In Vivo Glycocalyx as Predictor of Complications After Cardiac Surgery (GLYPOCS)
Glycocalyx as Predictor of Complications After Cardiac Surgery
Cardiac surgery has been described as altering endothelium structure and function, notably because of the use of cardiac-pulmonary bypass (CPB). Among the endothelial structure, glycocalyx, the thin layer recovering the endothelial surface, may be altered by the inflammatory process and probably the modification of flow during CPB. Endothelial and glycocalyx integrity are essential for vascular function and glycocalyx destruction is associated with organ failure and mortality. On the other hand, a chronic alteration of glycocalyx is observed in many diseases such as diabetes, hypertension or chronic kidney failure, all pathologies frequently observed in patients benefiting grom cardiac surgery.
Thus the preoperative alteration of glycocalyx may be associated with postoperative organ failure.
Study Overview
Status
Status
Conditions
Conditions
Study Type
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Emmanuel Besnier, MD PhD
- Phone Number: +33232881705
- Email: emmanuel.besnier@chu-rouen.fr
Study Locations
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-
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Rouen, France, 76000
- Rouen University Hospital
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- all patients benefiting from a cardiac surgery with cardio-pulmonary bypass
Exclusion Criteria:
- impossibility to carry out the measurement by glycocheck device
- refusal to participate
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 |
|---|---|---|
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association between preoperative sublingual glycocalyx thickness (glycocheck device) and major postoperative complications
Time Frame: 48 hours
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occurence within 48 postoperative hours of at least one item among:
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48 hours
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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association between preoperative sublingual glycocalyx thickness (glycocheck device) and death
Time Frame: 28 days
|
death from any causes
|
28 days
|
|
association between preoperative sublingual glycocalyx thickness (glycocheck device) and cardiac arrythmia
Time Frame: 28 days
|
atrial or ventricular arrythmia
|
28 days
|
|
association between preoperative sublingual glycocalyx thickness (glycocheck device) and Cerebral stroke
Time Frame: 28 days
|
ischemic of hemorrhagic etiology
|
28 days
|
|
association between preoperative sublingual glycocalyx thickness (glycocheck device) and cognitive dysfunction
Time Frame: 28 days
|
delirium or alteration of cognitive status
|
28 days
|
|
association between preoperative sublingual glycocalyx thickness (glycocheck device) and myocardial ischemia
Time Frame: 28 days
|
occurence of ischemia: new Q wave, new occlusion of a coronary arteria, elevated troponinemia with a new dysfunction of at least one myocardial segment
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28 days
|
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association between preoperative sublingual glycocalyx thickness (glycocheck device) and acute respiratory failure
Time Frame: 28 days
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need for at least 5L/min of oxygen or non invasive ventilation of reintubation
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28 days
|
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association between preoperative sublingual glycocalyx thickness (glycocheck device) and sepsis
Time Frame: 28 days
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new sepsis condition as defined by SEPSIS-3 definition
|
28 days
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
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
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 2020/202/OB
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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