- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT00814814
Protein S100 Beta as a Predictor of Resuscitation Outcome
Protein S100 Beta as a Predictor of the Outcome of Cardiopulmonary Resuscitation
Management of cardiac arrest is complicated by the lack of a readily available tool identifying individuals who are likely to be successfully resuscitated. S100 beta is a protein that originates in the astroglial cells of the brain, and NSE (Neuron Specific Enolase) is another protein that originates in the neurons themselves. In the laboratory, the concentration of these proteins correlate with evidence of brain damage after head trauma, stroke and exposure to low levels of oxygen. The concentration of these proteins in the blood of human survivors of cardiopulmonary resuscitation in humans is much higher than in patients who were resuscitated but did not survive. However, it is still unclear whether survivors from cardiopulmonary resuscitation have higher levels of these proteins in their blood if they survive with neurological injury secondary to the arrest and resuscitation.
Hypothesis: In humans, the blood concentrations of protein S100 beta and NSE during and after resuscitation can predict who will die despite cardiopulmonary resuscitation and who will survive with neurological injury secondary to the arrest and resuscitation.
Studieoversigt
Status
Betingelser
Undersøgelsestype
Tilmelding (Faktiske)
Kontakter og lokationer
Studiesteder
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Jerusalem, Israel, 91120
- Hadassah Medical Center
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Jerusalem, Israel, 91031
- Shaare Zedek Medical Center
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Prøveudtagningsmetode
Studiebefolkning
Beskrivelse
Inclusion Criteria:
- All victims of non-traumatic out-of hospital cardiopulmonary arrest (defined as the absence of either spontaneous respiration or palpable pulse or both) within the Jerusalem district.
Exclusion Criteria:
- Patients with do-not-resuscitate orders or an advance directive to that effect.
- Patients with intracranial hemorrhage
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
Kohorter og interventioner
Gruppe / kohorte |
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Cardiopulmonary arrest
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Tidsramme |
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Poor versus good patient outcome at discharge was used to test the study hypotheses of improved prediction attributable to S100B and NSE concentration.
Tidsramme: within 24 hours of discharge
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within 24 hours of discharge
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Samarbejdspartnere og efterforskere
Sponsor
Efterforskere
- Ledende efterforsker: Sharon Einav, MD, Shaare Zedek Medical Center
Publikationer og nyttige links
Generelle publikationer
- Einav S, Kaufman N, Algur N, Strauss-Liviatan N, Kark JD. Brain biomarkers and management of uncertainty in predicting outcome of cardiopulmonary resuscitation: a nomogram paints a thousand words. Resuscitation. 2013 Aug;84(8):1083-8. doi: 10.1016/j.resuscitation.2013.01.031. Epub 2013 Feb 4.
- Einav S, Kaufman N, Algur N, Kark JD. Modeling serum biomarkers S100 beta and neuron-specific enolase as predictors of outcome after out-of-hospital cardiac arrest: an aid to clinical decision making. J Am Coll Cardiol. 2012 Jul 24;60(4):304-11. doi: 10.1016/j.jacc.2012.04.020.
Datoer for undersøgelser
Studer store datoer
Studiestart
Primær færdiggørelse (Forventet)
Studieafslutning (Forventet)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- 14-01-05 A and B (correction)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
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Kliniske forsøg med Cardiopulmonary Arrest Outcome
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Ye ShengIkke rekrutterer endnuOut-of-Hospital Cardiac Arrest (Simuleret)Kina
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Xiangya Hospital of Central South UniversityRekrutteringHjertestop | Post-Cardiac Arrest CareKina
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University Hospital, BrestAfsluttet
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Beth Israel Deaconess Medical CenterNational Heart, Lung, and Blood Institute (NHLBI)RekrutteringAkutmedicinske tjenester | Pædiatri | Genoplivning | Pædiatrisk akutmedicin | Arrest Cardio RespiratoryForenede Stater
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WANG Yan-binUkendtIskæmisk postkonditionering | Iskæmi-reperfusion (I/R) | Cardiopulmonary bypass | den mitokondrielle vejKina
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Peking University Third HospitalPeking University First Hospital; Peking University People's Hospital; Qilu... og andre samarbejdspartnereIkke rekrutterer endnuHjertestop (CA) | Post Cardiac Arrest Syndrome
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Asan Medical CenterSamsung Medical Center; Seoul St. Mary's Hospital; Hanyang University; Ewha... og andre samarbejdspartnereAfsluttetHjertestop uden for hospitalet | Postcardiac Arrest SyndromeKorea, Republikken
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University of AarhusAfsluttetHjertestop | Hypotermi | Post Cardiac Arrest SyndromeDanmark
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ORIXHAIkke rekrutterer endnuHjertestop | Post Cardiac Arrest SyndromeFrankrig
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Russian Federation of Anesthesiologists and ReanimatologistsAfsluttetPost Cardiac Arrest SyndromeDen Russiske Føderation