Neuroanesthesia & neurocritical care

Impact of continuous hypertonic (NaCl 20%) saline solution on renal outcomes after traumatic brain injury (TBI): a post hoc analysis of the COBI trial

Crit CarePublished Secondary analysis of the COBI randomised trial

Authors' conclusion

Despite a significant increase in chloride intake, a continuous infusion of HSS was not associated with AKI in moderate-to-severe TBI patients.

Study context

Population
Patients admitted for moderate-to-severe TBI in 9 ICUs322 analysed
Participants
370 patients
Comparison
Continuous 20% hypertonic saline infusion vs standard care
Primary endpoint
Occurrence of acute kidney injury (AKI)
Follow-up
Within 28 days after enrollment
Methodological detailspost hoc analysis, multicentre
  • Post hoc analysis
  • Multicentre

Primary result

As reported in the abstract

AKI · 28 days

P = 0.45

Further findings

Chloride intake during first 4 days

P < 0.001

Blood chloride level · day 4

P < 0.001

Original publication

Impact of continuous hypertonic (NaCl 20%) saline solution on renal outcomes after traumatic brain injury (TBI): a post hoc analysis of the COBI trial. Crit Care. Published 27 January 2023. doi:10.1186/s13054-023-04311-1

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