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CompletedNCT03408600PIPASUpdated Sep 18, 2018

Physiologic Indicators for Prognosis in Abdominal Sepsis Study

An observational study in Acute Peritonitis and Abdominal Sepsis, sponsored by World Society of Emergency Surgery. Completed at 1 site in Italy. Per ClinicalTrials.gov, last updated 2018-09-18.

Sponsored by World Society of Emergency Surgery · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
4,000
Sex
All
01

Study summary

Early detection and timely therapeutic intervention can improve the prognosis of patients with sepsis. However, early diagnosis of sepsis can be difficult; because determining which patients presenting with signs of infection during an initial evaluation, do currently have, or will later develop a more serious illness is not easy.

Physiological deterioration often precedes clinical deterioration as patients develop critical illness. In this study, the investigators aim to evaluate vital signs in a global cohort of patients with acute secondary peritonitis, determining which parameters are statistically significant to predict in-hospital mortality and ICU admission.

Read the detailed description

The study will be a worldwide multicenter observational study. The study will include patients admitted in the surgical department with acute peritonitis during a four-month study period (February 1, 2018 - May 31, 2018).

The study will not attempt to change or modify the clinical practice of the participating physicians: neither informed consent or formal approval by local Ethics Committee will be required because of the purely observational nature of the study.

The study will be monitored by the principal investigator, which will investigate and verify missing or unclear data submitted to a central database.

The study protocol has been approved by the board of the WSES and the study will be conducted under its supervision. The board of the WSES grants the proper ethical conduct of the study.

The data collection will be anonymous, as well as the name of the patients or hospital will be not collected in the website. Every hospital will continue following their ethical standards and local rules. The list of the submitted cases will not be recognized by investigators and linked to the submitting hospital. Individual researchers will take personal responsibility of data collection of this study.

In each center, the coordinator will collect and fill the data in an online case report system. These data included the following:

  • Patient and disease characteristics
  • Diagnostic profiles
  • Treatment profiles
  • Post-operative course
02

Conditions studied

  • Acute Peritonitis
  • Abdominal Sepsis

Keywords

  • Abdominal sepsis
  • Secondary peritonitis
  • Complicated intra-abdominal infections
03

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Sampling method
Probability sample

Study population

All patients admitted to surgical departments with acute secondary peritonitis

Inclusion criteria

  • Clinical diagnosis of acute (secondary) localized or diffuse peritonitis.

Exclusion criteria

Exclusion Criteria:

  • Clinical diagnosis of acute pancreatitis
04

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
4,000 participants (actual)
Patient registry
No

Interventions

  • OtherManagement

    To evaluate vital signs in a global cohort of patients with acute peritonitis, determining which parameters are statistically significant to predict in-hospital mortality and ICU admission.

05

What researchers measure

Primary outcomes

  1. Respiratory rate predicting mortality in patients with acute secondary peritonitis at admission

    Respiratory rate (breaths/min);

    Time frame: 24 weeks

  2. Blood oxygen saturation level predicting mortality in patients with acute secondary peritonitis at admission

    Blood oxygen saturation level (SpO2) (%) in air

    Time frame: 24 weeks

  3. Core temperature predicting mortality in patients with acute secondary peritonitis at admission

    Core temperature (°C);

    Time frame: 24 weeks

  4. Systolic blood pressure predicting mortality in patients with acute secondary peritonitis at admission

    Systolic blood pressure (mmHg);

    Time frame: 24 weeks

  5. Hearth rate predicting mortality in patients with acute secondary peritonitis at admission

    Hearth rate (bpm);

    Time frame: 24 weeks

  6. Responsiveness predicting mortality in patients with acute secondary peritonitis at admission

    Alert/verbal/painful/unresponsive (AVPU) responsiveness scale;

    Time frame: 24 weeks

06

Study locations

1 site
  • WSES
    Bologna, 40139, Italy
07

References and documents

Individual participant data

Plan to share: Yes

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT03408600
Lead sponsor
World Society of Emergency Surgery
Responsible party
Massimo Sartelli (Director, World Society of Emergency Surgery) — Principal investigator
First posted
Jan 24, 2018
Start date
Feb 1, 2018
Primary completion
May 1, 2018
Completion
May 31, 2018
Last update
Sep 18, 2018

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jan 2018. You cannot join it, but the record below documents what was studied.

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