Prevalence of Acute and Chronic Kidney Disease in the ICU (PEACE)

  • Research type

    Research Study

  • Full title

    PrEvalence of Acute and Chronic Kidney Disease treated by renal replacement therapy in the ICU Environment (PEACE). A prospective international, multi-centre, prevalence study on the epidemiology of the use of renal replacement therapy for ICU patients who have acute kidney injury and chronic end stage kidney disease.

  • IRAS ID

    171814

  • Contact name

    Lui G Forni

  • Contact email

    luiforni@nhs.net

  • Sponsor organisation

    European Society of Intensive Care Medicine Trials Group

  • Research summary

    Acute kidney injury (AKI) is a common finding in intensive care unit (ICU) patients with up to 30 to 65% of patients experiencing an episode of AKI and furthermore 5% of ICU patients are treated with some form of renal replacement therapy. AKI is associated with important short term and long-term morbidity and mortality and is a considerable financial burden. Data on the use of renal replacement therapy (RRT) for AKI and for CKD in ICU patients are either on specific patient groups, survey based, or from a decade ago. Furthermore, these studies suffered from exclusion bias, as patients who fulfilled criteria for initiation of RTT, but who were denied RRT, were not considered. That this may be an important consideration as a recent small single centre study demonstrated similar mortality rate between patients with a similar degree of AKI who were and who were not treated with RRT. Therefore, the Acute Kidney Injury Network recommended measuring the epidemiology of AKI. We wish to assess the prevalence of severe AKI (defined as KDIGO class 3) and CKD (defined by treatment with renal replacement therapy (RRT)), in ICU patients, present at time of the study inclusion day.
    Hopefully this will inform clinical practice particularly with respect to initiation of RRT.

  • REC name

    London - Hampstead Research Ethics Committee

  • REC reference

    15/LO/0483

  • Date of REC Opinion

    25 Mar 2015

  • REC opinion

    Further Information Favourable Opinion