Covid19 Clinical Trial
Official title:
Global Assessment of Acute and Chronic Kidney Disease Incidence and Outcomes in Patients With COVID-19 Infection
Verified date | July 2020 |
Source | University of California, San Diego |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
The coronavirus (COVID-19) pandemic has created a significant strain on health care resources
across the world for managing critically ill patients. Emerging reports from China, South
Korea and Italy have reported varying incidence of acute kidney (AKI) ranging from 5-15% with
a mortality of 60-80% however there is no systematic assessment of the risk factors,
recognition, course and outcomes in patients with and without kidney disease whose course is
complicated by AKI1-4. Patients with underlying CKD, immunosuppressed patients with renal
transplants and ESKD patients are at high risk for COVID-19 infection and there is limited
information on the effect of COVID-19 on the course and outcomes of these patients. The
requirement for renal support including IHD, CRRT and sorbent based therapies has been
variable and has contributed to the intense pressure on the nephrology and critical care
providers for delivering these therapies. As the COVID-19 pandemic expands in the USA and
abroad, there is an intense need to understand the epidemiology of the disease and the
resources needed for renal support to inform clinical management and public health
interventions.
In this study, the investigators aim to investigate health care facilities across the world
(hospital wards, ICU, outpatient clinics, nursing homes, healthcare centers) to draw a global
picture of incidence, risk factors, resources available for treatment and prognosis of acute
and chronic kidney disease in patient with COVID 19 confirmed infection. The aim is to
identify trends in patients with acute and chronic kidney disease, determine its incidence,
treatment and outcomes in different settings across the world. This information will be used
to develop and implement educational tools and resources to prevent deaths from AKI and
progression of CKD in this and following pandemics.
Status | Enrolling by invitation |
Enrollment | 2000 |
Est. completion date | March 31, 2023 |
Est. primary completion date | April 30, 2022 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Patients with confirmed infection with COVID 19 - Patients with Acute Kidney injury (AKI) or Chronic kidney disease (CKD) or need for dialysis - Patients receiving Chronic dialysis (hemo or peritoneal dialysis) - Renal transplant recipients Exclusion Criteria: - • Patients < 18 yrs age |
Country | Name | City | State |
---|---|---|---|
Bolivia | Hospital Obrero #2 | Cochabamba | |
Canada | Hopital Sacre Coeur & Universite de Montreal | Montreal | Quebec |
Chile | Universidad de Los Andes | Santiago | |
India | Postgraduate Institute of Research, Chandigarh | Chandigarh | |
United Kingdom | Guy's & St Thomas's Hospital | London | |
United Kingdom | Royal Free Hospital | London | |
United Kingdom | University of Nottingham | Nottingham | |
United States | St. Peter's Hospital | Albany | New York |
United States | University of Colorado | Aurora | Colorado |
United States | University of Alabama, Birmingham | Birmingham | Alabama |
United States | Jacobi Medical Center | New York | New York |
United States | University of California, San Diego | San Diego | California |
Lead Sponsor | Collaborator |
---|---|
University of California, San Diego |
United States, Bolivia, Canada, Chile, India, United Kingdom,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | AKI incidence | Meeting of at least one of the modified KDIGO Criteria Increase or decrease in serum creatinine >0.3 mg/dl from reference in 48 hours Increase or decrease in serum creatinine > 50% from reference in 7 days Urine output < 400 ml/day |
from hospital admission through hospital discharge upto 24 weeks | |
Primary | Dialysis requirement | initiation of intermittent hemodialysis, continuous hemodialysis or peritoneal dialysis during the hospital stay | through study completion upto 1 year from enrollment | |
Primary | hospital mortality | Deaths during primary hospitalization | through study completion within 1 year | |
Secondary | Renal functional recovery | C-Complete: SCr < 0.3 mg/dL from reference P-Partial: Requires no dialysis but not complete recovery N-No recovery: Dialysis dependent C-Complete: SCr < 0.3 mg/dL from reference P-Partial: Requires no dialysis but not complete recovery N-No recovery: Dialysis dependent Percentage of patinets with renal functioanl recovery based on serum creatinien levels classfied as C-Complete: SCr < 0.3 mg/dL from reference P-Partial: Requires no dialysis but not complete recovery N-No recovery: Dialysis dependent | Assessed at at 3, 6 and 12 months from enrollment at hospital admission | |
Secondary | Functional status | EQL5D scale and SH8 scales completed at 3, 6 and 12 months post enrollment | questionnaires to be completed at 3, 6 and 12 months from enrollment at hospital admission | |
Secondary | Resource utilization | Number of days patient is in the hospital and ICU and is managed with ventilators, dialysis or other extracorporeal organ support e.g. ECMO during the hospital stay | Within 1 year of enrollment for primary hospitalization |
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