- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT03752450
Prospective Data Analysis of the Development of Hypernatremia in Intensive Care Unit (HYPNIC)
Insight in the Development and Recovery of Hypernatremia in Critically Ill Patients.
Studieöversikt
Status
Betingelser
Detaljerad beskrivning
Hypernatremia is frequently encountered in patients admitted to the Intensive Care Unit (ICU) and associated with increased mortality and length of stay. The main mechanism is an imbalance between sodium and total body water. Consequently, this poses multiple factors to play a role in the development of hypernatremia. multifactorial. Previous studies focused on predictors in the development of hypernatremia by including amount and types of administered medication, fluid balance, laboratory results and changes in vital signs. However, data of larger populations or data on infusion rates, fluid and salt balance or renal replacement therapy is lacking. Few studies investigated the recovery of hypernatremia, which showed that correction of hypernatremia can reduce the associated mortality risk.
This study aims to provide better insight in the development and recovery of hypernatremia through the collection of detailed information on the input and output of fluids and salts in a larger group of patients than studied before.
Studietyp
Inskrivning (Faktisk)
Kontakter och platser
Studieorter
-
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Noord-Brabant
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Eindhoven, Noord-Brabant, Nederländerna, 5623 EJ
- Catharina Hospital Eindhoven
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Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Kön som är behöriga för studier
Testmetod
Studera befolkning
Beskrivning
Inclusion Criteria:
- Adults >17 years old
- Admitted >48 hours in ICU
Exclusion Criteria:
- Expected discharge same day as day of inclusion
Studieplan
Hur är studien utformad?
Designdetaljer
Kohorter och interventioner
Grupp / Kohort |
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ICU patients
All patients admitted to ICU >48 hours will be included.
Eventually, a number of these patients will develop hypernatremia and form the cases.
The patients who will not develop hypernatremia will be assigned as the controls.
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Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
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Development of hypernatremia
Tidsram: During ICU admission
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Serum sodium levels >145mmol/L
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During ICU admission
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Recovery of hypernatremia
Tidsram: During ICU admission
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Serum sodium levels returning back to levels below 146mmol/L
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During ICU admission
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Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
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Mortality
Tidsram: During ICU admission as well as during hospital admission
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Patient did or did not pass away.
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During ICU admission as well as during hospital admission
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Length of stay
Tidsram: Admission in ICU as well as in hospital
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Number of days of admission
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Admission in ICU as well as in hospital
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Samarbetspartners och utredare
Sponsor
Utredare
- Huvudutredare: Eveline Mestrom, MD, Catharina Ziekenhuis Eindhoven
Publikationer och användbara länkar
Allmänna publikationer
- Waite MD, Fuhrman SA, Badawi O, Zuckerman IH, Franey CS. Intensive care unit-acquired hypernatremia is an independent predictor of increased mortality and length of stay. J Crit Care. 2013 Aug;28(4):405-12. doi: 10.1016/j.jcrc.2012.11.013. Epub 2013 Jan 29.
- Lindner G, Funk GC, Lassnigg A, Mouhieddine M, Ahmad SA, Schwarz C, Hiesmayr M. Intensive care-acquired hypernatremia after major cardiothoracic surgery is associated with increased mortality. Intensive Care Med. 2010 Oct;36(10):1718-1723. doi: 10.1007/s00134-010-1968-4. Epub 2010 Jul 24.
- Marshall DC, Salciccioli JD, Goodson RJ, Pimentel MA, Sun KY, Celi LA, Shalhoub J. The association between sodium fluctuations and mortality in surgical patients requiring intensive care. J Crit Care. 2017 Aug;40:63-68. doi: 10.1016/j.jcrc.2017.02.012. Epub 2017 Feb 13.
- Bihari S, Festa M, Peake SL, Seppelt IM, Williams P, Wilkins B, Bersten A. Sodium administration in critically ill paediatric patients in Australia and New Zealand: a multicentre point prevalence study. Crit Care Resusc. 2014 Jun;16(2):112-8.
- Stelfox HT, Ahmed SB, Zygun D, Khandwala F, Laupland K. Characterization of intensive care unit acquired hyponatremia and hypernatremia following cardiac surgery. Can J Anaesth. 2010 Jul;57(7):650-8. doi: 10.1007/s12630-010-9309-1. Epub 2010 Apr 20.
Studieavstämningsdatum
Studera stora datum
Studiestart (Faktisk)
Primärt slutförande (Faktisk)
Avslutad studie (Faktisk)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Faktisk)
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Nyckelord
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- HYPNIC
Plan för individuella deltagardata (IPD)
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IPD-planbeskrivning
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