Peri-operative Prediction of Prolonged Stay in the Cardiac Intensive Care Unit for Adult Cardiac Surgery
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Purpose
The purpose of this study is to create a model using intra-operative modified SOFA score and peri-operative clinical factors to predict prolonged stay in the cardiac intensive care unit (CICU) for adult cardiac surgery with heart-lung machine
| Condition |
|---|
|
Heart; Dysfunction Postoperative, Cardiac Surgery Cytokine Release Syndrome |
| Study Type: | Observational |
| Study Design: | Observational Model: Case-Only Time Perspective: Prospective |
| Official Title: | Peri-operative Prediction of Prolonged Stay in the Cardiac Intensive Care Unit for Adult Cardiac Surgery With Cardiopulmonary Bypass |
- Adjusted odds ratio of peri-operative clinical risk factors in prolonged CICU patients [ Time Frame: 24 hours after CPB ] [ Designated as safety issue: No ]Blood samples were collected for cytokines investigation and leukocyte counts. Clinical scoring systems , major peri-operative clinical risk factors were calculated and recorded at each time point. Univariate odds ratio were calculated for each factors for prolonged CICU stay. Those significant factors were included in logistic regression model for analysis of adjusted odds ratios. Then, a model for prolonged CICU stay is constructed.
Biospecimen Retention: Samples Without DNA
whole blood taken from arterial line
| Enrollment: | 164 |
| Study Start Date: | August 2011 |
| Study Completion Date: | August 2012 |
| Primary Completion Date: | March 2012 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
|
patients with elective cardiac surgery
adult patients who had undergone elective cardiac surgery with CPB
|
Detailed Description:
Cardiac surgery using cardiopulmonary bypass (CPB) is commonly associated with a systemic inflammatory response that exacerbates peri-operative life-threatening complications and multiple organ dysfunction syndromes. These features can prolong the stay in the CICU. Many peri-operative clinical risk factors contribute to those adverse outcomes resulting in prolonged CICU stay. If the investigators can create a model to identify the effects of these intra-operative clinical risk factors to prolonged CICU stay
Eligibility| Ages Eligible for Study: | 18 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
adult patients who had undergone elective cardiac surgery with CPB
Inclusion Criteria:
- adult patients who had undergone elective cardiac surgery with CPB
Exclusion Criteria:
- under 18 years of age
- needing emergency surgery
- needing intra-aortic balloon pump
Contacts and Locations
More Information
No publications provided
| Responsible Party: | Thepakorn Sathitkarnmanee, Associate Professor, Khon Kaen University |
| ClinicalTrials.gov Identifier: | NCT01559870 History of Changes |
| Other Study ID Numbers: | HE541122 |
| Study First Received: | March 13, 2012 |
| Last Updated: | November 10, 2012 |
| Health Authority: | Thailand: Khon Kaen University Ethics Committee for Human Research |
Keywords provided by Khon Kaen University:
|
cardiac surgery cytokine clinical scoring system risk factor |
ClinicalTrials.gov processed this record on May 22, 2013