Response to furosemide and the receipt of kidney replacement therapy in critically ill patients

J Crit CarePublished Retrospective cohort study

Authors' conclusion

This study demonstrates that the response to a first furosemide bolus administered during usual clinical care can be a valuable tool for anticipating the future receipt of KRT.

Study context

Population
Critically ill adults in a tertiary care hospital ICU, 2017–2023, receiving a first IV furosemide bolus with documented urine output (continuous furosemide infusion excluded)included in the analysis
Participants
1,527 adults
Exposure
≤25 mL/h vs >50 mL/h
Outcome
Initiation of KRT
Follow-up
Within 7 days
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

KRT within 7 days by 2-h urine output

P < 0.001

Observational data: associations, not effects.

Further findings

OutcomeaOR (95 % CI)
KRT initiation by 6-h urine output (multivariable analysis)Per 10 mL/h increase0.905 (0.861–0.951)

Kidney replacement therapy (KRT) by 6-h urine output

Similar patterns observed for urine output at 6 h

Acute kidney injury (AKI) progression and KDIGO stage

Lower urine output associated with greater AKI progression and higher KDIGO stages

Original publication

Response to furosemide and the receipt of kidney replacement therapy in critically ill patients. J Crit Care. Published 5 July 2025. doi:10.1016/j.jcrc.2025.155171

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