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Respiratory Distress Syndrome, AdultNCT02759770

Risk Factors and Prediction Score of ARDS After Cardiac Surgery

An observational study of Respiratory Distress Syndrome, Adult and Thoracic Surgery, run by Beijing Anzhen Hospital at 1 site in China.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Acute respiratory distress syndrome following cardiac surgery severely affects the prognosis of patients; the mortality is up to 40%. Although experience many years of research and exploration, the effective methods for the treatment of acute respiratory distress syndrome is still relatively limited at present… Read more about this study

Who is it for?
Any age
How many people
1,333 participants
Where
1 siteChina
Study dates
1 Jul 2017to 30 Sep 2017
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Study population: Patients of cardiac surgery in Beijing Anzhen hospital

Who may be able to join

  • Retrospective group: cardiac surgery patients accepted from Jan 2013 to Dec 2015
  • Prospective group: cardiac surgery patients accepted from 2017 January to December

Who cannot join

  • refused to participate in the study
  • age less than 18 years old
  • before operation performed mechanical ventilation
  • before operation underwent IABP treatment
  • before operation continuous renal replacement therapy
  • before operation undergoing in vitro membrane oxygenator treatment
Show all 10Show fewer
  • before operation has the pulmonary imaging showed bilateral pulmonary diffuse exudation of interstitial pneumonia, pulmonary infection or respiratory failure
  • the major trauma, sepsis, aspiration, shock, acute heart failure
  • before operation diagnosed as malignant tumor
  • Incomplete data.

Trial locations and contacts

1 site in 1 country.

China1 site
  • Department of Respiratory and Critical Care Medicine, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart, Lung and Blood Vessel Diseases

    Beijing, Beijing Municipality, 100029

Other trials in China

About this study

Acute respiratory distress syndrome following cardiac surgery severely affects the prognosis of patients; the mortality is up to 40%. Although experience many years of research and exploration, the effective methods for the treatment of acute respiratory distress syndrome is still relatively limited at present, including lung protective mechanical ventilation respiratory support, fluid management, glucocorticoid and other integrated organ function maintenance measures. It is currently the research of acute respiratory distress syndrome aims at the early discovery and takes effective measures to prevent its occurrence, hoping to improve the prognosis of patients. According to risk factors is established through the analysis of lung injury score early warning system, the early identification of acute respiratory distress syndrome patients at high risk, before the occurrence of acute respiratory distress syndrome take corresponding preventive measures can effectively reduce the incidence rate and mortality. So far, domestic and foreign research on the establishment of acute respiratory distress syndrome scoring early warning system is less. Cardiac surgery has significant characteristics, type of operation, location, operation, intraoperative blood transfusion and oxygenation, postoperative factors, are likely to be the factors of acute respiratory distress syndrome. As far as investigators know, so far there are few specialized for acute respiratory distress syndrome predicting lung injury after cardiac surgery. This study will be completed after the implementation of individualized dynamic lung injury score evaluation of cardiac surgery patients, identification of high-risk acute respiratory distress syndrome patients, to assist clinicians in early decision, take preventive measures. This study will improve the prognosis of acute respiratory distress syndrome patients after cardiac surgery; it is of great significance to improve the level of intensive care after cardiac surgery.

Being tested
no intervention
Medical subject headings
Respiratory Distress Syndrome

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • no interventionOther

    This is a clinical observational study, no intervention was included.

Study groups in NCT02759770
Study groupRoleWhat they receive
ARDSARDS patients after cardiac surgery
Receives: Other: no intervention
non-ARDSnon-ARDS patients after cardiac surgery
Receives: Other: no intervention
propective grouppatients of cardiac surgery including ARDS and non-ARDS patients
Receives: Other: no intervention

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The number of acute respiratory distress syndrome following cardiac surgery in Anzhen hospital during Jan 2013 to Dec 2015.

    Measured: up to 12months

  2. The number of patients of cardiac surgery in Anzhen hospital during Jan 2013 to Dec 2015.

    Measured: up to 12months

  3. The number of acute respiratory distress syndrome following cardiac surgery in Anzhen hospital during Jan 2017 to Dec 2017.

    Measured: up to 12months

  4. The number of patients of cardiac surgery in Anzhen hospital during Jan 2017 to Dec 2017.

    Measured: up to 12months

  5. The number of diabetic patients in ARDS group.

    Measured: up to 1 month

  6. The number of diabetic patients in non-ARDS group.

    Measured: up to 1 month

  7. The number of chronic obstructive pulmonary disease patients in ARDS group.

    Measured: up to 1 month

  8. The number of chronic obstructive pulmonary disease patients in non-ARDS group.

    Measured: up to 1 month

  9. The type of operation in ARDS group.

    Measured: up to 1 month

  10. The type of operation in non-ARDS group.

    Measured: up to 1 month

  11. The body mass index in ARDS group.

    Measured: up to 1 month

  12. The body mass index in non-ARDS group.

    Measured: up to 1 month

  13. The heart function in ARDS group before operation.

    Measured: up to 1 month

  14. The heart function in non-ARDS group before operation.

    Measured: up to 1 month

  15. The oxygenation in ARDS group before operation.

    Measured: up to 1 month

  16. The oxygenation in non-ARDS group before operation.

    Measured: up to 1 month

  17. The drug taken by patients in ARDS group.

    Measured: up to 1 month

  18. The drug taken by patients in non-ARDS group.

    Measured: up to 1 month

  19. The nutrition situation of patients in ARDS group.

    Measured: up to 1 month

  20. The nutrition situation of patients in non-ARDS group.

    Measured: up to 1 month

  21. The process of operation in ARDS group.

    Measured: up to 1 month

  22. The process of operation in non-ARDS group.

    Measured: up to 1 month

  23. The blood transfusion of patients during operation in ARDS group.

    Measured: up to 1 month

  24. The blood transfusion of patients during operation in non-ARDS group.

    Measured: up to 1 month

  25. The oxygenation of patients during operation in ARDS group.

    Measured: up to 1 month

  26. The oxygenation of patients during operation in non-ARDS group.

    Measured: up to 1 month

  27. The drug taken by patients after operation in ARDS group.

    Measured: up to 1 month

  28. The drug taken by patients after operation in non-ARDS group.

    Measured: up to 1 month

  29. The oxygenation of patients after operation in ARDS group.

    Measured: up to 1 month

  30. The oxygenation of patients after operation in non-ARDS group.

    Measured: up to 1 month

  31. The situation of mechanical ventilation of patients after operation in ARDS group.

    Measured: up to 1 month

  32. The situation of mechanical ventilation of patients after operation in non-ARDS group.

    Measured: up to 1 month

Secondary outcomes (2)
  1. The mortality of acute respiratory distress syndrome following cardiac surgery in Anzhen hospital .

    Measured: up to 1months

  2. The morbidity of acute respiratory distress syndrome following cardiac surgery in Anzhen hospital .

    Measured: up to 1months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 May 2016 (estimated)
  2. Study start1 Jul 2017
  3. Primary completion30 Sep 2017
  4. Study completion30 Sep 2017

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Other
Time perspective
Other
Enrolment
1,333 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02759770
Sponsor's protocol ID
Shoufa-2016-2-1052
Status last verified
Dec 2019
First submitted
25 Apr 2016
Last updated
1 Feb 2021
Results posted
No

Publications

  • Kogan A, Preisman S, Levin S, Raanani E, Sternik L. Adult respiratory distress syndrome following cardiac surgery. J Card Surg. 2014 Jan;29(1):41-6. doi: 10.1111/jocs.12264. Epub 2013 Dec 3.

    PubMed 24299028
  • Berg KS, Stenseth R, Pleym H, Wahba A, Videm V. Mortality risk prediction in cardiac surgery: comparing a novel model with the EuroSCORE. Acta Anaesthesiol Scand. 2011 Mar;55(3):313-21. doi: 10.1111/j.1399-6576.2010.02393.x.

    PubMed 21288212
  • Forel JM, Voillet F, Pulina D, Gacouin A, Perrin G, Barrau K, Jaber S, Arnal JM, Fathallah M, Auquier P, Roch A, Azoulay E, Papazian L. Ventilator-associated pneumonia and ICU mortality in severe ARDS patients ventilated according to a lung-protective strategy. Crit Care. 2012 Dec 12;16(2):R65. doi: 10.1186/cc11312.

    PubMed 22524447
  • Grissom CK, Hirshberg EL, Dickerson JB, Brown SM, Lanspa MJ, Liu KD, Schoenfeld D, Tidswell M, Hite RD, Rock P, Miller RR 3rd, Morris AH; National Heart Lung and Blood Institute Acute Respiratory Distress Syndrome Clinical Trials Network. Fluid management with a simplified conservative protocol for the acute respiratory distress syndrome*. Crit Care Med. 2015 Feb;43(2):288-95. doi: 10.1097/CCM.0000000000000715.

    PubMed 25599463
  • Festic E, Kor DJ, Gajic O. Prevention of acute respiratory distress syndrome. Curr Opin Crit Care. 2015 Feb;21(1):82-90. doi: 10.1097/MCC.0000000000000174.

    PubMed 25501020
  • Rubenfeld GD. Who cares about preventing acute respiratory distress syndrome? Am J Respir Crit Care Med. 2015 Feb 1;191(3):255-60. doi: 10.1164/rccm.201408-1574CP.

    PubMed 25478722
  • Beitler JR, Schoenfeld DA, Thompson BT. Preventing ARDS: progress, promise, and pitfalls. Chest. 2014 Oct;146(4):1102-1113. doi: 10.1378/chest.14-0555.

    PubMed 25288000
  • ARDS Definition Task Force; Ranieri VM, Rubenfeld GD, Thompson BT, Ferguson ND, Caldwell E, Fan E, Camporota L, Slutsky AS. Acute respiratory distress syndrome: the Berlin Definition. JAMA. 2012 Jun 20;307(23):2526-33. doi: 10.1001/jama.2012.5669.

    PubMed 22797452
  • Milot J, Perron J, Lacasse Y, Letourneau L, Cartier PC, Maltais F. Incidence and predictors of ARDS after cardiac surgery. Chest. 2001 Mar;119(3):884-8. doi: 10.1378/chest.119.3.884.

    PubMed 11243972
  • Michalopoulos A, Prapas S, Falagas ME. The incidence of adult respiratory distress syndrome in patients undergoing off-pump coronary artery bypass grafting surgery. Eur J Anaesthesiol. 2006 Jan;23(1):80. doi: 10.1017/S0265021505211821. No abstract available.

    PubMed 16390572
  • Vakili M, Shirani S, Paknejad O, Yousefshahi F. Acute Respiratory Distress Syndrome diagnosis after coronary artery bypass: comparison between diagnostic criteria and clinical picture. Acta Med Iran. 2015;53(1):51-6.

    PubMed 25597606
  • Kor DJ, Lingineni RK, Gajic O, Park PK, Blum JM, Hou PC, Hoth JJ, Anderson HL 3rd, Bajwa EK, Bartz RR, Adesanya A, Festic E, Gong MN, Carter RE, Talmor DS. Predicting risk of postoperative lung injury in high-risk surgical patients: a multicenter cohort study. Anesthesiology. 2014 May;120(5):1168-81. doi: 10.1097/ALN.0000000000000216.

    PubMed 24755786

Questions about this trial

What is this clinical trial studying?

An observational study of Respiratory Distress Syndrome, Adult and Thoracic Surgery, run by Beijing Anzhen Hospital at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 1 Feb 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The number of acute respiratory distress syndrome following cardiac surgery in Anzhen hospital during Jan 2013 to Dec 2015. (time frame: up to 12months). The study lists 32 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02759770, which also lists 12 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Feb 2021.

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