- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03938038
Guidance of Ultrasound in Intensive Care to Direct Euvolemia (GUIDE)
Guidance of Ultrasound in Intensive Care to Direct Euvolemia: A Cluster Randomized Crossover Comparative Effectiveness Trial (GUIDE Trial)
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Texas
-
Houston, Texas, United States, 77030
- The University of Texas Health Science Center at Houston
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Injured patients that are admitted to the trauma ICU
Exclusion Criteria:
- Incarceration
- Pregnancy
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Diagnostic
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Usual care
|
Close hemodynamic cardiac monitoring and volume responsiveness assessment on an unscheduled basis to aid physicians in resuscitation feedback
|
Active Comparator: Serial ultrasound assessments for GDT
|
routine ultrasound assessments of volume status and fluid responsiveness for goal-directed therapy (GDT)-based fluid resuscitation
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of acute kidney injury (AKI)-free days
Time Frame: within 7 days of injury
|
AKI will be defined by the Kidney Disease Improving Global Outcomes (KDIGO) criteria, and all stages will be considered AKI: Stage 1 - Serum Creatinine 1.5-1.9 times baseline or ≥0.3 mg/dL increase Stage 2 - Serum Creatinine 2-2.9 times baseline Stage 3 - Serum Creatinine 3 times baseline or Increase in serum creatinine to ≥4 mg/dL or Initiation of renal replacement therapy |
within 7 days of injury
|
Proportion of patients who receive 3 or more Ultrasound Volume Assessments
Time Frame: within 24 hours of ICU admission
|
within 24 hours of ICU admission
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of participants with AKI
Time Frame: within the first 7 days of ICU admission
|
AKI will be defined by the Kidney Disease Improving Global Outcomes (KDIGO) criteria, and all stages will be considered AKI: Stage 1 - Serum Creatinine 1.5-1.9 times baseline or ≥0.3 mg/dL increase Stage 2 - Serum Creatinine 2-2.9 times baseline Stage 3 - Serum Creatinine 3 times baseline or Increase in serum creatinine to ≥4 mg/dL or Initiation of renal replacement therapy |
within the first 7 days of ICU admission
|
Stage of AKI
Time Frame: within the first 7 days of ICU admission
|
AKI will be defined by the Kidney Disease Improving Global Outcomes (KDIGO) criteria, and all stages will be considered AKI: Stage 1 - Serum Creatinine 1.5-1.9 times baseline or ≥0.3 mg/dL increase Stage 2 - Serum Creatinine 2-2.9 times baseline Stage 3 - Serum Creatinine 3 times baseline or Increase in serum creatinine to ≥4 mg/dL or Initiation of renal replacement therapy |
within the first 7 days of ICU admission
|
Number of participants with need for renal replacement therapy
Time Frame: within the first 30 days of ICU admission
|
within the first 30 days of ICU admission
|
|
Quantity of fluids administered
Time Frame: 24 hours
|
24 hours
|
|
Quantity of fluids administered
Time Frame: 48 hours
|
48 hours
|
|
Type of fluids administered
Time Frame: 24 hours
|
24 hours
|
|
Type of fluids administered
Time Frame: 48 hours
|
48 hours
|
|
Time to lactate normalization
Time Frame: within the first 7 days of ICU admission
|
within the first 7 days of ICU admission
|
|
Time to creatinine concentration <1.5 mg/dL or to prehospital baseline
Time Frame: within the first 7 days of ICU admission
|
within the first 7 days of ICU admission
|
|
Time to base excess normalization
Time Frame: within the first 7 days of ICU admission
|
within the first 7 days of ICU admission
|
|
Number of ventilator-free days
Time Frame: within first 30 days after injury
|
within first 30 days after injury
|
|
Number of ICU-free days
Time Frame: within first 30 days after injury
|
within first 30 days after injury
|
Collaborators and Investigators
Investigators
- Principal Investigator: Gabrielle Hatton, MD, The University of Texas Health Science Center, Houston
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 (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
- HSC-MS-19-0425
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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