- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02479321
Goal Directed Hemodynamic Therapy Based on Noninvasive Monitoring in Patients With Hip Fracture
Efficacy of Goal Directed Hemodynamic Therapy Based on Noninvasive Monitoring to Reduce Perioperative Complications in Patients With Hip Fracture
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Barcelona
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Manresa, Barcelona, Spain, 08243
- Althaia Xarxa Assistencial Universitària de Manresa
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Hip fracture that require surgical treatment
- Agree to participate and sign informed consent
Exclusion Criteria:
- Pathological or traffic related fractures
- Anesthetic contraindication for surgery
- Refractures
- Contraindication for hemodynamic monitoring
- Physiocal less than 30 after 7 minutes
- Psychomotor agitation that prevents hemodynamic monitoring
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: NON_RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
No Intervention: Control group
Hemodynamic optimization according to the standards of perioperative monitoring of our center.
In the intraoperative period hemodynamic monitoring will be done by management of blood pressure, heart rate and oxygen saturation
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Experimental: GDT noninvasive monitoring group
GDT based on noninvasive monitoring System ClearSight® and Platform EV Clinic 1000®
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Before entering the operating room, hemodynamic optimization start by optimizing preload with Fluid Challenge according to evidence-based GDT protocols. Once stabilized the cardiovascular system after induction of anesthesia, hemodynamic optimization continue with Mini Fluid Challenge. In the intraoperative period, hemodynamic optimization is based on maintaining systolic blood pressure and stroke volume. A Mini Fluid Challenge is administered to patients who respond to volume or a vasoactive drug according cardiac index for non-responders.
Other Names:
Hemodynamic control is held by non-invasive continuous monitoring techniques (system ClearSight® and Platform EV Clinic 1000®).
Monitored variables: blood pressure, heart rate, oxygen saturation, cardiac output, cardiac index, stroke volume and stroke volume index.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Percentage of patients who developed intraoperative haemodynamic instability
Time Frame: Intraoperative period
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Intraoperative haemodynamic instability, defined as one measurement of SAP < 90 mmHg in the CG and for at least one minute in the IG and/or the need for a bolus of vasoconstrictor.
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Intraoperative period
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Intraoperative arrhythmias
Time Frame: Intraoperative period
|
Electrocardiographic evidence of cardiac rhythm disturbance.
|
Intraoperative period
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Postoperative complications
Time Frame: Postoperative period
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Major cardiovascular complications, minor cardiovascular complications, Respiratory, Renal, Infections, Surgical reintervention during hospital stay
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Postoperative period
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Hospital stay
Time Frame: Patients will be followed for the duration of hospital stay, an expected median of 11 days
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Length of hospital stay (days)
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Patients will be followed for the duration of hospital stay, an expected median of 11 days
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Survival
Time Frame: One-year survival
|
One-year survival
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Collaborators and Investigators
Sponsor
Investigators
- Study Chair: Joan Bosch Sabater, MD PhD, Althaia Xarxa Assistencial Universitària de Manresa
- Study Chair: Francesca Reguant Corominas, MD PhD, Althaia Xarxa Assistencial Universitària de Manresa
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- CEIC 15/03
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Hip Fractures
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University of Missouri-ColumbiaUniversity of Alabama at Birmingham; Medical College of Wisconsin; University...CompletedHip Fractures | Pelvic Fractures | Acetabular FracturesUnited States
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Rabin Medical CenterUnknown
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