Spinal Cord Injury Clinical Trial
Official title:
Cardiometabolic Risk, Obesity and Cardiovascular Disease in People With Spinal Cord Injury
The purpose of this study is to develop and field-test new tools for diagnosis and hazard assessment of cardiometabolic risk (CMR) in people with chronic spinal cord injury (SCI) and to advance the evidence base with much needed information on CMR and cardiovascular disease (CVD) burden in people with SCI. These data can be used to develop screening guidelines for early identification and prevention of CMR in SCI, as well as targeted approaches to primary disease management.
Unlike current assessments utilizing lipid scores, the new system will be anchored in more
reliable measurements of cardiovascular disease (CVD) burden using contemporary surrogate
end points of coronary artery calcium (CAC) score, coronary CT angiography and carotid
intima media thickness (CIMT). By the end of the 5-year funding cycle we will develop an
updatable web-based cardiometabolic risk assessment tool (RISK) that will allow clinicians
and SCI consumers to quantify risk for a cardiovascular sentinel event (stroke, non-fatal
heart attack, or death) and will also provide a body mass index (BMI) table adjusted for
SCI.
Specific Aims:
1. Examine the relationships among surrogates of cardiovascular disease burden in persons
with SCI and established cardiometabolic risks.
2. Identify significant predictors of cardiometabolic risk (CMR) that are unique to
persons with specific levels of SCI.
3. Develop and validate SCI CMR assessment tool (RISK) based on cardiometabolic risk
scores.
4. Develop and validate an adjusted BMI table for SCI.
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Observational Model: Cohort, Time Perspective: Prospective
Status | Clinical Trial | Phase | |
---|---|---|---|
Recruiting |
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Phase 1/Phase 2 | |
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