Heparin Antibodies in Intensive Care Unit Patients (HAICU)
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Purpose
Intensive care unit patients have multiple risk factors for venous thromboembolism. Venous thromboembolism leads to significant morbidity and can be fatal. Unfractionated heparin and low molecular weight heparin are commonly used to prevent venous thromboembolism. Heparin induced thrombocytopenia, an untoward consequence of exposure to heparin, is an immune disorder that may develop in patients treated with heparin products. Determining the prevalence of heparin induced thrombocytopenia and its relationship to preventive and therapeutic heparin and low molecular weight heparin will help clinicians more appropriately choose methods of venous thromboembolism prophylaxis and treatment in the critically ill, ICU population.
The objective of this study is to determine the prevalence of heparin-induced antibodies on admission to the ICU and the development of new heparin-antibodies during the first week of hospitalization.
| Condition | Intervention |
|---|---|
|
Heparin-Induced Thrombocytopenia |
Other: blood samples (2) |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | Heparin Antibodies in Intensive Care Unit Patients (HAICU) |
Plasma. Patients consented for use to look for heparin antibodies in this study only.
| Enrollment: | 185 |
| Study Start Date: | November 2004 |
| Study Completion Date: | May 2006 |
| Groups/Cohorts | Assigned Interventions |
|---|---|
|
Medical ICU patients
Patients admitted to a medical intensive care unit
|
Other: blood samples (2)
Two blood samples were obtained from patients and tested for heparin antibodies.
|
|
Surgical ICU patients
Patients admitted to a surgical-trauma intensive care unit
|
Other: blood samples (2)
Two blood samples were obtained from patients and tested for heparin antibodies.
|
|
Neuro ICU patients
Patients admitted to a neuro-trauma intensive care unit
|
Other: blood samples (2)
Two blood samples were obtained from patients and tested for heparin antibodies.
|
Show Detailed Description
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Probability Sample |
Consecutive consenting patients admitted to neurotrauma, surgical-trauma or medical intensive care unit meeting enrollment criteria.
Inclusion Criteria:
Adult patients (> 18 years of age) admitted to the
- Neuro-trauma intensive care unit (NTICU)
- Shock-trauma intensive care unit (STICU) or
- Medical intensive care unit (MICU).
- Completed informed consent process.
Exclusion Criteria:
- Admitted to ICU for short-term observation or expected hospital length of stay of less than 5 days
- Undergoing or planned plasmaphoresis
Contacts and Locations| United States, Florida | |
| Florida Hospital Center for Hemostasis & Thrombosis (Laboratory) | |
| Orlando, Florida, United States, 32804 | |
| United States, Texas | |
| UT-Houston/Memorial Hermann Hospital | |
| Houston, Texas, United States, 77030 | |
| Principal Investigator: | Robert L Levine, MD | The University of Texas, Houston |
More Information
No publications provided
| Responsible Party: | Robert L. Levine, MD, The University of Texas Health Science Center at Houston |
| ClinicalTrials.gov Identifier: | NCT00283322 History of Changes |
| Other Study ID Numbers: | HSC-MS-04-0312, HAICU |
| Study First Received: | January 25, 2006 |
| Last Updated: | December 3, 2007 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by The University of Texas Health Science Center, Houston:
|
Heparin Induced Thrombocytopenia HIT HITT Thrombosis Thromboembolism |
Additional relevant MeSH terms:
|
Thrombocytopenia Blood Platelet Disorders Hematologic Diseases Antibodies Calcium heparin Heparin Immunologic Factors Physiological Effects of Drugs |
Pharmacologic Actions Anticoagulants Hematologic Agents Therapeutic Uses Fibrinolytic Agents Fibrin Modulating Agents Molecular Mechanisms of Pharmacological Action Cardiovascular Agents |
ClinicalTrials.gov processed this record on May 19, 2013