- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04804306
Sepsis Post Market Clinical Utility Simple Endpoint Study - HUMC
July 15, 2022 updated by: Beckman Coulter, Inc.
Post Market Clinical Utility of ESId (MDW Hematology Parameter) for Early Sepsis Detection in the Emergency Department (US Hospitals) - Hackensack University Medical Center
The purpose of this study is to demonstrate that addition of the Monocyte Width Distribution (MDW) parameter to current standard of care improves a clinician's ability to recognize sepsis in the Emergency Department, resulting in earlier decision to administer antibiotics from time of ED presentation for sepsis patients (simulated primary endpoint), with concomitant reductions in length of stay and in-hospital mortality for those patients (secondary endpoints).
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
The objective of this study is to develop a method for identifying sepsis patients from electronic health records (EHR) based on Sepsis-2 criteria.
Sepsis patients will be identified using a Sepsis Definition which includes meeting SIRS score of ≥2 within 12 hours of ED presentation and any microbial testing ordered within 24 hours of ED presentation.
The patient will be enrolled if it meets the Sepsis Definition and additional EMR data elements will be extracted to complete case report form.
Furthermore, objectives include to confirm the clinical validity and performance of MDW in a control population of sepsis patients where MDW is measured but not reported to physicians.
This study is an observational study which will simulate the decision impact of MDW on sepsis identification and patient management.
Study Type
Observational
Enrollment (Actual)
198
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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New Jersey
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Hackensack, New Jersey, United States, 07601
- Hackensack University Medical 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
19 years to 89 years (Adult, Older Adult)
Accepts Healthy Volunteers
N/A
Genders Eligible for Study
All
Sampling Method
Probability Sample
Study Population
All adult patients presenting to the ED where a CBC-Diff has been ordered by standard of care
Description
Inclusion Criteria:
- Adult (18 to 89 years)
- All race and ethnicities
- Presenting to the emergency department with suspicion of infection
- Whose assessment includes a CBC with differential
- Meets EMR Sepsis Definition
Exclusion Criteria:
- Pregnancy
- Prisoners
- Transfers from other ED
- Previously enrolled
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
- Observational Models: Case-Control
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Diagnostic Test: CBC-Diff Monocyte Volume Width Distribution
MDW measurement used to detect sepsis as part of the CBC-Diff ordered by ED Physician as part of the Institution's Standard of Care.
Results will not be used to manage patients
|
MDW measurement used to detect sepsis.
Results will not be used to manage patients.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Potential reduction of Time to Antibiotics
Time Frame: Within 12 hours from presentation to the emergency department
|
MDW's ability to reduce time to first antibiotics ordered by physician (decision to treat)-Simulated
|
Within 12 hours from presentation to the emergency department
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Performance
Time Frame: Within 12 hours from presentation to the emergency department
|
MDW's ability to identify Sepsis vs Non-Sepsis when using a Sepsis electronic medical record definition
|
Within 12 hours from presentation to the emergency department
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Health & Economic Benefits for Hospital Stay - Simulated
Time Frame: Within 12 hours from presentation to the emergency department
|
MDW's ability to reduce length of hospital stay
|
Within 12 hours from presentation to the emergency department
|
Health & Economic Benefits for Intensive Care Unit Stay - Simulated
Time Frame: Within 12 hours from presentation to the emergency department
|
MDW's ability to reduce length of intensive care unit stay
|
Within 12 hours from presentation to the emergency department
|
Health & Economic Benefits for Mortality - Simulated
Time Frame: Within 12 hours from presentation to the emergency department
|
MDW's ability to reduce in-house mortality
|
Within 12 hours from presentation to the emergency department
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Joseph Parrillo, MD, Hackensack Meridian Health
- Principal Investigator: Keri Bicking, PharmD, Hackensack Meridian Health
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)
September 5, 2021
Primary Completion (Actual)
June 6, 2022
Study Completion (Actual)
June 6, 2022
Study Registration Dates
First Submitted
March 11, 2021
First Submitted That Met QC Criteria
March 15, 2021
First Posted (Actual)
March 18, 2021
Study Record Updates
Last Update Posted (Actual)
July 18, 2022
Last Update Submitted That Met QC Criteria
July 15, 2022
Last Verified
July 1, 2022
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- C01238
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
Yes
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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