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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT03765372
Other study ID # BiPoC
Secondary ID
Status Completed
Phase
First received
Last updated
Start date June 19, 2017
Est. completion date December 18, 2021

Study information

Verified date December 2021
Source Technical University of Munich
Contact n/a
Is FDA regulated No
Health authority
Study type Observational [Patient Registry]

Clinical Trial Summary

Aim of this study is to evaluate whether the periopertive course is able to predict postoperative complications. Several approaches will be choosed to optimize perioperative risk stratification predicting postoperative complications in patients undergoing elective non-cardiac surgery.


Description:

The aim of this secondary analysis of the SUPERADD study is to use the perioperative data from the prospective SUPERADD study ("SUbstitution of PERioperative Albumin Deficiency Disorders") (Eudra-CT 2016-001313-24; Clinical Trials NCT03167645; DOI: 10.1097) to identify risk factors for the occurrence of postoperative complications, based on the Clavien-Dindo classification in the nine domains of the Postoperative Morbidity Survey. Multivariate Analyses, Decision trees, time series analysis and Machine Learning methods will be applied to distinguish risk factors for postoperative complikations and mortality in a high-risk group (see publication of the statistical analysis plan and its enhancement). Patients participating in the SUPERADD study (NCT03167656) and who had at least two perioperative high sensitive Troponin T (hsTnT) values in order to detect myocardial injury were included in this secondary analysis as hsTnT is associated with major adverse cardiovascular events (MACE), myocardial injury after noncardiac surgery and mortality. The secondary analysis uses data obtained at the pre-anaesthesia visit like ASA, preoperative comorbidities measured by the POSPOM, CCI, intraoperative parameters like vitals, medication, estimated blood loss and postoperative data obtained from PACU records and discharge letter. Primary Endpoint are postoperative complications assessed with the Cavien-Dindo classification > 2.


Recruitment information / eligibility

Status Completed
Enrollment 1598
Est. completion date December 18, 2021
Est. primary completion date November 1, 2019
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - written informed consense - Age > 18 years - ASA Score 3 or 4 - elective non-cardiac high risk surgery Exclusion Criteria: - emergency surgery - need for dialysis - liver cirrhosis child C - intolerance of albumin - participation in other AMG (medicines law) study - pregnancy or breastfeeding - patients with attendants concerning medical matters - ASA V patients - patients with BMI > 35 kg/m2

Study Design


Related Conditions & MeSH terms


Locations

Country Name City State
Germany Klinikum Rechts der Isar, Technische Universität München München Bavaria

Sponsors (1)

Lead Sponsor Collaborator
Technical University of Munich

Country where clinical trial is conducted

Germany, 

References & Publications (4)

Anetsberger A, Blobner M, Haller B, Schmid S, Umgelter K, Hager T, Langgartner C, Kochs EF, Laugwitz KL, Jungwirth B, Bernlochner I. Immature platelets as a novel biomarker for adverse cardiovascular events in patients after non-cardiac surgery. Thromb Ha — View Citation

Ma J, Xin Q, Wang X, Gao M, Wang Y, Liu J. Prediction of perioperative cardiac events through preoperative NT-pro-BNP and cTnI after emergent non-cardiac surgery in elderly patients. PLoS One. 2015 Mar 23;10(3):e0121306. doi: 10.1371/journal.pone.0121306. — View Citation

Vetrugno L, Costa MG, Pompei L, Chiarandini P, Drigo D, Bassi F, Gonano N, Muzzi R, Della Rocca G. Prognostic power of pre- and postoperative B-type natriuretic peptide levels in patients undergoing abdominal aortic surgery. J Cardiothorac Vasc Anesth. 20 — View Citation

Writing Committee for the VISION Study Investigators; Devereaux PJ, Biccard BM, Sigamani A, Xavier D, Chan MTV, Srinathan SK, Walsh M, Abraham V, Pearse R, Wang CY, Sessler DI, Kurz A, Szczeklik W, Berwanger O, Villar JC, Malaga G, Garg AX, Chow CK, Ackla — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary postoperative complications determined with the calvien-dindo classification Pulmonary, infectious, renal, gastrointestinal, cardiovascular, neurological, wound, haematological and pain. Each domain is graded between grade I and V (death of a patient). date of surgery until hospital discharge (approx. 30 days)
Secondary hospital mortality Rate of Mortality among study patients date of surgery until hospital discharge (approx. 30 days)
Secondary Acute Kidney Injury Acute Kidney Injury according to KDIGO postoperative day 2
Secondary Myocardial Injury perioperative hsTnT course, including preoperative hsTnT measurements postoperative day 2
Secondary 6 months mortalitiy Rate of Mortality among study patients date of surgery until 6 months after
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