Organ support & nutrition

Liberation from continuous renal replacement therapy due to renal recovery in adults and children: a literature review and Delphi consensus on clinical practice

Crit CarePublished Literature review and modified Delphi consensus

Authors' conclusion

UOP without the use of diuretics prior to liberation from CRRT was the most commonly reported predictor for successful CRRT liberation.

Study context

Population
Adults and children with AKI receiving continuous renal replacement therapy (CRRT)18 studies
Participants
3,357 vs 939
Comparison
Adults vs Children
  • Adultsn = 3,357
  • Childrenn = 939
Outcome
Predictors of successful liberation from CRRT
Methodological detailstwo-round modified Delphi process, Statements with over 75% of respondents rating them at least 3 on a 5-point Likert scale classified as clinically relevant practice points
  • Two-round modified Delphi process
  • Statements with over 75% of respondents rating them at least 3 on a 5-point Likert scale classified as clinically relevant practice points

Recommendations

As reported in the abstract

Predictors of successful CRRT liberation

Adults: Urine output (UOP) thresholds correlating with successful outcomes

> 60 mL/hr or > 400 mL/day

Children: UOP within 6 h before liberation a reliable predictor

> 0.5 mL/kg/hr

Original publication

Liberation from continuous renal replacement therapy due to renal recovery in adults and children: a literature review and Delphi consensus on clinical practice. Crit Care. Published 8 July 2025. doi:10.1186/s13054-025-05517-1

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