COVID Clinical Trial
— CLOTOfficial title:
Study of the Prevalence of Deep Vein Thrombosis in Patients Hospitalized in Intensive Care for Acute Respiratory Failure Linked to Pneumonia Documented With SARS-COV2
NCT number | NCT04388657 |
Other study ID # | 2020-A00 |
Secondary ID | |
Status | Recruiting |
Phase | |
First received | |
Last updated | |
Start date | May 1, 2020 |
Est. completion date | September 1, 2020 |
Coronavirus 2 (SARS-CoV2) has been identified as the pathogen responsible for severe acute
respiratory syndrome associated with severe inflammatory syndrome and pneumonia (COVID-19).
Haemostasis abnormalities have been shown to be associated with a poor prognosis in these
patients with this pneumonia. In a Chinese series of 183 patients, the hemostasis balance
including thrombin time, fibrinogenemia, fibrin degradation products and antithrombin III
were within normal limits. Only the D-Dimer assay was positive in the whole cohort with an
average rate of 0.66 µg / mL (normal <50 µg / mL). These hemostasis parameters were abnormal
mainly in patients who died during their management; the levels of D-dimers and fibrin
degradation products were significantly higher while the antithrombin III was reduced. The
findings on the particular elevation of D-dimers in deceased patients as well as the
significant increase in thrombin time were also reported in another series. Higher numbers of
pulmonary embolisms have been reported in patients with severe form of SARS-COV2 (data in
press).
This research is based on the hypothesis that the existence of deep vein thrombosis (DVT)
could make it possible to screen patients at risk of pulmonary embolism and to set up a
curative anticoagulation.
The main objective is to describe the prevalence of deep vein thrombosis in patients
hospitalized in intensive care for acute respiratory failure linked to documented SARS-COV2
pneumonia, within 24 hours of their admission.
Status | Recruiting |
Enrollment | 100 |
Est. completion date | September 1, 2020 |
Est. primary completion date | September 1, 2020 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Patient, male or female, over 18 years of age with no upper age limit. - Patient admitted to intensive care or intensive care for pneumonia linked to SARS-COV2 (diagnosed on positive PCR or chest CT and anamnesis) - Affiliated patient or beneficiary of a social security scheme - Patient having been informed and not objecting to the use of their data in the context of this research. Exclusion Criteria: - Pregnant, lactating or parturient woman - Protected patient: adult under guardianship, curatorship or other legal protection, deprived of liberty by judicial or administrative decision. |
Country | Name | City | State |
---|---|---|---|
France | Hôpital Ambroise Paré | Boulogne-Billancourt | IDF |
France | Hôpital Privé Jacques Cartier | Massy | IDF |
France | Centre Cardiologique du Nord | Saint-Denis | IDF |
Lead Sponsor | Collaborator |
---|---|
Ramsay Générale de Santé | Hôpital Privé Jacques Cartier, service réanimation Dr Bougouin |
France,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | percentage of patients with one or more DVTs. | The primary outcome measure will be the percentage of patients with one or more DVTs from a lower extremity ultrasound scan. | 28 days |
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