Organ support & nutrition

Spontaneous diuresis in combination with furosemide stress test (SD-FST) as predictor for successful liberation from kidney replacement therapy: a prospective observational study

Crit CarePublished Prospective observational study

Authors' conclusion

In critically ill patients with recovery of SD > 400ml/d during ongoing KRT, the FST helps to identify patients who can be successfully liberated from KRT.

Study context

Population
Critically ill patients on kidney replacement therapy (KRT) for acute kidney injury (AKI) with spontaneous diuresis ≥400 ml in 24 h without diuretics98 evaluated
Participants
100 patients
Exposure
Furosemide stress test (FST)-positive vs FST-negative
  • FST-positiven = 76
  • FST-negativen = 22reference
Outcome
Need to restart KRT
Follow-up
7 days
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Resumption of KRT

P < 0.001

Observational data: associations, not effects.

Further findings

Urine output after FST predicting successful release from KRT

AUC (p < 0.001)
0.87

Original publication

Spontaneous diuresis in combination with furosemide stress test (SD-FST) as predictor for successful liberation from kidney replacement therapy: a prospective observational study. Crit Care. Published 26 May 2025. doi:10.1186/s13054-025-05452-1

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