- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03802500
Neurophysiological Diagnosis for ICU Septic Shock Patients (EDX)
Early Electromyographic Evaluation of the ICU-acquired Weakness in Septic Shock Patients Ventilated Longer Than 72 Hours: Neurophysiological Study
Patients hospitalized in the Intensive Care Unit (ICU) are at risk for developing severe disabilities, physical or cognitive. In particular, ICU-acquired weakness is frequent. The causes of this weakness are multiple and the physiopathology is still not fully understood. Immobilization in bed and sepsis are known risk factors.
ICU-acquired weakness has been associated with prolonged mechanical ventilation duration, and increased in ICU and hospital length of stay. It has also been associated with significant decrease in functional capacity and with higher mortality. An early screening using a specific diagnostic protocol could help improving the management of patients suffering from ICU acquired weakness.
The aim of this study is to early detect ICU acquired weakness in patients suffering from septic shock and ventilated for more than 72 hours.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Anticipated)
Contacts and Locations
Study Contact
- Name: CAROLINE ATTWELL
- Phone Number: 0789242320
- Email: caroline.attwell@chuv.ch
Study Locations
-
-
Vaud
-
Lausanne, Vaud, Switzerland, 1000
- Recruiting
- CHUV
-
Contact:
- CAROLINE ATTWELL
- Phone Number: 0795567994
- Email: caroline.attwell@chuv.ch
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
• Patients admitted to the ICU with a septic shock and ventilated for more than 72 hours.
Exclusion Criteria:
- Hospitalization for more than 7 days before intubation.
- Functional disability at admission of ≥4 (Requires constant nursing care and attention, bedridden, incontinent) in the Modified Rankin Scale.
- Lower limb disorders precluding nerve conduction studies (NCV) and electromyography (EMG), such as clinical edema of the lower limbs, or fractures, amputation, and plaster casts of the lower limbs.
- Evidence of altered neuromuscular transmission at repetitive stimulation test either caused by neuromuscular blocking agents or disease.
- Burn patients admitted to ICU.
- Patient requesting withdrawal of therapies.
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Presence of ICU-acquired weakness in septic shock patients ventilated for more than 72 hours.
Time Frame: 72 hours
|
Medical Research Council strength scale
|
72 hours
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
ICU length of stay
Time Frame: Up to 6 months
|
Up to 6 months
|
|
Hospital length of stay
Time Frame: Up to 6 months
|
Up to 6 months
|
|
Discharge destination
Time Frame: At discharge from hospital, up to 6 months
|
At discharge from hospital, up to 6 months
|
|
Length of ventilatory support
Time Frame: At extubation, up to 6 months
|
At extubation, up to 6 months
|
|
Extubation failure rate
Time Frame: up to 72 hours, after first extubation
|
Patients requiring reintubation 72 hours after failed first extubation
|
up to 72 hours, after first extubation
|
Time elapsed between endotracheal intubation and first out-of-bed mobilization
Time Frame: up to 6 months, at first out-of-bed mobilization
|
up to 6 months, at first out-of-bed mobilization
|
Collaborators and Investigators
Investigators
- Study Director: Karin Diserens, PD-MER, NRA Unit. CHUV.
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ANTICIPATED)
Study Completion (ANTICIPATED)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- NRA-01
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
product manufactured in and exported from the U.S.
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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