Acute Respiratory Distress Syndrome Clinical Trial
— CHARDSnetOfficial title:
A Realworld Study of Acute Respiratory Distress Syndrome in China
ARDS is a critical respiratory disease caused by endogenous and exogenous factors. The
mortality of ARDS varies from 30 to 70%. In 2012, a new international diagnostic criterion
has been put forward. Yet, its feasibility, reliability and validity need to be tested.
Meanwhile, the correlation of different severity and prognosis remains unclear. As so far,
the epidemiological information about ARDS in China is lacking.
Investigators plan to conduct a multi-center observational study(real-life study) to
investigate the risk factors, morbidity, management and prognosis of ARDS in China, in order
to facilitate standardization of diagnosis and management of ARDS and provide basic data and
idea for further clinical intervention studies.
Status | Recruiting |
Enrollment | 400 |
Est. completion date | February 2019 |
Est. primary completion date | February 2018 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 18 Years to 80 Years |
Eligibility |
Inclusion Criteria: - =18 years of age; hospitalized patients with main diagnosis as ARDS. Exclusion Criteria: - <18 years of age - Patients or their families refused to participate in the study - Patients diagnosed as COPD, pulmonary fibrosis or bronchiectasis |
Observational Model: Case-Only, Time Perspective: Prospective
Country | Name | City | State |
---|---|---|---|
China | China - Japan Friendship Hospital | Beijing | Beijing |
Lead Sponsor | Collaborator |
---|---|
China-Japan Friendship Hospital | Beijing Chao Yang Hospital, Beijing Hospital, First Hospital Affiliated to Anhui Medical University, First Hospital Affiliated to China Medical University, First Hospital Affiliated to Xinjiang Medical University, Fujian Provincial Hospital, Fuxing Hospital, Nanjing General Hospital, No.3 Hospital of Peking University, Peking Union Medical College Hospital, Peking University First Hospital, PLA General Hospital, Qilu Hospital, Ruijin Hospital, Second Hospital Affiliated to Hebei Medical University, The Second Affiliated Hospital of Chongqing Medical University, Third Hospital Affiliated to Neimenggu Medical University, Xiangya No.1 Hospital of Central South University, Xiangya No.2 Hospital of Central South University |
China,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Mortality | the 28days mortality after the diagnosis of ARDS | 28days | No |
Secondary | Length of ICU stay | The days between admission to intensive care unit(ICU) and discharge from ICU. | 90 days | No |
Secondary | Ventilation free days | The days between successful weaning from mechanical ventilation and day 28 after study enrollment. | 28 days | No |
Secondary | Incidence of ARDS | The total number of acute respiratory distress syndrome(ARDS)patients in 2 years. | 2 years | No |
Secondary | Severity of patients | Number of patients in each grade of severities according to Berlin definition: the number of mild, moderate and severe acute respiratory distress syndrome(ARDS) patients will be recorded. | 2 years | No |
Secondary | Adverse events related to treatment | Number of patients with adverse events, include biotrauma, worsen of hemodynamics, hospital-acquired infection, patient-ventilator asynchrony, gastric distention, aspiration etc. | 90 days | No |
Secondary | Number of patients using adjuvant drugs | Adjuvant drugs refer to corticosteroid, sedative, analgesic and non depolarizing muscle relaxant. | 28 days | No |
Secondary | Number of patients with high risk factors | High risk factors for acute respiratory distress syndrome(ARDS), including endogenous factors as pneumonia, aspiration, lung contusion and drowning; the exogenous factors as extrapulmonary trauma, extra pulmonary sepsis , hypovolemic shock, pancreatitis, severe burning, drug overdose, blood transfusion,eclampsia etc. | 1 week | No |
Secondary | Number of patients with conventional respiratory support techniques | Conventional respiratory support techniques include noninvasive positive pressure ventilation(NPPV), invasive positive pressure ventilation(include volume-controlled ventilation and pressure-controlled ventilation) . | 28 days | No |
Secondary | Number of patients with unconventional respiratory support techniques | Unconventional respiratory support techniques include recruitment maneuver(RM), prone position ventilation(PPV), high-frequency oscillatory ventilation(HFOV) ,extracorporeal membrane oxygenation(ECMO) and extracorporeal CO2 removal(ECCO2R) | 28 days | No |
Secondary | Number of patients with impaired lung function | The number patients with impaired lung function 90 days and 1 year after diagnosis of acute respiratory distress syndrome(ARDS). | 90 days, 1 year | No |
Secondary | Number of patients with abnormal lung CT | The number patients with abnormal lung CT 90 days and 1 year after diagnosis of acute respiratory distress syndrome(ARDS). | 90 days, 1 year | No |
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