- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04879186
Contrast Induced Nephropathy Among Vascular Patients Undergoing Lower Limb Angioplasty
A Retrospective Cohort Study Investigating the Risk Factors and Long-term Outcome of Contrast Induced Nephropathy Among Vascular Patients Undergoing Lower Limb Angioplasty
Contrast induced nephropathy (CIN) is an iatrogenic renal injury following intravascular administration of radio-opaque contrast media (CM) in susceptible individuals. As the third leading cause of hospital acquired renal failure, it is associated with increased mortality, morbidity and prolonged hospital stay. Endovascular procedures have gained greater popularity in the past decade due to the advance in technology. This has also led to the increased incidence of CIN after vascular surgeries. We are conducting a retrospective cohort study in Singapore General Hospital using our perioperative database collected in the past five years.
We will be extracting relevant patient perioperative information including both clinical diagnosis and lab values. Our primary aim is to establish the incidence of CIN among vascular patients with or without pre-existing chronic renal impairment undergoing elective peripheral endovascular angioplasty. Our secondary aims are to establish the risk factors and protective factors that lead to the development of CIN in vascular patients after peripheral endovascular angioplasty. We will also be looking at the long-term outcome of patients who have developed CIN after vascular endovascular angioplasty. The results of the study will enable us to identify patients at high risk of development of CIN, thus appropriate measures can be initiated early and help with their recovery process.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
We propose a retrospective single-center cohort study conducted in Singapore general hospital. Data would be extracted in patients who have undergone peripheral endovascular angioplasty from 01/01/2015 to 01/01/2020. The data will be extracted from the eHINTs Perioperative Subject Area without any direct identifiers. The subject area has been previously curated as part of the SingHealth ODySSEy (On-prem Research Data Science and Systems Explorer) System. There will be no patient identifier collected and the data collection administration will not have any access to patient identifier. Waiver of consent is sought and no patient interaction would be required for the study.
The parameters to be extracted would include preoperative data such as patient demographics (age, gender, race, BMI), baseline comorbidities including but not limited to: hypertension, hyperlipidemia, diabetes mellitus, smoking, anemia, heart diseases (previous heart attack/history of congestive heart failure), preoperative renal function (measured by baseline Urea, creatinine, electrolytes level Na, K, Cl), preoperative long-term medication use including ACE inhibitor, ARB, beta-blocker, statin and diuretics and NSAIDS. Intraoperative data including types of anaesthesia used, operative duration, presence of intraoperative hypotension. Postoperative parameters such as mortality, length of stay in hospital and ICU, postoperative renal function measured by urea and creatinine level within 3 days and one month postoperatively.
Statistical analysis will be performed to study the risk factors for CIN in patients undergoing peripheral endovascular angioplasty.
Study Type
Enrollment (Anticipated)
Contacts and Locations
Study Locations
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Singapore, Singapore, 169608
- Singapore General Hospital
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- All patients undergoing peripheral endovascular angioplasty during the study period, at Singapore General Hospital
Exclusion Criteria:
- Patients < 21 years of age
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Patients undergoing peripheral endovascular angioplasty
Patients undergoing peripheral endovascular angioplasty.
No intervention other than what was already completed as part of routine clinical care, as this is a retrospective cohort.
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Peripheral endovascular angioplasty - using endovascular techniques to treat peripheral artery occlusive lesions.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Contrast induced nephropathy
Time Frame: 1 week post procedure
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Rise in creatinine post operatively according to KDIGO criteria
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1 week post procedure
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Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
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
- 2020/2659
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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Clinical Trials on Peripheral endovascular angioplasty
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Kafrelsheikh UniversityActive, not recruitingCritical Lower Limb Ischemia | AngioplastyEgypt
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Centre Hospitalier Universitaire de NiceInstitut National de la Santé Et de la Recherche Médicale, FranceCompleted
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C. R. BardCompleted
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Hospices Civils de LyonRecruitingChronic Mesenteric Ischemia | Stent StenosisFrance
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M.J.W. KoelemaijZonMw: The Netherlands Organisation for Health Research and DevelopmentTerminatedPeripheral Arterial Disease | Intermittent ClaudicationNetherlands
-
Paracelsus Medical UniversityMedAlliance Swiss Medical TechnologyActive, not recruiting
-
Paracelsus Medical UniversityMedAlliance Swiss Medical TechnologyActive, not recruitingPeripheral Arterial Occlusive Disease | Claudication, Intermittent | Bypass Complication | Femoropopliteal Artery Occlusion | Femoropopliteal Stenosis | Critical Limb-Threatening IschemiaAustria
-
Contego Medical, Inc.CompletedPeripheral Arterial Disease | Intermittent Claudication | Atherosclerosis of Femoral ArteryBelgium, Germany
-
IRCCS MultimedicaCompletedDiabetes | Critical Limb IschemiaItaly
-
C. R. BardCromsourceCompletedVascular Diseases, PeripheralGermany, Poland