In this randomized trial of patients with acute decompensated CHF and renal insufficiency, patients were randomized to either ultrafiltration or medical therapy; ultrafiltration was not more effective than medical therapy in weight loss, was worse with respect to a change in creatinine, and was associated with more serious adverse events. There does not appear to be a role for ultrafiltration in the treatment of acute decompensated CHF with renal insufficiency (abstract).
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.