Organ support & nutrition

Trends in Renal Dysfunction, Renal Replacement Therapy, and Mortality in Intensive Care Units: A Nationwide Japanese ICU database study

Anaesth Crit Care Pain MedPublished Retrospective cohort study

Authors' conclusion

In this nationwide Japanese ICU cohort, RRT use among patients with renal dysfunction changed little over the past decade. Although adjusted mortality was lower in some later years, overall temporal changes were modest.

Study context

Population
Adult ICU patients, Japanese Intensive Care Patient Database, April 2015–March 2023
Participants
80,255 patients
Exposure
April 2015-March 2018 vs April 2018-March 2021 vs April 2021-March 2023
Outcome
Adjusted hospital mortality over time
Methodological detailsnationwide database, multivariable mixed-effects logistic regression
  • Nationwide database
  • Multivariable mixed-effects logistic regression

Main finding

As reported in the abstract

Adjusted hospital mortality
  • Adjusted hospital mortality lower in several later years vs 2015; differences between predefined study periods modest

Observational data: associations, not effects.

Further findings

Renal dysfunction

Proportion with renal dysfunction increased modestly over time

Renal replacement therapy (RRT) utilization

Overall RRT utilization relatively stable across study periods

Original publication

Trends in Renal Dysfunction, Renal Replacement Therapy, and Mortality in Intensive Care Units: A Nationwide Japanese ICU database study. Anaesth Crit Care Pain Med. Published 24 September 2026. doi:10.1016/j.accpm.2026.101917

Composed by AI from the published abstract and checked against it. How Briefs are made →

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