Kidney-surface versus limb NIRS monitoring to predict acute kidney injury after cardiac surgery with bypass
Official title: A Comparison of Renal vs Limb NIRS for Predicting Cardiac Surgery Associated Acute Kidney Injury
Run by University of Utah · NCT06705855 · Data updated 2026-11-12
This study will try NIRS sensors placed over the kidneys versus on the limbs to see which better predicts acute kidney injury in adults having cardiac surgery with cardiopulmonary bypass.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 100 (estimated) |
| Sponsor | University of Utah Academic / other |
| Locations | 1 site (Salt Lake City, Utah) |
| Status | Recruiting |
| Started | May 29, 2025 |
| Main results expected | May 30, 2026 |
| Study ends | August 30, 2026 |
| Registry record updated | August 17, 2025 |
| Trial ID | NCT06705855 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (18 and older) undergoing cardiac surgery requiring cardiopulmonary bypass who are at risk for AKI and are not on chronic dialysis are the intended participants.
✕Probably not a fit
Patients with preoperative end-stage kidney disease on dialysis, those undergoing emergency surgery, or individuals who refuse participation are unlikely to gain benefit from this monitoring comparison.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Near-infrared spectroscopy (NIRS) uses light through the skin to estimate tissue oxygenation and is commonly applied to the brain during cardiac surgery. This observational study will place NIRS sensors on the skin above the kidneys and on the limbs of adult patients undergoing cardiac surgery with cardiopulmonary bypass and record perioperative readings. Investigators will compare how well renal-site versus limb-site NIRS signals predict postoperative acute kidney injury using standard clinical AKI criteria. The aim is to determine whether renal-surface NIRS provides earlier or more accurate indication of patients at risk of AKI.
Why it matters
Potential benefit: If successful, this approach could allow earlier or more accurate identification of patients at risk for AKI so clinicians can try targeted measures to prevent or lessen kidney injury.
How similar studies have gone: Applying NIRS to the renal area is relatively novel; small prior studies have suggested potential but there is no clear, definitive evidence yet.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * We will enroll a convenience sample of adult cardiac surgery patients undergoing procedures that require cardiopulmonary bypass (CPB) and who are at risk for AKI. Exclusion Criteria: * Exclusion criteria will include less than age 18 years old, preoperative end-stage kidney disease requiring dialysis, emergency surgery, or patient refusal.
Where it's running
-
University of Utah
Salt Lake City, Utah, United States Recruiting
Study contacts
- Principal investigator: Natalie Silverton, MD — University of Utah
- Study coordinator: Natalie Silverton, MD
- Email: natalie.silverton@hsc.utah.edu
- Phone: 801-581-6393
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.