Status:
RECRUITING
Using a Hypotension Prediction Index to Prevent Low Blood Pressure During Dialysis in ICU Patients
Lead Sponsor:
Chulalongkorn University
Conditions:
Intradialytic Hypotension
Intensive Care Unit ICU
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
This single-center, crossover randomized controlled trial (HyPIR-ICU) investigates whether a Hypotension Prediction Index (HPI)-guided management strategy can reduce intradialytic hypotension (IDH) du...
Detailed Description
This study explores whether HPI-guided management during PIRRT can randomization: Block randomization stratified by kidney status (AKI vs. ESKD) and vasopressor use. All parameters are monitored in re...
Eligibility Criteria
Inclusion
- Adults \>18 years old
- Diagnosed with acute kidney injury (AKI) or end-stage kidney disease (ESKD)
- Admitted to medical ICU
- Scheduled for PIRRT
- Have an indwelling arterial catheter
Exclusion
- Severe right heart dysfunction, significant valvular disease, arrhythmias, mechanical circulatory support, absence of arterial access, no UF prescription, palliative care, or expected ICU stay \<72 hours.
Key Trial Info
Start Date :
October 10 2025
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
December 31 2026
Estimated Enrollment :
46 Patients enrolled
Trial Details
Trial ID
NCT07179705
Start Date
October 10 2025
End Date
December 31 2026
Last Update
November 17 2025
Active Locations (1)
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1
Division of Nephrology, Faculty of Medicine, Chulalongkorn University
Bangkok, Thailand