- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06299215
Factors and Prognosis of Obstructive Pyelonephritis Patients (PYELO-OBS)
Factors Associated With the Prognosis of Patients Admitted to for Acute Obstructive Pyelonephritis
Acute obstructive pyelonephritis is a condition with a high risk of complications and may require admission to the intensive care unit.
Most of the available data on this condition comes from small, retrospective, single-centre series.
To date, no large-scale study has examined the factors associated with the prognosis of patients admitted to intensive care for acute obstructive pyelonephritis.
The aim of this study is to describe the population and prognosis of patients admitted to the intensive care unit for the management of acute obstructive pyelonephritis, and to identify factors associated with a poor prognosis in these patients.
Study Overview
Status
Conditions
Detailed Description
The retrospective and multicenter study consists of a retrospective and pseudonymous collection of data from medical reports of patients treated, over the period 2015-2022, in each intensive care unit agreeing to participate, .
Investigators from each participating center will be responsible for screening on all hospitalized patients over the period 2015-2022. Patients who have been hospitalized for the management of acute obstructive pyelonephritis will be included, in the absence of non-inclusion criteria.
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Contact
- Name: Maxime Dr COUTROT, MD
- Phone Number: +33 01 42 49 93 94
- Email: maxime.coutrot@aphp.fr
Study Contact Backup
- Name: François Dr DEPRET, MD
- Phone Number: +33 01 42 49 95 70
- Email: francois.depret@aphp.fr
Study Locations
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Paris, France, 75010
- Hospital Saint Louis
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Contact:
- Maxime Dr COUTROT, MD
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Contact:
- François DEPRET, MD
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Patients over 18 years of age
- Hospitalized in intensive care for management of acute obstructive pyelonephritis
- Patients affiliated to a Social Security System
Exclusion Criteria:
- Pregnancy
- Opposition to data use
- Persons under legal protection (curatorship, guardianship), legal safeguards
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
The primary endpoint will be a combined endpoint of death, and/or stage 3 AKI ( KDIGO classification), and/or non-recovery of renal function.
Time Frame: up to 30 days after admission to intensive care
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up to 30 days after admission to intensive care
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Death
Time Frame: up to 30 days after admission to intensive care
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up to 30 days after admission to intensive care
|
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Stage 3 Acute kidney injury (KDIGO classification)
Time Frame: up to 30 days after admission to intensive care
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up to 30 days after admission to intensive care
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failure to recover renal function
Time Frame: up to 30 days after admission to intensive care .
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defined as creatinine levels greater than 150% of baseline value
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up to 30 days after admission to intensive care .
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the incidence of acute renal failure defined by KDIGO 1
Time Frame: up to 30 days after admission to intensive care
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up to 30 days after admission to intensive care
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the incidence of acute renal failure defined by KDIGO 2 and 3
Time Frame: up to 30 days after admission to intensive care
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up to 30 days after admission to intensive care
|
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the incidence of Renal replacement therapy
Time Frame: up to 30 days after admission to intensive care
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up to 30 days after admission to intensive care
|
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the incidence of non-recovery of renal fuction
Time Frame: up to 30 days after admission to intensive care
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up to 30 days after admission to intensive care
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The number of days alive without Renal replacement therapy
Time Frame: up to 30 days after admission to intensive care
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up to 30 days after admission to intensive care
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The number of days alive without catecholamines
Time Frame: up to 30 days after admission to intensive care
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up to 30 days after admission to intensive care
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The number of days alive without antibiotics
Time Frame: up to 30 days after admission to intensive care
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up to 30 days after admission to intensive care
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The number of days alive without
Time Frame: up to 30 days after admission to intensive care
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up to 30 days after admission to intensive care
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Death rate
Time Frame: up to 30 days after admission to intensive care
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up to 30 days after admission to intensive care
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Collaborators and Investigators
Investigators
- Principal Investigator: Maxime Dr COUTROT, MD, Hopital saint Louis-APHP
Publications and helpful links
General Publications
- Kellum JA, Zarbock A, Nadim MK. What endpoints should be used for clinical studies in acute kidney injury? Intensive Care Med. 2017 Jun;43(6):901-903. doi: 10.1007/s00134-017-4732-1. Epub 2017 Mar 2. No abstract available.
- Kakinoki H, Tobu S, Kakinoki Y, Udo K, Uozumi J, Noguchi M. Risk Factors for Uroseptic Shock in Patients with Urolithiasis-Related Acute Pyelonephritis. Urol Int. 2018;100(1):37-42. doi: 10.1159/000481801. Epub 2017 Oct 24.
- Liang X, Huang J, Xing M, He L, Zhu X, Weng Y, Guo Q, Zou W. Risk factors and outcomes of urosepsis in patients with calculous pyonephrosis receiving surgical intervention: a single-center retrospective study. BMC Anesthesiol. 2019 May 1;19(1):61. doi: 10.1186/s12871-019-0729-3.
- Yamamoto Y, Fujita K, Nakazawa S, Hayashi T, Tanigawa G, Imamura R, Hosomi M, Wada D, Fujimi S, Yamaguchi S. Clinical characteristics and risk factors for septic shock in patients receiving emergency drainage for acute pyelonephritis with upper urinary tract calculi. BMC Urol. 2012 Mar 13;12:4. doi: 10.1186/1471-2490-12-4.
- Baboudjian M, Gondran-Tellier B, Di Bisceglie M, Abdallah R, Michel F, Sichez PC, Al-Balushi K, Akiki A, Gaillet S, Delaporte V, Karsenty G, Lechevallier E, Guieu R, Boissier R. The prognostic value of serum procalcitonin in acute obstructive pyelonephritis. World J Urol. 2021 May;39(5):1583-1589. doi: 10.1007/s00345-020-03353-2. Epub 2020 Jul 15.
- Lee SH, Choi T, Choi J, Yoo KH. Differences between Risk Factors for Sepsis and Septic Shock in Obstructive Urolithiasis. J Korean Med Sci. 2020 Nov 9;35(43):e359. doi: 10.3346/jkms.2020.35.e359.
- Yamamichi F, Shigemura K, Kitagawa K, Fujisawa M. Comparison between non-septic and septic cases in stone-related obstructive acute pyelonephritis and risk factors for septic shock: A multi-center retrospective study. J Infect Chemother. 2018 Nov;24(11):902-906. doi: 10.1016/j.jiac.2018.08.002. Epub 2018 Aug 30.
- Tambo M, Okegawa T, Shishido T, Higashihara E, Nutahara K. Predictors of septic shock in obstructive acute pyelonephritis. World J Urol. 2014 Jun;32(3):803-11. doi: 10.1007/s00345-013-1166-4. Epub 2013 Sep 15.
- Srougi V, Moscardi PR, Marchini GS, Berjeaut RH, Torricelli FC, Mesquita JLB, Srougi M, Mazzucchi E. Septic Shock Following Surgical Decompression of Obstructing Ureteral Stones: A Prospective Analysis. J Endourol. 2018 May;32(5):446-450. doi: 10.1089/end.2017.0896. Epub 2018 Mar 20.
- Kamei J, Sugihara T, Yasunaga H, Matsui H, Sasabuchi Y, Fujimura T, Homma Y, Kume H. Impact of early ureteral drainage on mortality in obstructive pyelonephritis with urolithiasis: an analysis of the Japanese National Database. World J Urol. 2023 May;41(5):1365-1371. doi: 10.1007/s00345-023-04375-2. Epub 2023 Mar 22.
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
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
- APHP240044
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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