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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT03716466
Other study ID # STU 072018-045
Secondary ID
Status Completed
Phase
First received
Last updated
Start date November 11, 2018
Est. completion date July 9, 2021

Study information

Verified date May 2022
Source University of Texas Southwestern Medical Center
Contact n/a
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

Upper gastrointestinal (GI) bleeding is defined as patients who either presented with hematemesis or presented with melena along with evidence of hemodynamic compromise. These patients have risk of aspiration of blood along with gastric content. The mortality rate can be 15% to 20% in the cases with variceal bleeding. From a practical standpoint, it is widely accepted that the best way to secure an airway during upper GI bleeding is prophylactic endotracheal intubation (PEI). The aim of this study is to determine the incidence of complications among critically ill patients with upper GI bleeding and received urgent endoscopy.


Description:

This is a prospective observational study. After IRB approval, consecutive patient with upper GI bleeding and undergoing urgent endoscopy will be enrolled to the study over 24 months period. Data pull will be requested from Parkland Office of Research Administration (ORA) regarding eligible subjects and protocol requiring data elements. The data pull will be requested at the end of the 24 months-period. Primary endpoint: The incidence of cardiovascular unplanned event within 48 hours of the upper gastrointestinal endoscopy procedure. Secondary end points: The incidence of pulmonary unplanned event within 48 hours of the upper gastrointestinal endoscopy procedure.


Recruitment information / eligibility

Status Completed
Enrollment 65
Est. completion date July 9, 2021
Est. primary completion date December 6, 2018
Accepts healthy volunteers
Gender All
Age group 18 Years to 80 Years
Eligibility Inclusion Criteria: - Age 18 years and older - Presence of upper gastrointestinal bleeding either presented with hematemesis or melena along with evidence of hemodynamic compromise. - Received procedural (conscious) sedation - Undergoing urgent upper gastrointestinal endoscopy procedures Exclusion Criteria: - Intubation other than airway protection - Prior tracheostomy before onset of gastrointestinal bleeding - Subjects intubated before transfer to gastrointestinal suite - Subjects without hemodynamic instability - Subjects with a diagnosis of pneumonia, acute respiratory distress syndrome, myocardial infarction, pulmonary edema, arrhythmia, or cardiac arrest before endoscopy - Endoscopy done for other than upper gastrointestinal bleeding - Pregnant subjects

Study Design


Intervention

Other:
Endotracheal intubation
Subjects will receive prophylactic endotracheal intubation for upper gastrointestinal endoscopy procedure
No airway intervention
Subjects without prophylactic endotracheal intubation during upper gastrointestinal endoscopy procedure

Locations

Country Name City State
United States Parkland Health Hospital System Dallas Texas

Sponsors (1)

Lead Sponsor Collaborator
University of Texas Southwestern Medical Center

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Cardiovascular unplanned event The number of cardiovascular unplanned event after upper gastrointestinal endoscopy, up to 48 hours Postoperative up to 48 hours
Secondary Pulmonary unplanned event The number of pulmonary unplanned event after upper gastrointestinal endoscopy, up to 48 hours. Postoperative up to 48 hours
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