- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05805579
Diaphragmatic Echography in COVID-19 Pneumonia (COVIDUSDIAP)
Prognostic Value of Transthoracic Diaphragmatic Echography in COVID-19 Pneumonia Patients With Acute Respiratory Failure
We hypothesized that diaphragm thickness is concerned in acute respiratory failure of COVID19 patients and its ultrasound measure at the begining of hospitalisation is a good predictor of poor outcome.
A prospective observational non intervention study is designed.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
To answer our hypothesis we will perform diaphragm ultrasound in the first 24hr hospitalized COVID19 patients.
In the ultrasound exploration we will assess diaphragm movility and thickness. We will also assess other clinical, biochemistry and radiological variables. The main outcome we want to analyze is the destination on discharge: home, respiratory intermediate critical unit or exitus.
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
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Zaragoza, Spain, 50001
- Javier Lázaro Sierra
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- COVID19 Pneumonia Acute respiratory failure (PaO2 <60mmHg)
Exclusion Criteria:
- Invasive or non invasive ventilation within first 24h Neuromuscular disease Diaphragmatic paralysis
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Early diaphragm ultrasound as a predictor factor for invasive and non invasive ventilation and death
Time Frame: From date of inclusion until discharge date (lenght of hospitalization)
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This is the main outcome of our study given that it has a important clinical implications.
If we confirm our hypothesis diaphragm ultrasound could prove to be a useful prognosis tool for COVID19 patients.
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From date of inclusion until discharge date (lenght of hospitalization)
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Diaphragm thickness rate as a predictor factor for invasive and non invasive ventilation and death
Time Frame: From date of inclusion until discharge date (lenght of hospitalization)
|
Diaphragm strenght is directly related to thickness.
The impact of COVID19 infection on this specific measure can predict patient evolution.
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From date of inclusion until discharge date (lenght of hospitalization)
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Diaphragm movility rate as a predictor factor for invasive and non invasive ventilation and death
Time Frame: From date of inclusion until discharge date (lenght of hospitalization)
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Diaphragm fatigability is directly related to movility.
The impact of COVID19 infection on this specific measure can predict patient evolution.
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From date of inclusion until discharge date (lenght of hospitalization)
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Collaborators and Investigators
Sponsor
Collaborators
Publications and helpful links
General Publications
- Boussuges A, Gole Y, Blanc P. Diaphragmatic motion studied by m-mode ultrasonography: methods, reproducibility, and normal values. Chest. 2009 Feb;135(2):391-400. doi: 10.1378/chest.08-1541. Epub 2008 Nov 18.
- Marchioni A, Castaniere I, Tonelli R, Fantini R, Fontana M, Tabbi L, Viani A, Giaroni F, Ruggieri V, Cerri S, Clini E. Ultrasound-assessed diaphragmatic impairment is a predictor of outcomes in patients with acute exacerbation of chronic obstructive pulmonary disease undergoing noninvasive ventilation. Crit Care. 2018 Apr 27;22(1):109. doi: 10.1186/s13054-018-2033-x.
- Pivetta E, Cara I, Paglietta G, Scategni V, Labarile G, Tizzani M, Porrino G, Locatelli S, Calzolari G, Morello F, Maule MM, Lupia E. Diaphragmatic Point-of-Care Ultrasound in COVID-19 Patients in the Emergency Department-A Proof-of-Concept Study. J Clin Med. 2021 Nov 14;10(22):5291. doi: 10.3390/jcm10225291.
- Schepens T, Fard S, Goligher EC. Assessing Diaphragmatic Function. Respir Care. 2020 Jun;65(6):807-819. doi: 10.4187/respcare.07410.
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- ROYO1
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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