Long-term Assessment of Patients Treated in the ICU for Sepsis (LAPTUS)
A Prospective Clinical Registry Assessing In-Hospital Management and Post-Discharge Outcomes Among Patients Hospitalized for Sepsis
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
This is a prospective, observational cohort clinical registry with consecutive enrollment of adult patients hospitalized with sepsis. The study will collect data on clinical and epidemiological characteristics potentially associated with disease severity, hospitalization outcomes, and mortality.
The study will be conducted in up to 30 intensive care units (ICUs) in Brazil, with financial support from the Brazilian Ministry of Health through the PROADI-SUS program. A minimum of 760 participants aged 18 years or older, of any sex, will be enrolled during ICU hospitalization for sepsis.
Outcomes assessed will include in-hospital outcomes and post-discharge outcomes, such as all-cause mortality, unplanned rehospitalizations, health-related quality of life, and cognitive function.
This is an observational study, and no study-related interventions are assigned.
Participants will be enrolled during the in-hospital phase and followed throughout hospitalization and for up to 12 months after hospital discharge. Follow-up assessments will occur at 3, 6, and 12 months post-discharge.
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Luciano C P Azevedo
- Phone Number: 55+ 112151-1233
- Email: luciano.azevedo@einsten.br
Study Contact Backup
- Name: Henrique A Fonseca
- Phone Number: 55+ 112151-1233
- Email: henrique.fonseca@einstein.br
Study Locations
-
-
Rio Grande do Sul
-
Passo Fundo, Rio Grande do Sul, Brazil
- Recruiting
- Hospital São Vicente de Paulo
-
Contact:
- Alexandre Tognon, MD
- Phone Number: 555499911092
- Email: aptognon@hsvp.com.br
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
The study population consists of adult patients (≥18 years) admitted to intensive care units (ICUs) with a clinical diagnosis of sepsis or septic shock, defined according to the Sepsis-3 criteria. Eligible participants must have provided written informed consent, either personally or through a legally authorized representative.
Patients with a limited prognosis and an expected life expectancy of less than 3 months due to conditions not related to sepsis, as well as those who decline participation, are excluded from the study.
Description
Inclusion Criteria:
- Clinical diagnosis of sepsis or septic shock during ICU hospitalization, according to the Sepsis-3 definition.
- Age ≥18 years.
- Written informed consent obtained from the participant or a legally authorized representative.
Exclusion Criteria:
- Limited prognosis with a life expectancy of less than 3 months due to conditions not related to sepsis.
- Refusal to participate in the study
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Sepsis group
|
No study-specific interventions are assigned.
All patients receive standard of care for sepsis management according to local protocols and established clinical guidelines.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
All-case mortality
Time Frame: 12 months
|
Total mortality after inclusion (in-hospital and post-discharge)
|
12 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
In-hospital mortality
Time Frame: 12 months
|
Incidence of in-hospital mortality
|
12 months
|
|
ICU mortality
Time Frame: 12 months
|
Incidence of ICU mortality after inclusion
|
12 months
|
|
Major adverse cardiovascular events
Time Frame: 12 months
|
Incidence of major adverse cardiovascular events (myocardial infarction, stroke, or decompensated heart failure) up to 12 months after hospital discharge
|
12 months
|
|
Rehospitalization due to infection
Time Frame: 12 months
|
Incidence of need for rehospitalization due to infectious events up to 12 months after hospital discharge.
|
12 months
|
|
Rehospitalization due to a new sepsis
Time Frame: 12 months
|
Incidence of new sepsis episodes within 12 months after hospital discharge
|
12 months
|
|
Health-related quality of life
Time Frame: 12 months
|
Score of the health-related quality of life at 3, 6, and 12 months after hospital discharge, assessed using the European Quality of Life 5 Dimensions 5 Level Version - 1 to 5 levels.
|
12 months
|
|
Healthcare resource utilization
Time Frame: 12 months
|
Cumulative incidence of healthcare resource utilization (number of outpatient visits, diagnostic tests, hospitalizations, and total length of hospital stay) up to 12 months after hospital discharge.
|
12 months
|
|
Cognitive impairment
Time Frame: 12 months
|
Incidence of mild cognitive impairment at 12 months after hospital discharge using the Mini-Mental State Exam (MMSE). Interpretation of the MMSE Scores from 0 to 30: 24-30 - No cognitive impairment 18-23 - Mild cognitive impairment 0-17 - Severe cognitive impairment |
12 months
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Chair: Henrique A R Fonseca, ARO-Einstein - Hospital Israelita Albert Einstein
- Study Chair: Luciano C P Azevedo, ARO-Einstein - Hospital Israelita Albert Einstein
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
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
- LAPTUS registry
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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