- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03736499
Endocrine Changes in Adults Undergoing Cardiac Surgery
January 7, 2022 updated by: Andrea Szekely, Semmelweis University Heart and Vascular Center
In this prospective study the investigators want to measure the serum level changes of the thyroid hormones (thyroid-stimulating hormone, reverse triiodothyronine, serum free T4), brain natriuretic peptide (BNP), testosterone and sexual hormone binding protein (SHBG) in adults undergoing cardiac surgery and search for correlations different psychosocial factors and analyze the influence on the survival and the length of ICU/hospital stay.
Study Overview
Status
Active, not recruiting
Detailed Description
In this study the investigators want to analyze routinely collected data of patients who underwent any kind of elective cardiac surgery in our university cardiovascular centre between 07.01.2018 and 30.06.2020.
The database contains descriptive parameters, history of past illnesses, recent medication.
The investigators record the type of surgery, the list of contributory physicians, the length of the surgery and the data of the anaesthesiological report.
After the surgery the researchers want to record the postoperative parameters on the ICU ( infusion - fluid balance, blood transfusion, bleeding, main hemodynamic parameters, length of mechanical ventilation,main parameters of arterial blood gas analysis).
Moreover th investigators want to collect psychosocial tests (Beck Depression Inventory, State Anxiety Scale, Trait Anxiety Scale and EQ-5D for the measurement of quality of life) to get more information from the postoperative condition of the patients.
Study Type
Observational
Enrollment (Anticipated)
500
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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-
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Budapest, Hungary, 1122
- Heart and Vascular Center, Semmelweis University
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Budapest, Hungary, 1122
- Semmelweis Egyetem Heart and Vascular Center
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Budapest, Hungary, 1122
- Semmeweis Egyetem Heart and Vascular Center
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 80 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Sampling Method
Non-Probability Sample
Study Population
500 patients of a regional cardiovascular surgery centre
Description
Inclusion Criteria:
- elective cardiac surgery
Exclusion Criteria:
- lack of consent
- pregnancy
- acute surgery
- exposition with iodin-containing contrast material
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Length of hospital and intensive care unit stay
Time Frame: Participants will be followed for the duration of hospital stay, an expected average of 2 weeks.
|
The correlation of the measured pre and postoperative endocrine profile and the length of intensive care unit stay
|
Participants will be followed for the duration of hospital stay, an expected average of 2 weeks.
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
The composite of in-hospital death from any cause.
Time Frame: Participants will be followed for the duration of hospital stay, an expected average of 12 weeks.
|
Any cause of death in current group
|
Participants will be followed for the duration of hospital stay, an expected average of 12 weeks.
|
|
Correlation between preoperative Beck Depression Inventory and the length of hospital stay
Time Frame: Participants will be followed for the duration of hospital stay, an expected average of 12 weeks.
|
The effect of psychological state of the length of hospital stay
|
Participants will be followed for the duration of hospital stay, an expected average of 12 weeks.
|
|
Correlation between preoperative State Anxiety Scale and the length of hospital stay
Time Frame: Participants will be followed for the duration of hospital stay, an expected average of 12 weeks.
|
The effect of psychological state of the length of hospital stay
|
Participants will be followed for the duration of hospital stay, an expected average of 12 weeks.
|
|
Correlation between preoperative Trait Anxiety Scale and the length of hospital stay
Time Frame: Participants will be followed for the duration of hospital stay, an expected average of 12 weeks.
|
The effect of psychological state of the length of hospital stay
|
Participants will be followed for the duration of hospital stay, an expected average of 12 weeks.
|
|
Correlation between preoperative EQ-5D inventory and the length of total hospital stay
Time Frame: Participants will be followed for the duration of hospital stay, an expected average of 12 weeks.
|
Correlation between the preoperative quality of life state and the hospital stay
|
Participants will be followed for the duration of hospital stay, an expected average of 12 weeks.
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Study Director: Andrea Székely, ass. prof, Semmelweis Egyetem
- Principal Investigator: Ágnes Sándor, PhD st, Semmelweis Egyetem
- Principal Investigator: András Szabó, PhD st, Semmelweis Egyetem
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Aversa A, Fabbri A. Testicular and thyroid function as survival predictors in the elderly patient candidate to surgery. Monaldi Arch Chest Dis. 2017 Jul 18;87(2):841. doi: 10.4081/monaldi.2017.841.
- Brozaitiene J, Mickuviene N, Podlipskyte A, Burkauskas J, Bunevicius R. Relationship and prognostic importance of thyroid hormone and N-terminal pro-B-Type natriuretic peptide for patients after acute coronary syndromes: a longitudinal observational study. BMC Cardiovasc Disord. 2016 Feb 18;16:45. doi: 10.1186/s12872-016-0226-2.
- Bianchi V, Mezzani A. Androgens and cardiac diseases. Monaldi Arch Chest Dis. 2013 Dec;80(4):161-9. doi: 10.4081/monaldi.2013.5232.
- Maggio M, Nicolini F, Cattabiani C, Beghi C, Gherli T, Schwartz RS, Valenti G, Ceda GP. Effects of testosterone supplementation on clinical and rehabilitative outcomes in older men undergoing on-pump CABG. Contemp Clin Trials. 2012 Jul;33(4):730-8. doi: 10.1016/j.cct.2012.02.019. Epub 2012 Mar 5.
- Fleischer J, McMahon DJ, Hembree W, Addesso V, Longcope C, Shane E. Serum testosterone levels after cardiac transplantation. Transplantation. 2008 Mar 27;85(6):834-9. doi: 10.1097/TP.0b013e318166ac10.
- Kunst G, Pfeilschifter J, Kummermehr G, Luntz S, Bauer H, Martin E, Motsch J. Assessment of sex hormone-binding globulin and osteocalcin in patients undergoing coronary artery bypass graft surgery. J Cardiothorac Vasc Anesth. 2000 Oct;14(5):546-52. doi: 10.1053/jcan.2000.9450.
- Razvi S, Jabbar A, Pingitore A, Danzi S, Biondi B, Klein I, Peeters R, Zaman A, Iervasi G. Thyroid Hormones and Cardiovascular Function and Diseases. J Am Coll Cardiol. 2018 Apr 24;71(16):1781-1796. doi: 10.1016/j.jacc.2018.02.045.
- Toth K, Szabo A, Menyhard J, Benke K, Radovits T, Polos M, Merkely B, Gal J, Szekely A. Poor Preoperative Nutritional Status, but Not Hormone Levels, Are Associated With Mortality After Cardiac Surgery. J Cardiothorac Vasc Anesth. 2022 Aug;36(8 Pt B):3074-3083. doi: 10.1053/j.jvca.2022.04.035. Epub 2022 Apr 29.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
July 1, 2018
Primary Completion (Actual)
June 30, 2020
Study Completion (Anticipated)
May 30, 2022
Study Registration Dates
First Submitted
October 25, 2018
First Submitted That Met QC Criteria
November 7, 2018
First Posted (Actual)
November 9, 2018
Study Record Updates
Last Update Posted (Actual)
January 11, 2022
Last Update Submitted That Met QC Criteria
January 7, 2022
Last Verified
January 1, 2022
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- SE VSZÉK EndocrinHeart
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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.
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