Factor XIII in Major Burns Coagulation
Major Burns Coagulation and the Role of Factor XIII: A Descriptive Study
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Patricia Guilabert, MD
- Phone Number: 3504 0034934 89 30 00
- Email: patricia.guilabert@gmail.com
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Burned patients with a burned body surface of 20% or more
- Over 18 years of age
Exclusion Criteria:
- ABSI (Abbreviated Burns Severity Index) greater than or equal to 12
- Associated polytrauma
- Coagulation deficit previously known
- Treatment with anticoagulants
- Electrocution burns
- Admission into the unit after hour 6 after thermal trauma
- The refusal of the patient, familiar or responsible to participate in the study
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Factor XIII
Time Frame: 30 days
|
Blood Coagulation Factor XIII levels
|
30 days
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Prothrombin Time (PT)
Time Frame: 30 days
|
Prothrombin Time blood levels
|
30 days
|
|
Activated Partial Thromboplastin Time (APTT)
Time Frame: 30 days
|
Activated Partial Thromboplastin Time blood levels
|
30 days
|
|
Thrombin Time (TT)
Time Frame: 30 days
|
Thrombin Time blood levels
|
30 days
|
|
Fibrinogen
Time Frame: 30 days
|
Functional fibrinogen blood levels
|
30 days
|
|
Lactate
Time Frame: 30 days
|
Lactate blood levels
|
30 days
|
|
Base Excess (BE)
Time Frame: 30 days
|
Base Excess blood levels
|
30 days
|
|
Fibrin monomers
Time Frame: 30 days
|
Fibrin monomers blood levels
|
30 days
|
|
Factor XII
Time Frame: 30 days
|
Factor XII blood levels
|
30 days
|
|
Factor VIII
Time Frame: 30 days
|
Factor VIII blood levels
|
30 days
|
|
Factor von Willebrand
Time Frame: 30 days
|
Factor von Willebrand blood levels
|
30 days
|
|
Plasmin
Time Frame: 30 days
|
Plasmin blood levels
|
30 days
|
|
Plasminogen
Time Frame: 30 days
|
Plasminogen blood levels
|
30 days
|
|
Alpha-2-antiplasmin
Time Frame: 30 days
|
Alpha-2-antiplasmin blood levels
|
30 days
|
|
Antithrombin (AT)
Time Frame: 30 days
|
Antithrombin blood levels
|
30 days
|
|
Protein C
Time Frame: 30 days
|
Protein C blood levels
|
30 days
|
|
Heparan sulfate
Time Frame: 30 days
|
Heparan sulfate blood levels
|
30 days
|
|
Syndecan 1
Time Frame: 30 days
|
Syndecan 1 blood levels
|
30 days
|
|
Healing Vancouver test
Time Frame: 30 days
|
The Vancouver survey will be conducted on the state of healing
|
30 days
|
|
Healing POSAS test
Time Frame: 30 days
|
The POSAS survey will be conducted on the state of healing
|
30 days
|
|
Tewamether moisture titration
Time Frame: 30 days
|
Tewamether consists of two pairs of sensors to measure the humidity and temperature gradients in two different spacings
|
30 days
|
|
Surgical bleeding survey
Time Frame: 10 days
|
A surgical team survey will be performed on intraoperative bleeding (during the first debridal surgery)
|
10 days
|
|
Reintervention due to bleeding
Time Frame: 11 days
|
The need of reintervention because of bleeding within the next 24 hours after the first debridal surgery will be registered
|
11 days
|
|
Surface debrided
Time Frame: 10 days
|
The percentage of debrided surface and type of debridement (in the first debriding surgery)
|
10 days
|
|
Surgery Bleeding
Time Frame: 15 days
|
Estimated bleeding according to the modified Gross formula (in the first debriding surgery)
|
15 days
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Patricia Guilabert, MD, Vall d'Hebron Universitary Hospital
Publications and helpful links
General Publications
- Guilabert P, Usua G, Martin N, Abarca L, Barret JP, Colomina MJ. Fluid resuscitation management in patients with burns: update. Br J Anaesth. 2016 Sep;117(3):284-96. doi: 10.1093/bja/aew266.
- Glas GJ, Levi M, Schultz MJ. Coagulopathy and its management in patients with severe burns. J Thromb Haemost. 2016 May;14(5):865-74. doi: 10.1111/jth.13283. Epub 2016 Mar 23.
- Sherren PB, Hussey J, Martin R, Kundishora T, Parker M, Emerson B. Lethal triad in severe burns. Burns. 2014 Dec;40(8):1492-6. doi: 10.1016/j.burns.2014.04.011. Epub 2014 Jul 1.
- Sherren PB, Hussey J, Martin R, Kundishora T, Parker M, Emerson B. Acute burn induced coagulopathy. Burns. 2013 Sep;39(6):1157-61. doi: 10.1016/j.burns.2013.02.010. Epub 2013 Mar 14.
- King DR, Namias N, Andrews DM. Coagulation abnormalities following thermal injury. Blood Coagul Fibrinolysis. 2010 Oct;21(7):666-9. doi: 10.1097/MBC.0b013e32833ceb08.
- Mitra B, Wasiak J, Cameron PA, O'Reilly G, Dobson H, Cleland H. Early coagulopathy of major burns. Injury. 2013 Jan;44(1):40-3. doi: 10.1016/j.injury.2012.05.010. Epub 2012 Jun 5.
- Lavrentieva A, Kontakiotis T, Bitzani M, Papaioannou-Gaki G, Parlapani A, Thomareis O, Tsotsolis N, Giala MA. Early coagulation disorders after severe burn injury: impact on mortality. Intensive Care Med. 2008 Apr;34(4):700-6. doi: 10.1007/s00134-007-0976-5. Epub 2008 Jan 12.
- Barret JP, Dziewulski PG. Complications of the hypercoagulable status in burn injury. Burns. 2006 Dec;32(8):1005-8. doi: 10.1016/j.burns.2006.02.018. Epub 2006 Aug 1.
- Barret JP, Gomez PA. Disseminated intravascular coagulation: a rare entity in burn injury. Burns. 2005 May;31(3):354-7. doi: 10.1016/j.burns.2004.11.006. Epub 2005 Jan 21.
- Aoki K, Aikawa N, Sekine K, Yamazaki M, Mimura T, Urano T, Takada A. Elevation of plasma free PAI-1 levels as an integrated endothelial response to severe burns. Burns. 2001 Sep;27(6):569-75. doi: 10.1016/s0305-4179(01)00011-0.
- Levin GY, Egorihina MN. The role of fibrinogen in aggregation of platelets in burn injury. Burns. 2010 Sep;36(6):806-10. doi: 10.1016/j.burns.2009.05.005. Epub 2010 Mar 16.
- Schaden E, Hoerburger D, Hacker S, Kraincuk P, Baron DM, Kozek-Langenecker S. Fibrinogen function after severe burn injury. Burns. 2012 Feb;38(1):77-82. doi: 10.1016/j.burns.2010.12.004. Epub 2011 Nov 23.
- Nielsen VG, Gurley WQ Jr, Burch TM. The impact of factor XIII on coagulation kinetics and clot strength determined by thrombelastography. Anesth Analg. 2004 Jul;99(1):120-123. doi: 10.1213/01.ANE.0000123012.24871.62.
- Korte W. [Fibrin monomer and factor XIII: a new concept for unexplained intraoperative coagulopathy]. Hamostaseologie. 2006 Aug;26(3 Suppl 1):S30-5. German.
- Jambor C, Reul V, Schnider TW, Degiacomi P, Metzner H, Korte WC. In vitro inhibition of factor XIII retards clot formation, reduces clot firmness, and increases fibrinolytic effects in whole blood. Anesth Analg. 2009 Oct;109(4):1023-8. doi: 10.1213/ANE.0b013e3181b5a263.
Study record dates
Study Major Dates
Study Start (Anticipated)
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Pathologic Processes
- Cardiovascular Diseases
- Vascular Diseases
- Wounds and Injuries
- Hematologic Diseases
- Blood Coagulation Disorders, Inherited
- Coagulation Protein Disorders
- Hemorrhagic Disorders
- Genetic Diseases, Inborn
- Fibrosis
- Burns
- Hemostatic Disorders
- Blood Coagulation Disorders
- Cicatrix
- Factor XIII Deficiency
Other Study ID Numbers
Other Study ID Numbers
- PR(ATR)341/2016
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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