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Heart Arrest clinical trials

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NCT ID: NCT03211962 Completed - Heart Failure Clinical Trials

Can Urinary Concentrations of TIMP2 and IGFBP7 be Used to Predict Early Acute Renal Failure Following Cardiac Arrest?

ACR-CHECK
Start date: February 1, 2017
Phase:
Study type: Observational

Transient renal insufficiency is frequently observed in the course of cardiovascular arrest. Although elevation of creatinine is reversible in a large majority of cases, severe renal insufficiency is sometimes observed and is associated with a dark prognosis. Any intervention that may limit the worsening of renal function may have an impact on patient mortality. There is currently no validated pharmacological treatment to limit the progression of ARI or to accelerate its recovery. A major challenge then concerns the detection of the reversible character of renal damage. Renal biomarkers have been little studied in the prediction of severe ARI and mortality after cardiac arrest. The combination of TIMP2 (tissue inhibitor of metalloproteinase) and insulin-like growth factor binding protein (IGFBP7) in urine showed good diagnostic performance in the early detection of the risk of developing acute renal failure within 12 hours. Measured in the urine, the excretion of these two markers specifically reflects renal tubular lesions. Moreover, their rate seems to be strongly correlated with the severity of the tubular lesions. Thus, it can be reasonably assumed that their very early dosing in post-cardiac arrest could detect the presence and severity of renal tubular lesions. A threshold to be defined would discriminate patients at risk of developing an ARI within 48 hours post ACR and to distinguish between severe transient and severe persistent lesions beyond 72 hours.

NCT ID: NCT03195881 Completed - Heart Arrest Clinical Trials

Neuroprognostication Using Optic Nerve Sheath Diameter

PANDORA
Start date: May 2, 2017
Phase:
Study type: Observational

This study investigates the relationship between optic nerve sheath diameter and increased intracranial pressure and its effect on neurologic outcome in post-cardiopulmonary arrest patients.

NCT ID: NCT03191240 Completed - Clinical trials for Out-of-Hospital Cardiac Arrest

AMCPR (Augmented-Medication CardioPulmonary Resuscitation) Trial for OHCA

Start date: December 31, 2017
Phase: Phase 2
Study type: Interventional

The investigators aimed to evaluate the effect of AMCPR (Augmented-Medication CardioPulmonary Resuscitation: administration of additional vasopressin to titrate to arterial diastolic blood pressure over 20 mmHg) on cardiopulmonary resuscitation results and outcomes in out-of-hospital cardiac arrest patients.

NCT ID: NCT03175965 Completed - Clinical trials for Out-Of-Hospital Cardiac Arrest

Prognostic Value of P30 After Cardiac Arrest

Start date: July 1, 2017
Phase:
Study type: Observational

This study aims to examine whether P30 wave of somatosensory evoked potentials (SEP) is related with outcome after cardiac arrest. The study design is a prospective, multicenter-observational study. Patients survived after out-of-hospital cardiac arrest undergoing hypothermic-targeted temperature management will participate in the study. Relationship of P30 wave of SEP with the neurologic outcome on hospital discharge will be evaluated.

NCT ID: NCT03160417 Completed - Cardiac Arrest Clinical Trials

Doppler Ultrasound in Rewarming After Targeted Control Management in Cardiac Arrest

DTCHT
Start date: April 25, 2016
Phase:
Study type: Observational

The aim of the study is to describe CBF modifications during rewarming after targeted temperature management in cardiac arrest patients

NCT ID: NCT03151785 Completed - Cardiac Arrest Clinical Trials

The School Lifesavers Study

Start date: January 2016
Phase: N/A
Study type: Interventional

60,000 people suffer an out of hospital cardiac arrest in the United Kingdom (UK) every year. Bystander cardiopulmonary resuscitation (CPR) rates are dismal (30%) compared with places where CPR education is mandatory for all school children (>50%). Strategies are needed to increase these rates through innovative approaches. Lifesaver (www.life-saver.org.uk) is an immersive interactive programme/application that presents such an opportunity. This study aims to assess the effectiveness of Lifesaver on CPR attitudes, knowledge, skills acquisition and retention in school children. Additionally, it aims to examine whether Lifesaver provides additional benefits in terms of CPR attitudes, knowledge, skills acquisitions and retention in school children when combined with face-to-face BLS training.

NCT ID: NCT03143062 Completed - Vital Signs Clinical Trials

The National Early Warning Score: Preceding Dynamics in the Score for Those Who Suffer an In-hospital Cardiac Arrest

Start date: September 30, 2017
Phase:
Study type: Observational

To this date no clinical evaluation reports of the dynamics in the National Early Warning Score (NEWS) for those patients who suffer an in-hospital cardiac arrest, IHCA, exists. This process needs to be investigated in order to optimize the future care of these patients. Research Questions H1: Patients that suffer an IHCA has had higher NEWS in the preceding 24 hours from the event compared to those who did not suffer an IHCA. H2: The dynamics in the NEWS, differs between the patients that suffer an IHCA and those who do not in the preceding 24 hours from the event.

NCT ID: NCT03130088 Completed - Clinical trials for Out-Of-Hospital Cardiac Arrest

European Registry of Cardiac Arrest Study Two

EuReCa TWO
Start date: October 1, 2017
Phase:
Study type: Observational [Patient Registry]

This study will evaluated the epidemiology and the outcome of patients suffering out-of-hospital cardiac arrest in 27 european nations. The special focus in the EuReCa TWO study is on bystander CPR.

NCT ID: NCT03120507 Completed - Quality of Life Clinical Trials

Resuscitation Outcomes in the Netherlands

ROUTiNE
Start date: January 1, 2017
Phase:
Study type: Observational

The Resuscitation Outcomes in the Netherlands - study assesses one-year survival and quality of life after In-Hospital Cardiac Arrest(IHCA). It's design is a multicenter prospective observational cohort study which will include all patients undergoing cardiopulmonary resuscitation (CPR) for IHCA in 2017. Current literature describes poor survival after IHCA and no risk stratification tool for long-term outcome is available. Furthermore no such study has ever been performed in the Netherlands. The investigators aim to gain further insight in this major adverse event.

NCT ID: NCT03112486 Completed - Cardiac Arrest Clinical Trials

Out-of-hospital Cardiac Arrest (OHCA) Biomarkers

Start date: May 26, 2017
Phase:
Study type: Observational

Few early prognostic indicators are currently available for patients' families and clinicians following out of hospital cardiac arrest (OHCA), and blood biomarkers may be of prognostic value in these cases. Brain tissue is highly dependent upon aerobic respiration, and oxygen deprivation result in irreversible neuronal cell injury. Peptides released into the blood by injured neuronal cells can be measured to estimate degree of injury, and potentially predict long term neurological outcome.