Length of Stay Clinical Trial
Official title:
Correlation Between P-POSSUM Score and Length of Stay in Kidney Transplant Recipients
Verified date | April 2019 |
Source | Indonesia University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
P-POSSUM score had a predictive power of >80% to predict the length of stay of kidney transplant recipients
Status | Completed |
Enrollment | 225 |
Est. completion date | October 18, 2018 |
Est. primary completion date | August 15, 2018 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Subjects are medical record of recipients who underwent kidney transplant Exclusion Criteria: - Medical record was incomplete - Patients who died during surgery or before the patient was discharged. |
Country | Name | City | State |
---|---|---|---|
Indonesia | Rumah Sakit Cipto Mangunkusumo | Jakarta Pusat | DKI Jakarta |
Lead Sponsor | Collaborator |
---|---|
Indonesia University |
Indonesia,
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Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Correlation between each variable of P-POSSUM and length of stay | Correlation between 18 variables (12 variables as physical parameters and 6 variables as operative parameters) and length of stay | 1 day before surgery until discharged from hospital, up to 30 days | |
Primary | P-POSSUM score Discrimination | P-POSSUM score ability to discriminate length of stay based on variable scores: physical parameters and operative parameters | 1 day before surgery until discharged from hospital, up to 30 days | |
Primary | P-POSSUM score Calibration | P-POSSUM score cutoff to predict length of stay based on variable scores: physical parameters and operative parameters | 1 day before surgery until discharged from hospital, up to 30 days | |
Secondary | Patient's length of stay post kidney transplantation | Patient's length of stay post kidney transplantation | From post surgery until discharged from hospital, up to 30 days | |
Secondary | P-POSSUM score (physical parameters): Age | The score for Age variable cut-off: point for <61 years point for 61-71 years 4 point >71 years |
1 day before surgery | |
Secondary | P-POSSUM score (physical parameters): Heart disease | The score for heart disease variable cut-off: point for no heart failure point for diuretic, digoxin or angina/hypertension medicine usage 4 point for peripheral edema, warfarin, or borderline cardiomegaly on chest X-ray (CXR) |
1 day before surgery | |
Secondary | P-POSSUM score (physical parameters): Lung disease | The score for lung disease variable cut-off: point for no dyspnea points for exertional dyspnea or mild COPD on CXR 4 points for limiting dyspnea or moderate COPD on CXR 8 points for dyspnea at rest or fibrosis/consolidation on CXR |
1 day before surgery | |
Secondary | P-POSSUM score (physical parameters): ECG abnormality | The score for ECG abnormality variable cut-off: 1 point for normal ECG 4 points for atrial fibrillation (HR 60-90 8 points for 5 ectopic beats/min, Q waves or ST/T wave change |
1 day before surgery | |
Secondary | P-POSSUM score (physical parameters): Systolic blood pressure | The score for systolic blood pressure variable cut-off: point for 110 - 130 mmHg points for 100-109 mmHg or 131-170 mmHg 4 points for > 170 mmHg or 90-99 mmHg 8 points for < 90 mmHg |
1 day before surgery | |
Secondary | P-POSSUM score (physical parameters): Pulse rate | The score for pulse rate variable cut-off: point for 50-80 beats per minute (bpm) points for 40-59 bpm or 81-100 bpm 4 points for 101-120 bpm 8 points for > 121 bpm or < 40 bpm |
1 day before surgery | |
Secondary | P-POSSUM score (physical parameters): Hemoglobin | The score for hemoglobin variable cut-off: point for 13-16 g/dL points for 11.5-12.9 or 16.1-17 d/dL 4 points for 10-11.4 or 17.1-18 g/dL 8 points for <10 or >18 g/dL |
1 day before surgery | |
Secondary | P-POSSUM score (physical parameters): Leukocyte count | The score for leukocyte count variable cut-off: point for 4.000-10.000/mm3 points for 10.100-20.000 atau 3.100-4.000/mm3 4 points for >20.000 atau <3.000/mm3 |
1 day before surgery | |
Secondary | P-POSSUM score (physical parameters): Plasma potassium concentration | The score for plasma potassium concentration variable cut-off: point for 3.5-5 mmol/L points for 3.2-3.4 or 5.1-5.3 mmol/L 4 points for 2.9-3.1 or 5.4-5.9 mmol/L 8 points for <2.9 or >5.9 mmol/L |
1 day before surgery | |
Secondary | P-POSSUM score (physical parameters): Plasma sodium concentration | The score for plasma sodium concentration variable cut-off: point for >135 mmol/L points for 131-135 mmol/L 4 points for 126-130 mmol/L 8 points for <126 mmol/L |
1 day before surgery | |
Secondary | P-POSSUM score (operative parameters): Number of procedures | The score for number of procedures variable cut-off: 1 point for one 4 points for two 8 points for more than two |
1 day before surgery | |
Secondary | P-POSSUM score (operative parameters): Intraoperative blood loss | The score for intraoperative blood loss variable cut-off: point for <100 mL points for 101-500 mL 4 points for 501-999 mL 8 points for > 999 mL |
Intraoperative | |
Secondary | P-POSSUM score (operative parameters): Peritoneal contamination/soiling | The score for peritoneal contamination/soiling variable cut-off: point for none points for minor (serous fluid) 4 points for local pus 8 points for free bowel content, pus or blood |
Intraoperative | |
Secondary | P-POSSUM score (operative parameters): Presence of malignancy | The score for presence of malignancy variable cut-off: point for none points for primary only 4 points for nodal metastases 8 points for distant metastases |
1 day before surgery | |
Secondary | P-POSSUM score (operative parameters): Mode of surgery | The score for mode of surgery variable cut-off: 1 point for elective 4 points for emergency resuscitation of > 2 hours possible operation < 24 hours after admission 8 points for emergency (immediate surgery < 2 hours needed) |
1 day before surgery |
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