Research Article

Natriuretic Peptides in the Management of Solid Organ Transplantation Associated Acute Kidney Injury: A Systematic Review and Meta-Analysis

Table 1

Characteristics of included randomized controlled trials.

Study, yearCountry   Setting   InterventionPatients randomizedMean age, yrsBaseline renal function ∞Reported outcomesJadad
score
NPControlNPControlNPControl

Akamatsu et al., 2005 [4]JapanLive donor liver transplantation (recipients with model for end-stage liver disease scores >15)Synthetic hANP infusion 0.05 to 0.1 μg/kg/min for 5 days 1918485148 ± 2251 ± 18AKI requiring RRT, mortality, adverse events3

Brenner et al., 1995 [22]GermanyHeart transplantationUrodilatin 40 ng/kg/min for 6 days1212NR147 ± 30102 ± 19AKI requiring RRT, duration of RRT, mortality, adverse events5

Gianello et al., 1995 [23]DenmarkCadaveric renal transplantationSynthetic hANP 100 μg bolus into renal allograft artery followed by infusion at 0.01 to 0.03 μg/kg/min until serum creatinine <2 mg/dL20203638NRAKI requiring RRT, mortality, adverse events4

Kuse et al., 1996 [24]GermanyLiver transplantation (recipients with emerging ARF with criteria such as refractory anuria/oliguria <0.5 mL/kg/hr, increase in serum creatinine ≥200% or BUN ≥25 mmol/L)Urodilatin at 20 ng/kg/min for 7 hours5449442.0 ± 1.42.3 ± 1.1AKI requiring RRT, mortality, adverse events4

Langrehr et al., 1997 [25]DenmarkLiver transplantationUrodilatin at 20 ng/kg/min for 7 days333744471.2 ± 0.11.0 ± 0.1AKI requiring RRT, mortality, adverse events2

Ratcliffe et al., 1991 [26]United StatesCadaveric renal transplantationAtriopeptin 0.0125 to 0.1 μg/kg/min for 12 hours 1919NRNR1.1 ± 0.41.0 ± 0.4AKI requiring RRT, mortality, posttransplant CrCl, adverse events5

Sands et al., 1990 [6]United StatesCadaveric renal transplantationSynthetic hANP 50 μg bolus followed by 0.1 μg/kg/min for 4 hours10104441NRAKI requiring RRT, mortality, posttransplant CrCl, adverse events3