Nutrition and Exercise Prehabilitation in Patients Awaiting Liver Transplantation (POWER-LT)
Evaluation of Protein Distribution Optimization With Exercise Regimen on Nutritional Status, Body Composition and Functional Status in Patients Awaiting Liver Transplantation: The POWER-LT Randomized Clinical Trial
調査の概要
状態
詳細な説明
Malnutrition and sarcopenia affect many patients awaiting liver transplantation and is associated with reduced quality of life and increased mortality. According to the current European Society for Clinical Nutrition and Metabolism (ESPEN) and European Association for the Study of the Liver (EASL) guidelines, a target of 1.2-1.5 g protein per kg body weight daily is recommended for patients with decompensated liver cirrhosis. While evidence supports that even protein distribution enhances muscle protein synthesis in healthy adults, specific protein timing recommendations are lacking for patients with end-stage liver disease.
Therefore, this randomized controlled trial aims to investigate the effects of a 12-week diet with even protein distribution plus exercise (Group A) versus skewed protein distribution plus exercise (Group B) versus standard dietary and physical activity advice (Group C), primarily on nutritional status, body composition and functional status, and secondarily on anthropometric measurements, laboratory parameters, quality of life, disease severity, complications and mortality in liver transplant candidates. Moreover, late postoperative parameters, including length of hospital stay, length of intensive care unit stay, duration of mechanical ventilation, postoperative complications, hospital readmissions, reoperations and mortality will be examined for those who undergo transplantation.
研究の種類
入学 (推定)
段階
- 適用できない
連絡先と場所
研究連絡先
- 名前:Kalliopi Anna Poulia
- 電話番号:+30 2105294668
- メール:lpoulia@aua.gr
研究連絡先のバックアップ
- 名前:Evangelos Cholongitas
- 電話番号:+30 2132061643
- メール:echolog@med.uoa.gr
研究場所
-
-
Attica
-
Athens、Attica、ギリシャ、11855
- 募集
- Agricultural University of Athens
-
コンタクト:
- Kalliopi Anna Poulia
- 電話番号:+30 2105294668
- メール:lpoulia@aua.gr
-
Athens、Attica、ギリシャ、11527
- 募集
- Laiko General Hospital of Athens
-
コンタクト:
- Evangelos Cholongitas
- 電話番号:+30 2132061643
- メール:echolog@med.uoa.gr
-
-
参加基準
適格基準
就学可能な年齢
- 大人
- 高齢者
健康ボランティアの受け入れ
説明
Inclusion Criteria:
- End-stage liver disease, diagnosed by transient elastography (FibroScan) or imaging-based evaluation with compatible clinical picture
- Referred for liver transplantation and evaluated to have a high likelihood of being listed, according to primary hepatologist assessment, or already listed for liver transplantation
- No prior formal dietary advice
Exclusion Criteria:
- Age < 18 years old
- Estimated waiting time for liver transplantation < 3 months
- Estimated life expectancy < 3 months
- Chronic kidney disease requiring protein restriction
- Exercise contraindicated (e.g., active or recent variceal bleeding, severe grade of hepatic encephalopathy, refractory ascites, etc.)
- Unstable or severe psychiatric disorder
- Pregnancy or lactation
- Inability to provide written informed consent
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:支持療法
- 割り当て:ランダム化
- 介入モデル:並列代入
- マスキング:なし(オープンラベル)
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
実験的:Diet with even protein distribution plus exercise program
|
Diet of 1.2-1.5 g protein/kg dry body weight/day, equally divided (33.3% at 3 main meals) | Exercise program: 3 days/week aerobic and 2 days/week resistance | Duration: 12 weeks
|
|
実験的:Diet with skewed protein distribution plus exercise program
|
Diet of 1.2-1.5 g protein/kg dry body weight/day, unequally divided (10.0% at breakfast, 60.0% at lunch, 30.0% at dinner) | Exercise program: 3 days/week aerobic and 2 days/week resistance | Duration: 12 weeks
|
|
アクティブコンパレータ:Standard dietary and physical activity advice
|
Standard dietary and physical activity advice | Duration: 12 weeks
|
この研究は何を測定していますか?
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Changes in Global Leadership Initiative on Malnutrition (GLIM)-defined malnutrition
時間枠:Baseline, 12 weeks
|
Malnutrition will be diagnosed using the Global Leadership Initiative on Malnutrition (GLIM) criteria.
Diagnosis requires at least 1 phenotypic criterion and 1 etiologic criterion.
Phenotypic criteria include: a. Non-votional weight loss (%): > 5% within past 6 months or > 10% beyond 6 months, b.
Low body mass index (BMI, kg/m^2): < 20 kg/m^2 if < 70 years or < 22 kg/m^2 if > 70 years, c. Reduced muscle mass, assessed by validated body composition measuring techniques [e.g.
Dual-Energy X-ray Absorptiometry (DEXA), Bioelectrical Impedance Analysis (BIA) or Computed Tomography (CT)].
Etiologic criteria include: a. Reduced food intake or assimillation: ≤ 50% of energy requirements > 1 week or any reduction for > 2 weeks or any chronic gastrointestinal condition that adversely impacts food assimilation or absorption, b.
Inflammation: acute disease/injury or chronic disease-related.
|
Baseline, 12 weeks
|
|
Changes in Computed Tomography (CT)-derived muscle mass
時間枠:Baseline, 12 weeks
|
Muscle mass will be assessed using the Skeletal Muscle Index (SMI, cm^2/m^2).
SMI will be calculated by measuring the total cross-sectional area of skeletal muscles, from a single cross-sectional Computed Tomography (CT) image at L3 vertebral level, using Hounsfield Units of -29 to +150 HU, and normalizing to height squared (m^2).Thresholds for reduced SMI will be considered < 50 cm^2/m^2 for men and < 39 cm^2/m^2 for women.
|
Baseline, 12 weeks
|
|
Changes in handgrip strength (kg)
時間枠:Baseline, 12 weeks
|
Handgrip strength (kg) will be assessed using a digital handgrip dynamometer.
Thresholds for reduced muscle strength will be considered < 27 kg for men and < 16 kg for women.
|
Baseline, 12 weeks
|
|
Changes in Short Physical Performance Battery (SPPB) score
時間枠:Baseline, 12 weeks
|
The Short Physical Performance Battery (SPPB) includes 3 components: 3-positions balance testing (sec) (0-4 points), 4-meter gait speed test (sec) (0-4 points) and 5-times chair stand test (sec) (0-4 points), with a total score of 0-12.
Higher scores indicate a better physical performance: 0-3 points for worst physical performance, 4-9 points for reduced physical performance and 10-12 points for best physical performance.
|
Baseline, 12 weeks
|
|
Changes in Liver Frailty Index
時間枠:Baseline, 12 weeks
|
The Liver Frailty Index includes 3 components: handgrip strength (kg), 5-times chair stand test (sec) and 3-positions balance testing (sec).
Higher scores indicate a greater degree of frailty.
|
Baseline, 12 weeks
|
|
Changes in European Working Group on Sarcopenia in Older People 2 (EWGSOP2)-derived sarcopenia
時間枠:Baseline, 12 weeks
|
Sarcopenia will be diagnosed using the European Working Group on Sarcopenia in Older People 2 (EWGSOP2) criteria.
Diagnosis requires low muscle strength and low muscle mass.
Reduced muscle strength will be diagnozed by: a.
Low handgrip strength (kg): > 27 kg for men and > 16 kg for women or b.
Low chair stand test (sec): >15 sec for 5-times chair stand test.
Reduced muscle mass will be diagnozed by: a.
Low Appendicular Skeletal Muscle Mass (ASM, kg): < 20 kg for men and < 15 kg for women or b.
Low Appendicular Skeletal Muscle Mass Index (ASMI, kg/m^2): <7.0 kg/m^2 for men and < 5.5 kg/m^2 for women.
|
Baseline, 12 weeks
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Nutritional Risk Screening-2002 (NRS-2002)-derived nutritional risk
時間枠:Baseline
|
Nutritional risk will be assessed using the Nutritional Risk Screening-2002 (NRS-2002) tool.
Higher scores indicate greater nutritional risk: < 3 points indicate good nutritional status and ≥ 3 nutritional risk.
|
Baseline
|
|
Malnutrition Screening Tool (MST)-derived nutritional risk
時間枠:Baseline
|
Nutritional risk will be assessed using the Malnutrition Screening Tool (MST) tool.
Higher scores indicate greater nutritional risk: < 2 points indicate good nutritional status and ≥ 2 nutritional risk.
|
Baseline
|
|
Malnutrition Universal Screening Tool (MUST)-derived nutritional risk
時間枠:Baseline
|
Nutritional risk will be assessed using the Malnutrition Universal Screening Tool (MUST) tool.
Higher scores indicate greater nutritional risk: 0 points indicate low risk, 1 point medium risk and ≥ 2 high risk.
|
Baseline
|
|
Short Nutritional Assessment Questionnaire (SNAQ)-derived nutritional risk
時間枠:Baseline
|
Nutritional risk will be assessed using the Short Nutritional Assessment Questionnaire (SNAQ) tool.
Higher scores indicate greater nutritional risk: 0-1 points indicate low risk, 2 points medium risk and ≥ 3 points high risk.
|
Baseline
|
|
Mini Nutritional Assessment-Short Form (MNA-SF)-derived nutritional status
時間枠:Baseline
|
Nutritional risk will be assessed using the Mini Nutritional Assessment-Short Form (MNA-SF) tool.
Lower scores indicate greater nutritional risk: 12-14 points indicate good nutritional status, 8-11 points risk of malnutrition and 0-7 points malnutrition.
|
Baseline
|
|
Nutritional Risk Index (NRI)-derived nutritional risk
時間枠:Baseline
|
Nutritional risk will be assessed using the Nutritional Risk Index (NRI) tool.
Lower scores indicate greater nutritional risk: > 100.0 indicate good nutritional status, 97.5-100.0
low risk, 83.5-97.5 medium risk and < 83.5 high risk.
|
Baseline
|
|
Prognostic Nutritional Index (PNI)-derived nutritional status
時間枠:Baseline
|
Nutritional risk will be assessed using the Prognostic Nutritional Index (PNI) tool.
Lower scores indicate greater nutritional risk: ≥ 50 indicate good nutritional status, < 50 low risk, < 45 medium risk and < 40 high risk.
|
Baseline
|
|
Controlling Nutritional Status (CONUT)-derived nutritional status
時間枠:Baseline
|
Nutritional risk will be assessed using the Controlling Nutritional Status (CONUT) tool.
Higher scores indicate greater nutritional risk: 0-1 points indicate good nutritional status, 2-4 points low risk, 5-8 medium risk and 9-12 high risk.
|
Baseline
|
|
Liver Disease Undernutrition Screening Tool (LDUST)-derived nutritional risk
時間枠:Baseline
|
Nutritional risk will be assessed using the Liver Disease Undernutrition Screening Tool (LDUST) tool.
≥ 5 answers "A" indicate good nutritional status and ≥ 2 answers "B" and/or "C" malnutrition.
|
Baseline
|
|
Royal Free Hospital-Nutritional Prioritizing Tool (RHT-NPT)-derived nutritional status
時間枠:Baseline
|
Nutritional risk will be assessed using the Royal Free Hospital-Nutritional Prioritizing Tool (RHT-NPT) tool.
Higher scores indicate greater nutritional risk: 0 points indicate low risk, 1 point medium risk and 2-7 points high risk.
|
Baseline
|
|
Dual-Energy X-ray Absorptiometry (DEXA)-derived muscle mass
時間枠:Baseline
|
Muscle mass will be assessed using the Appendicular Skeletal Muscle Mass Index (ASMI, kg/m^2) using Dual-Energy X-ray Absorptiometry (DEXA).
Thresholds for reduced muscle mass will be considered < 7.0 for men and < 5.4 for women.
|
Baseline
|
|
Food Frequency Questionnaire (FFQ)-derived dietary habits
時間枠:Baseline
|
Long-term dietary habits will be assessed using a semi-quantitative Food Frequency Questionnaire (FFQ).
|
Baseline
|
|
International Physical Activity Questionnaire (IPAQ)-derived physical activity levels
時間枠:Baseline
|
Physical activity levels will be assessed using the International Physical Activity Questionnaire (IPAQ)-Short Form.
IPAQ includes 7 open-ended questions.
Higher scores (MET-min/week) indicate higher physical activity levels.
|
Baseline
|
|
Changes in Bioelectrical Impedance Analysis (BIA)-derived muscle mass
時間枠:Baseline, 12 weeks
|
Muscle mass will be assessed using the Appendicular Skeletal Muscle Mass Index (ASMI, kg/m^2) by Bioelectrical Impedance Analysis (BIA).
Thresholds for reduced ASMI will be considered < 7.0 for men and < 5.7 for women.
|
Baseline, 12 weeks
|
|
Changes in body weight (kg)
時間枠:Baseline, 12 weeks
|
Body weight (kg) will be measured using a calibrated weight scale.
|
Baseline, 12 weeks
|
|
Changes in Body Mass Index (BMI, kg/m^2)
時間枠:Baseline, 12 weeks
|
Body Mass Index (BMI, kg, m^2) will be calculated by dividing body weight (kg) by height squared (m^2), which will be measured using a calibrated stadiometer.
|
Baseline, 12 weeks
|
|
Changes in Mid-Arm Muscle Circumference (MAMC, cm)
時間枠:Baseline, 12 weeks
|
Mid-Arm Muscle Circumference (MAMC, cm) will be calculated using the following formula: MAMC (cm) = Mid-Arm Circumference (MAC, cm) - [0.314*Triceps Skinfold Thickness (TSF, mm)].
MAC will be measured using a non-stretchable measuring tape and TSF using a calibrated skinfold caliper.
Thresholds for reduced MAMC will be considered < 25 cm for men and < 22 cm for women.
|
Baseline, 12 weeks
|
|
Changes in Bristol Stool Chart
時間枠:Baseline, 12 weeks
|
Bowel habits will be assessed using the Bristol Stool Chart.
Bristol Stool Chart classifies stool forms in 7 types: types 1-2 indicate constipation, types 3-4 normal stool form, and types 5-7 looser stools tending toward diarrhea
|
Baseline, 12 weeks
|
|
Changes in Chronic Liver Disease Questionnaire (CLDQ)
時間枠:Baseline, 12 weeks
|
Quality of life will be assessed using the Chronic Liver Disease Questionnaire (CLDQ).
CLDQ includes 29 items in 6 domains: fatigue, activity, emotional function, abdominal symptoms, systemic symptoms, and worry.
Each is scored on a 7-point scale, with higher domain and total scores indicating a better quality of life.
|
Baseline, 12 weeks
|
|
Changes in aspartate aminotransferase (AST, U/L)
時間枠:Baseline, 12 weeks
|
Data will be collected through medical chart review.
|
Baseline, 12 weeks
|
|
Changes in alanine aminotransferase (ALT, U/L)
時間枠:Baseline, 12 weeks
|
Data will be collected through medical chart review
|
Baseline, 12 weeks
|
|
Changes in alkaline phosphatase (ALP, U/L)
時間枠:Baseline, 12 weeks
|
Data will be collected through medical chart review.
|
Baseline, 12 weeks
|
|
Changes in gamma-glutamyltransferase (GGT, U/L)
時間枠:Baseline, 12 weeks
|
Data will be collected through medical chart review.
|
Baseline, 12 weeks
|
|
Changes in total bilirubin (mg/dL)
時間枠:Baseline, 12 weeks
|
Data will be collected through medical chart review.
|
Baseline, 12 weeks
|
|
Changes in direct bilirubin (mg/dL)
時間枠:Baseline, 12 weeks
|
Data will be collected through medical chart review.
|
Baseline, 12 weeks
|
|
Changes in International Normalized Ratio (INR)
時間枠:Baseline, 12 weeks
|
Data will be collected through medical chart review.
|
Baseline, 12 weeks
|
|
Changes in MELD-Na score
時間枠:Baseline, 12 weeks
|
Data will be collected through medical chart review.
Higher MELD-Na scores indicate greater severity of chronic liver disease and higher predictive risk of mortality (< 17 points: <2%, 17-20 points: 3-4%, 21-22 points: 7-10%, 23-26 points: 14-15%, 27-31 points: 27-32%, ≥ 32 points: 65-66%)
|
Baseline, 12 weeks
|
|
Changes in Child-Pugh score
時間枠:Baseline, 12 weeks
|
Data will be collected through medical chart review.
Higher Child-Pugh scores indicate greater severity of liver cirrhosis [class A (5-6 points): mild, class B: (7-9 points): moderate, class C (10-15) points: severe]
|
Baseline, 12 weeks
|
|
Changes in presence of oedema and/or ascites
時間枠:Baseline, 12 weeks
|
Data will be collected through medical chart review.
|
Baseline, 12 weeks
|
|
Changes in presence of jaundice
時間枠:Baseline, 12 weeks
|
Data will be collected through medical chart review.
|
Baseline, 12 weeks
|
|
Changes in presence of variceal bleeding
時間枠:Baseline, 12 weeks
|
Data will be collected through medical chart review.
|
Baseline, 12 weeks
|
|
Changes in presence of infections
時間枠:Baseline, 12 weeks
|
Data will be collected through medical chart review.
|
Baseline, 12 weeks
|
|
Changes in presence of hepatic encephalopathy
時間枠:Baseline, 12 weeks
|
Data will be collected through medical chart review.
|
Baseline, 12 weeks
|
|
Mortality
時間枠:From baseline to 12 weeks
|
Data will be collected through medical chart review.
|
From baseline to 12 weeks
|
その他の成果指標
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Adherence to the program
時間枠:4 weeks, 8 weeks, 12 weeks
|
Adherence to the program will be assessed using 24-hour recalls and physical activity diaries.
|
4 weeks, 8 weeks, 12 weeks
|
|
Satisfaction with the program
時間枠:12 weeks
|
Satisfaction with the program will be assessed using a Likert scale: very satisfied, fairly satisfied, neither satisfied nor dissatisfied, slightly dissatisfied and not at all satisfied
|
12 weeks
|
|
Global Leadership Initiative on Malnutrition (GLIM)-defined malnutrition
時間枠:3 months post-transplantation
|
Malnutrition will be diagnosed using the Global Leadership Initiative on Malnutrition (GLIM) criteria.
Diagnosis requires at least 1 phenotypic criterion and 1 etiologic criterion.
Phenotypic criteria: a. Non-votional weight loss (%): > 5% within past 6 months or >10% beyond 6 months b.
Low body mass index (BMI, kg/m^2): < 20 kg/m^2 if < 70 years or < 22 kg/m^2 if > 70 years c.
Reduced muscle mass, assesses by validated body composition measuring techniques [e.g.
Dual-Energy X-ray Absorptiometry (DEXA), Bioelectrical Impedance Analysis (BIA) or Computed Tomography (CT) Etiologic criteria: a. Reduced food intake or assimillation: ≤ 50% of energy requirements > 1 week or any reduction for > 2 weeks or any chronic gastrointestinal condition that adversely impacts food assimilation or absorption b.
Inflammation: acute disease/injury or chronic disease-related
|
3 months post-transplantation
|
|
Computed Tomography (CT)-derived muscle mass
時間枠:3 months post-transplantation
|
Muscle mass will be assessed using the Skeletal Muscle Index (SMI, cm^2/m^2).
SMI will be calculated by measuring the total cross-sectional area of skeletal muscles, from a single cross-sectional Computed Tomography (CT) image at L3 vertebral level, using Hounsfield Units of -29 to +150 HU, and normalizing to height squared (m^2).Thresholds for reduced SMI will be considered < 50 cm^2/m^2 for men and < 39 cm^2/m^2 for women.
|
3 months post-transplantation
|
|
Handgrip strength (kg)
時間枠:3 months post-transplantation
|
Handgrip strength (kg) will be assessed using a digital handgrip dynamometer.
Thresholds for reduced muscle strength will be considered < 27 kg for men and < 16 kg for women.
|
3 months post-transplantation
|
|
Short Physical Performance Battery (SPPB) score
時間枠:3 months post-transplantation
|
The Short Physical Performance Battery (SPPB) includes 3 components: 3-positions balance testing (sec) (0-4 points), 4-meter gait speed test (sec) (0-4 points) and 5-times chair stand test (sec) (0-4 points), with a total score of 0-12.
Higher scores indicate a better physical performance: 0-3 points for worst physical performance, 4-9 points for reduced physical performance and 10-12 points for best physical performance.
|
3 months post-transplantation
|
|
Liver Frailty Index
時間枠:3 months post-transplantation
|
The Liver Frailty Index includes 3 components: handgrip strength (kg), 5-times chair stand test (sec) and 3-positions balance testing (sec).
Higher scores indicate a greater degree of frailty.
|
3 months post-transplantation
|
|
European Working Group on Sarcopenia in Older People 2 (EWGSOP2)-derived sarcopenia
時間枠:3 months post-transplantation
|
Sarcopenia will be diagnosed using the European Working Group on Sarcopenia in Older People 2 (EWGSOP2) diagnostic criteria.
Diagnosis requires the presence of low muscle strength and low muscle mass.
Reduced muscle strength: a.
Low handgrip strength (kg): > 27 kg for men and > 16 kg for women b.
Low chair stand test (sec): >15 sec for 5 rises Reduced muscle mass: a.
Low Appendicular Skeletal Muscle Mass (ASM, kg): < 20 kg for men and < 15 kg for women b.
Low Appendicular Skeletal Muscle Mass Index (ASMI, kg/m^2): <7.0 kg/m^2 for men and < 5.5 kg/m^2 for women
|
3 months post-transplantation
|
|
Body weight (kg)
時間枠:3 months post-transplantation
|
Body weight (kg) will be measured using a calibrated weight scale.
|
3 months post-transplantation
|
|
Body Mass Index (BMI, kg, m^2)
時間枠:3 months post-transplantation
|
Body Mass Index (BMI, kg, m^2) will be calculated by dividing body weight (kg) by height squared (m^2), which will be measured using a calibrated stadiometer.
|
3 months post-transplantation
|
|
Mid-Arm Muscle Circumference (MAMC, cm)
時間枠:3 months post-transplantation
|
Mid-Arm Muscle Circumference (MAMC, cm) will be calculated using the following formula: MAMC (cm) = Mid-Arm Circumference (MAC, cm) - [0.314*Triceps Skinfold Thickness (TSF, mm)].
MAC will be measured using a non-stretchable measuring tape and TSF using a calibrated skinfold caliper.
Thresholds for reduced MAMC will be considered < 25 cm for men and < 22 cm for women.
|
3 months post-transplantation
|
|
Bristol Stool Chart
時間枠:3 months post-transplantation
|
Bowel habits will be assessed using the Bristol Stool Chart.
Bristol Stool Chart classifies stool forms in 7 types: types 1-2 indicate constipation, types 3-4 normal stool form, and types 5-7 looser stools tending toward diarrhea
|
3 months post-transplantation
|
|
Chronic Liver Disease Questionnaire (CLDQ)
時間枠:3 months post-transplantation
|
Quality of life will be assessed using the Chronic Liver Disease Questionnaire (CLDQ).
CLDQ includes 29 items in 6 domains: fatigue, activity, emotional function, abdominal symptoms, systemic symptoms, and worry.
Each is scored on a 7-point scale, with higher domain and total scores indicating a better quality of life.
|
3 months post-transplantation
|
|
Aspartate aminotransferase (AST, U/L)
時間枠:3 months post-transplantation
|
Data will be collected through medical chart review.
|
3 months post-transplantation
|
|
Alanine aminotransferase (ALT, U/L)
時間枠:3 months post-transplantation
|
Data will be collected through medical chart review.
|
3 months post-transplantation
|
|
Alkaline phosphatase (ALP, U/L)
時間枠:3 months post-transplantation
|
Data will be collected through medical chart review.
|
3 months post-transplantation
|
|
Gamma-glutamyltransferase (GGT, U/L)
時間枠:3 months post-transplantation
|
Data will be collected through medical chart review.
|
3 months post-transplantation
|
|
Total bilirubin (mg/dL)
時間枠:3 months post-transplantation
|
Data will be collected through medical chart review.
|
3 months post-transplantation
|
|
Direct bilirubin (mg/dL)
時間枠:3 months post-transplantation
|
Data will be collected through medical chart review.
|
3 months post-transplantation
|
|
International Normalized Ratio (INR)
時間枠:3 months post-transplantation
|
Data will be collected through medical chart review.
|
3 months post-transplantation
|
|
Length of hospital stay
時間枠:From transplantation to 3 months post-transplantation
|
Data will be collected through medical chart review.
|
From transplantation to 3 months post-transplantation
|
|
Length of intensive care unit stay
時間枠:From transplantation to 3 months post-transplantation
|
Data will be collected through medical chart review.
|
From transplantation to 3 months post-transplantation
|
|
Duration of mechanical ventilation
時間枠:From transplantation to 3 months post-transplantation
|
Data will be collected through medical chart review.
|
From transplantation to 3 months post-transplantation
|
|
Postoperative complications
時間枠:From transplantation to 3 months post-transplantation
|
Data will be collected through medical chart review.
|
From transplantation to 3 months post-transplantation
|
|
Hospital readmissions
時間枠:From transplantation to 3 months post-transplantation
|
Data will be collected through medical chart review.
|
From transplantation to 3 months post-transplantation
|
|
Reoperations
時間枠:From transplantation to 3 months post-transplantation
|
Data will be collected through medical chart review.
|
From transplantation to 3 months post-transplantation
|
|
Mortality
時間枠:From transplantation to 3 months post-transplantation
|
Data will be collected through medical chart review.
|
From transplantation to 3 months post-transplantation
|
協力者と研究者
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
キーワード
追加の関連 MeSH 用語
その他の研究ID番号
- 113/05.12.2025
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