Acute Kidney Injury Clinical Trial
— AKIOfficial title:
The Effect of Aminophylline on Preventing Acute Kidney Injury in Pediatric Patients Undergoing Open Heart Surgery
The purpose of this study is to compare the effects of peri-operative administration of Aminophylline versus Saline placebo in the preservation of renal function and the attenuation of renal injury in pediatric patients undergoing open heart surgery.
Status | Recruiting |
Enrollment | 80 |
Est. completion date | February 1, 2024 |
Est. primary completion date | February 1, 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | N/A to 18 Years |
Eligibility | Inclusion Criteria: Cohort 1 - All children undergoing open heart surgery for congenital heart defects with or without circulatory arrest - Neonates (<28 days old) and infants (<1 years of age) - Hypoplastic L heart syndrome or its variants. - Coarctation with aortic arch hypoplasia. - Interrupted aortic arch. - TAPVR (Total anomalous pulmonary venous return) - Patients with complex congenital heart defects Cohort 2: - Orthotopic heart transplantation patients. - Patients = 18 years of age - Congenital heart defects - Cardiomyopathy (Dilated/Hypertrophic/Restrictive/Left Ventricular Non-compaction) Exclusion Criteria: - Children under the age of 12 months undergoing bypass for any condition that is not categorized as congenital heart defect - History of seizures - History of significant tachyarrhythmia. |
Country | Name | City | State |
---|---|---|---|
United States | LeBonheur Children's Hospital | Memphis | Tennessee |
United States | LeBonheur Children's Hospital | Memphis | Tennessee |
Lead Sponsor | Collaborator |
---|---|
Le Bonheur Children's Hospital |
United States,
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* Note: There are 47 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Concentration of Delta urinary neutrophil gelatinase-associated lipocalin (NGAL) | 1 Delta urinary NGAL at 6 hours post cardiopulmonary (CPB) and Delta plasma NGAL at 2 hours post CPB. | at 2 hours post CPB. | |
Other | Time to extubation (hours) | Time to extubation (hours) number of hours post surgery | during hospitalization, up to 8 days | |
Other | Time to chest closure (hours) | Time to chest closure (hours) from start time of incision to chest closure during procedure | during hospitalization, up to 3 days | |
Other | Time to discharge from cardiovascular intensive care unit (CVICU) (days) | Time to discharge from CVICU (days) | during hospitalization, approximate 5 days | |
Other | Duration of hospital stay (Days). | Duration of hospital stay (Days). | during hospitalization, approximate 8 days | |
Other | Dialysis requirement (yes/no) | Dialysis requirement (yes/no) | during hospitalization, approximate 5 days | |
Other | Time to return to preoperative weight. | Time to return to preoperative weight. | during hospitalization, approximate 8 days | |
Other | Inotropic score | Inotropic score Calculation of Inotropic score (IS) and Vasoactive inotropic score (VIS). IS(a) = dopamine dose (lg/kg/min) ? dobutamine dose (lg/kg/min) ? 100 9 epinephrine dose (lg/kg/min) VIS(b) = IS ? 10 9 milrinone dose (lg/kg/ min) ? 10,000 9 vasopressin dose (U/kg/ min) ? 100 9 norepinephrine dose (lg/kg/min) IS inotrope score, VIS vasoactive-inotropic score | at 7 days post operative | |
Other | Peritoneal dialysis catheter output. | Peritoneal dialysis catheter output through study completion | during hospitalization, up to 8 days | |
Other | Transfusion requirements intraoperatively and postoperatively | Transfusion requirements intraoperatively and postoperatively through study completion | during hospitalization, up to 8 days | |
Other | Inotropic score | Inotropic score Calculation of Inotropic score (IS) and Vasoactive inotropic score (VIS). IS(a) = dopamine dose (lg/kg/min) ? dobutamine dose (lg/kg/min) ? 100 9 epinephrine dose (lg/kg/min) VIS(b) = IS ? 10 9 milrinone dose (lg/kg/ min) ? 10,000 9 vasopressin dose (U/kg/ min) ? 100 9 norepinephrine dose (lg/kg/min) IS inotrope score, VIS vasoactive-inotropic score | at 5 days post operative | |
Primary | Acute kidney injury state II/III by AKIN criteria | Acute kidney injury state II/III by AKIN criteria | At 48 hours post-operative | |
Secondary | Urine output during post op | Urine output during post op | first 12 hours post op | |
Secondary | Urine output during post op | Urine output during post op | daily until 3 days post op | |
Secondary | Concentration of Delta serum cystatin C | Delta serum cystatin C | 24 hours post CPB | |
Secondary | Acute kidney injury stage | Acute kidney injury stage Pediatric modified Acute Kidney Injury Network criteria (pAKIN) AKI Stage I-<0.5mL (milliliter)/kg/hour for 8 hours AKI Stage II-<0.5mL/kg/hour for 16 hours AKI Stage III-<0.3mL/kg/hour for 24 hours OR Anuria for 16 hours Using serum creatinine and AKIN criteria |
max point within post CPB 72 hours |
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