Acute Kidney Injury Clinical Trial
— aMIKIOfficial title:
Investigation of Perioperative Assessed Biomarker I-FABP (Intestinal Fatty Acid-binding Protein) Level for Prediction of Acute Mesenteric Ischemia and Its Correlation With Acute Kidney Injury Followed by Extracorporeal Circulation
Verified date | May 2024 |
Source | University of Giessen |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational [Patient Registry] |
Acute mesenteric ischemia (AMI) is a severe condition that might occur after cardiovascular surgery. Several risk factors for AMI, such as multimorbidity, the use of vasopressors, and an increase in inflammatory markers have been identified in the past. However, these risk factors also seem to influence the blood and urine levels of I-FABP. This prospective pilot study intends to evaluate the value of perioperatively assessed I-FABP levels and to correlate these values with clinical or angiographic findings in mesenteric ischemia to improve a standardised diagnosis.
Status | Active, not recruiting |
Enrollment | 500 |
Est. completion date | July 31, 2024 |
Est. primary completion date | December 31, 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | N/A and older |
Eligibility | Inclusion Criteria: - All consecutive patients undergoing cardiac or vascular surgery with extracorporeal circulation Exclusion Criteria: - endocarditis or bacterial sepsis, - hepatitis or HIV on the patient's medical history, - cases in which informed consent to participate in the study could not be obtained |
Country | Name | City | State |
---|---|---|---|
Germany | University Hospital Giessen, Cardiovascular surgery | Giessen | Hessen |
Lead Sponsor | Collaborator |
---|---|
University of Giessen |
Germany,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Incidence of stroke | incidence of stroke within 30 days post-surgery will be assessed | until day 30 post-surgery | |
Other | Association of I-FABP level and multi-organ failure or cardiovascular mortality | Is an elevated I-FABP level associated with an increased risk for multiorgan failure or cardiovascular mortality? | until day 30 post surgery | |
Primary | Concentration of I-FABP values with/and without acute mesenteric ischemia | Is the variation of I-FABP values different in patients with and without the mesenteric ischemia at the time of initial clinical suspicion? | 24 hours before and 36 hours after surgery | |
Secondary | Time interval to mesenteric ischemia | How does the time interval between the incident of mesenteric ischemia and the measured I-FABP tests affect the result? | 24 hours before until day 7 post-surgery | |
Secondary | Overall mortality rate | Overall mortality rate until day 30 | until day 30 post-surgery | |
Secondary | Correlation of I-FABP with biomarkers of acute kidney injury | How does the value of I-FABP correlate with acute kidney injury? | 24 hours before until day 7 post-surgery | |
Secondary | Association of mesenteric ischemia with hypercoagulable states | Can an increased I-FABP level in blood and urine be a predictor for procoagulatory state measured with thrombin generation assay? | 24 hours before until day 7 post-surgery |
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