Eclampsia Clinical Trial
— TiPEROfficial title:
SeveriTy of Pulmonary Edema and Timing of Resolution in Patients With Severe Pre-eclampsia and Eclampsia (TIPER): A Physiological and Sonographic Prospective Observational Study
NCT number | NCT06219109 |
Other study ID # | Cuamm_02/23 |
Secondary ID | |
Status | Recruiting |
Phase | |
First received | |
Last updated | |
Start date | May 8, 2023 |
Est. completion date | April 2, 2024 |
Patients with severe preeclampsia or eclampsia suffer from pulmonary complications. Accurate assessment of patients with pulmonary involvement using lung ultrasound (LUS) and echocardiography could lead to earlier detection of pre eclampsia and eclampsia associated pulmonary oedema, ARDS (acute respiratory distress syndrome) and other pulmonary complications. here is currently limited evidence regarding the features, severity, aetiology and history of pulmonary oedema in this group of patients Data from this prospective observational study will facilitate the early recognition of pre-eclamptic and eclamptic patients with pulmonary involvement to implement optimal triage and early therapeutic choices in a limited resource setting (diuretics, escalation to non invasive or invasive ventilation, referral to HDU (High dependency unit) or ICU, dialysis) and potentially reduce unfavorable outcomes.
Status | Recruiting |
Enrollment | 55 |
Est. completion date | April 2, 2024 |
Est. primary completion date | April 1, 2024 |
Accepts healthy volunteers | No |
Gender | Female |
Age group | N/A and older |
Eligibility | Inclusion Criteria: - All patients with severe pre-eclampsia or eclampsia admitted to hospital Princess Christian Maternity Hospital Exclusion Criteria: - Patients with chronic hypertensive disorders - Lung ultrasound not feasible, e.g., due to electricity breakdown, or absence of the trained sonographer or presence of subcutaneous emphysema, |
Country | Name | City | State |
---|---|---|---|
Sierra Leone | Princess Christian Maternity Hospital | Freetown |
Lead Sponsor | Collaborator |
---|---|
Doctors with Africa - CUAMM |
Sierra Leone,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Frequency of LUS consistent with pulmonary edema | Frequency endpoint: proportion of patients with a LUS positive for pulmonary edema Severity: LUS aeration score | during hospital stay, average of 1 month | |
Primary | Timing of resolution after delivery | Categorical: Fraction of patients with improvement or resolution of LUS findings.
Numerical: delta LUS score between T1 and T2 |
during hospital stay, average of 1 month | |
Secondary | Frequency of acute respiratory failure in patients with Severe Pre eclampsia and in patients with Eclampsia | Proportion of patients with acute respiratory failure | during hospital stay, average of 1 month | |
Secondary | Frequency of other LUS findings | Proportion of patients with
consolidations isolated pleural effusion minor LUS findings |
during hospital stay, average of 1 month | |
Secondary | Frequency of organ support strategies | Fraction of patients that receive oxygen and/or CPAP (Continuous Positive Airway Pressure) and/or mechanical ventilation | during hospital stay, average of 1 month | |
Secondary | Frequency of patients with abnormal cardiac function | Defined as low cardiac index measured by ultrasound | during hospital stay, average of 1 month | |
Secondary | Oxygenation assessment | SpO2 (peripheral capillary oxygen saturation) to FiO2 (fraction of inspired oxygen) ratio | during hospital stay, average of 1 month | |
Secondary | Frequency of Major Direct Obstetric Complications (MDOCs) | Fraction of patients with at least one additional MDOC (antepartum hemorrhage, postpartum hemorrhage, sepsis, uterine rupture, obstructed labour) | during hospital stay, average of 1 month | |
Secondary | Frequency of Indirect Obstetric complications | Fraction of patients with at least one among stroke, severe malaria, acute kidney injury and cardiac insufficiency. | during hospital stay, average of 1 month | |
Secondary | Frequency of perinatal complications | Intra uterine fetal death (IUFD), Apgar score, Admission to special care baby unit (SCBU) | during hospital stay, average of 1 month |
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