emergency department as part of routine clinical care in critically ill adult patients with an indication for emergency renal replacement therapy.

06

What researchers measure

Primary outcomes

  1. In-Hospital Mortality

    Number and proportion of patients who die during the index hospitalization following emergency renal replacement therapy with hemodialysis (HD) or continuous venovenous hemodiafiltration (CVVHDF).

    Time frame: Up to 30 days from emergency department admission

Secondary outcomes

  1. Emergency Department Mortality

    Number and proportion of patients who die during their emergency department stay.

    Time frame: Up to 1 day from emergency department admission

  2. Intensive Care Unit Admission

    Number and proportion of patients requiring admission to an intensive care unit following emergency renal replacement therapy.

    Time frame: Up to 1 day from emergency department admission

  3. Renal Replacement Therapy-Related Complications

    Number and proportion of patients experiencing complications during renal replacement therapy, including hypotension, arrhythmia, cardiac arrest, bleeding, catheter-related problems, or device/technical problems.

    Time frame: Up to 8 hours from emergency department admission

07

Study locations

1 site
  • University of Health Sciences, Antalya Training and Research Hospital
    Antalya, konyaaltı 21090, Turkey (Türkiye)
    • murat Duyan, ASSOCIATE PROFESSOR · Contactdrmuratduyan@gmail.com · +90 540 412 0735
    • abdurrahman cilingir, Postdoctoral research assistan · Contact
08

References and documents

Publications

  • Kim JE, Jeong J, Choi Y, Moon HJ. Utilization of Renal Replacement Therapy and Its Impact on the Emergency Department Length of Stay in South Korean Emergency Medical Centers. Medicina (Kaunas). 2026 Jul 1;62(7):1273. doi: 10.3390/medicina62071273. PubMed 42512815 ↗
  • Meersch-Dini M, Abu-Tair M, Bayer M, Brinkmann A, Bellmann R, Brunkhorst F, Custodis F, Czock D, Frey O, Galle J, Hermes C, Joannidis M, John S, Jorres A, Kerz T, Kindgen-Milles D, Koczor M, Kram R, Kuhlmann M, Oppert M, Schlieper G, Schmitz M, Zarbock A, Willam C. Multidisciplinary guidelines on renal replacement therapy in intensive care medicine. Crit Care. 2026 Jan 14;30(1):46. doi: 10.1186/s13054-025-05817-6. PubMed 41535952 ↗

Individual participant data

Plan to share: No — Individual participant data will not be shared because the study is based on retrospective clinical records containing sensitive patient information. Only anonymized, aggregated study results will be reported.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Aug 2026; primary completion for Nov 2026, 2 months later.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 7, 2026
First posted
Aug 14, 2026
StartEst.
Aug 10, 2026
Primary completionEst.
Nov 1, 2026
CompletionEst.
Nov 1, 2026
Last update
Aug 14, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 14, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07765030
Lead sponsor
Antalya Health Sciences University
Responsible party
Sponsor
First posted
Aug 14, 2026
Start date
Aug 10, 2026 (estimated)
Primary completion
Nov 1, 2026 (estimated)
Completion
Nov 1, 2026 (estimated)
Last update
Aug 14, 2026

Study contacts

murat Duyan, ASSOCIATE PROFESSOR
Contact
drmuratduyan@gmail.com
+90 540 412 0735

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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