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Epidemiological Investigation of Sepsis in Obstetrics Admitted to ICU

14. september 2021 opdateret af: Zhao Zhiling, Peking University Third Hospital

Epidemiological Investigation of Sepsis in Obstetrics Admitted to ICU From 2008 to 2016 in Beijing China: A First Multicenter Report

Sepsis is still the main cause of maternal death, accounting for 11% of maternal deaths. Early identification of high risk factors of sepsis and early intervention can improve the prognosis of pregnant women with sepsis. At present, there is no epidemiological investigation report on sepsis in ICU in China.

Studieoversigt

Status

Tilmelding efter invitation

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

Although great progress has been made in maternal care in China in recent years, the maternal mortality rate in China has remained high in the past three years, fluctuating from 19.6-20.1/100000, and there is still a large gap between China and developed countries (12.1/100000). Sepsis is still the main cause of maternal death, accounting for 11% of maternal deaths; Early identification of high risk factors of sepsis and early intervention can improve the prognosis of pregnant women with sepsis. At present, there is no epidemiological investigation report on sepsis in ICU in China. A total of 160 cases of maternal sepsis with ICU admission in any trimester of pregnancy or within 42 days of delivery were reviewed between January 1, 2008, and December 31, 2019. The demographic data including age and gestational age, mode of delivery, the maximal SOFA score, invasive operation before sepsis, sepsis focuses, intervention, microbial culture results, body temperature and blood routine were reviewed to investigate the incidence and mortality of maternal sepsis in intensive care unit, as well as the incidence of multidrug-resistant bacteria and the risk factors of multidrug resistance.

Undersøgelsestype

Observationel

Tilmelding (Forventet)

160

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Kina
    • Beijing
      • Beijing, Beijing, Kina, 100191
        • Peking University Third Hospital

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år til 70 år (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Kvinde

Prøveudtagningsmetode

Ikke-sandsynlighedsprøve

Studiebefolkning

Obstetrics with sepsis in any trimester of pregnancy or within 42 days of delivery

Beskrivelse

Inclusion Criteria: Obstetrics with sepsis in any trimester of pregnancy or within 42 days of delivery -

Exclusion Criteria: The electronic medical record is lost. Patients with incomplete infection data: if the temperature sheet is ambiguous and the temperature data is not recorded in the medical record.

-

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

Kohorter og interventioner

Gruppe / kohorte
Intervention / Behandling
Group with sepsis complicated with multidrug-resistant bacteria
Obstetrics diagnosed with sepsis were divided to group with sepsis complicated with multidrug-resistant bacteria if microbial culture results showed multidrug-resistance.
Andet: Multidrug-resistant bacteria
Multidrug resistance was defined as acquired non-susceptibility to at leas one agent in three or more antimicrobial categories.
Group with sepsis complicated with none multidrug-resistant bacteria
Obstetrics diagnosed with sepsis were divided to group with sepsis complicated with none multidrug-resistant bacteria if microbial culture results showed none-multidrug-resistance or no positive result of microbial culture.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
The incidence of Maternal sepsis in intensive care unit
Tidsramme: January 2008 to December 2019
The incidence of Maternal sepsis in ICU represents as proportion based on the total number of of maternal ICU admissions and is expressed per 100 deliveries.
January 2008 to December 2019
Sepsis related maternal mortality
Tidsramme: January 2008 to December 2019
Sepsis related maternal mortality in hospitals represents as proportion based on the total number of maternal sepsis in intensive care units and is expressed per 100,000 deliveries.
January 2008 to December 2019
The incidence of multidrug resistance
Tidsramme: January 2008 to December 2019
The incidence of multidrug resistance represents as proportion based on the total number of of maternal sepsis in ICU and is expressed per 100 deliveries. Multidrug resistance was defined as acquired non-susceptibility to at leas one agent in three or more antimicrobial categories.
January 2008 to December 2019

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
The length of ICU stay
Tidsramme: January 2008 to December 2019
The date of transferring to wards or death minus the date of ICU admission
January 2008 to December 2019
Hospital length
Tidsramme: January 2008 to December 2019
Discharge date minus admission date
January 2008 to December 2019

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Peking University Third Hospital

Samarbejdspartnere

Beijing Friendship Hospital
Beijing Chao Yang Hospital

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

3. december 2020

Primær færdiggørelse (Forventet)

31. december 2021

Studieafslutning (Forventet)

31. maj 2022

Datoer for studieregistrering

Først indsendt

14. september 2021

Først indsendt, der opfyldte QC-kriterier

14. september 2021

Først opslået (Faktiske)

24. september 2021

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

24. september 2021

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

14. september 2021

Sidst verificeret

1. september 2021

Mere information

Begreber relateret til denne undersøgelse

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • LM2020443

Plan for individuelle deltagerdata (IPD)

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INGEN

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Kliniske forsøg med Intensiv afdelinger

Kliniske forsøg med Multidrug-resistant bacteria

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Sponsorer og samarbejdspartnere

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Betingelser

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Placeringer

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