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Fluid management in acute kidney injury

Wang, Shen-Chih; Chang, Kuang-Yi; Tsou, Mei-Yung*

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Journal of the Chinese Medical Association: August 2013 - Volume 76 - Issue 8 - p 475
doi: 10.1016/j.jcma.2013.06.012


    Thank you for Dr. Hung's response1 to our newly published paper.2

    We have reanalyzed our data in Table 4 using the Mann–Whitney U test. There was still no significant association between our fluid management and acute kidney injury (p = 0.157). We also pooled the groups of risk, injury and failure patients into a single category for the χ2 test. No significant association was found between different methods of fluid management (p = 0.182). Therefore, our findings are consistent regardless of statistical methods.

    Additionally, this paper was supervised by an accredited expert and author in statistics, who also passed the statistical evaluation to be a statistical editor for JCMA. Therefore, we have confidence that the findings we have presented are reliable.

    Shen-Chih Wang

    Kuang-Yi Chang

    Mei-Yung Tsou

    Department of Anesthesiology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC


    1. Hung CJ, Wu CC. Fluid management guided in acute kidney injury. J Chin Med Assoc. 2013;76:474.
    2. Wang SC, Teng WN, Chang KY, Susan Mandell M, Ting CK, Chu YC, et al. Fluid management guided by stroke volume variation failed to decrease the incidence of acute kidney injury, 30-day mortality, and 1-year survival in living donor liver transplant recipients. J Chin Med Assoc. 2012;75:654-659.
    © 2013 by Lippincott Williams & Wilkins, Inc.