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CompletedNCT04648293Updated Apr 16, 2024

Starling Registry Study

An observational study in Hemodynamic Monitoring, sponsored by Baxter Healthcare Corporation. Completed at 9 sites in United States. Open to participants aged 18 Years to 95 Years. Per ClinicalTrials.gov, last updated 2024-04-16.

Sponsored by Baxter Healthcare Corporation · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
1,207
Ages
18 Years to 95 Years
Sex
All
01

Study summary

Hemodynamic optimization of critically ill patients is a goal for clinicians in order to afford the patient the best possible outcomes. Being able to precisely and rapidly determine patient fluid responsiveness provides the bedside physician and nursing staff the information needed to make critical decisions in regards to the patient's fluid status and management of additional fluids and medications.

As fluid management and cardiac output determination are linked to better decision-making and improved outcomes in ICU, the use of a dynamic assessment of fluid responsiveness becomes a key tool for patient management.

This study is designed to collect treatment and outcome data on patients that have undergone hemodynamic monitoring in a wide variety of clinical settings, involving a variety of patient diagnoses.

02

Conditions studied

  • Hemodynamic Monitoring

Keywords

  • Cardiac Index (CI)
  • Stroke Volume (SV)
  • Stroke Volume Index (SVI)
  • Stroke Volume Variation (SVV)
  • Heart Rate (HR)
  • Ventricular Ejection Time (VET)
  • Total Peripheral Resistance (TPR)
  • Total Peripheral Resistance Index (TPRI)
  • Cardiac Power (CP)
  • Cardiac Power Index (CPI)
  • Blood Oxygenation (SPO2)
  • Oxygen Delivery Index (DO2I)
  • Electrical impedance of the chest cavity (Z0)
  • Thoracic Fluid Content (TFC)
03

In context

Lead sponsor

Baxter Healthcare Corporation is the lead sponsor of 78 studies on the registry; 1 is open to participants now.

Of its 10 completed or terminated interventional studies of FDA-regulated products, 3 (30%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 95 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

All consecutive patients who meet the inclusion criteria within an approximate 12-24 months enrollment period will be included in the study. All patients included in this study with available data will be part of the analysis population.

Inclusion criteria

  • ≥18 to 95 years of age
  • Patient has undergone hemodynamic monitoring with the Starling monitor
  • Hemodynamic monitoring was completed no earlier than 2018

Exclusion criteria

Exclusion Criteria:

  • None
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
1,207 participants (actual)
Target follow-up
30 Days
Patient registry
Yes

Groups and cohorts

  • Improvement in Hemodynamics

    Over the course of a patient's hospitalization, data will be collected on patients from the initiation to completion of hemodynamic monitoring with the Starling monitor in a wide variety of clinical settings, and for different diagnoses. Improvement in hemodynamics is exhibited by an increase in both Cardiac Output and Stroke Volume observed at 12 hour intervals from time of monitoring until completion.

    Device: Starling

  • No Improvement in Hemodynamics

    Over the course of a patient's hospitalization, data will be collected on patients from the initiation to completion of hemodynamic monitoring with the Starling monitor in a wide variety of clinical settings, and for different diagnoses. No Improvement in hemodynamics is exhibited by no increase in both Cardiac Output and Stroke Volume observed at 12 hour intervals from time of monitoring until completion.

    Device: Starling

Interventions

  • DeviceStarling

    Starling is a portable, non-invasive, cardiac output detector system. The Starling monitor measures the cardiac output by employing electrical bioreactance that measures the electrical characteristics of a volume of tissue and fluid. In the case of cardiac output measurements, the relevant tissue includes the heart and the immediate surrounding volume of the thorax. The relevant fluid is blood. Baxter Healthcare's Starling electrode is a double electrode sensor. Within each sensor, one electrode is used to transmit a high frequency sine wave into the body, while the resulting voltage is measured at the adjacent electrode. Four electrodes are placed at specific areas of the thorax, the impedance to the current flow calculated, and the electrical bioreactance waveform constructed. This information is used to determine cardiac output, and measures and displays associated hemodynamic parameters based on calculations of measurements already incorporated into the Starling device.

06

What researchers measure

Primary outcomes

  1. 30 day in-hospital mortality rate

    Time frame: Day 1 to Day 30

  2. Number of days on vasopressors

    Time frame: Day 1 to Day 30

  3. Volume of treatment fluid administered

    Time frame: Time of monitoring to completion

  4. Number of participants needing mechanical ventilation

    Time frame: Time of monitoring to completion

  5. Lactate level

    Time frame: Time of monitoring to completion

  6. Number of days in Intensive Care Unit (ICU)

    Time frame: Day 1 to Day 30

  7. Number of days in Hospital

    Time frame: Day 1 to Day 30

Secondary outcomes

  1. Number of participants with COVID-19

    Time frame: Time of monitoring to completion

  2. Number of participants with COVID-19 by treatment type

    Time frame: Time of monitoring to completion

  3. Number of participants with COVID-19 by outcome type

    Time frame: Time of monitoring to completion

  4. Percent of participants that are fluid responsive

    Time frame: Time of monitoring to completion

  5. Number of participants with diastolic dysfunction

    Time frame: Time of monitoring to completion

  6. Percent of participants with fluid responsiveness in diastolic dysfunction

    Time frame: Time of monitoring to completion

  7. Number of participants with device related Non-Serious Adverse Events

    Time frame: Time of monitoring to completion

  8. Number of participants with device related Serious Adverse Events

    Time frame: Time of monitoring to completion

07

Study locations

9 sites
  • Baxter Investigational Site
    Denver, Colorado 80204, United States
  • Baxter Investigational Site
    Quincy, Illinois 62301, United States
  • Baxter Investigational Site
    Kansas City, Kansas 66160, United States
  • Baxter Investigational Site
    Saint Louis, Missouri 63110, United States
  • Mercy Hospital St. Louis
    Saint Louis, Missouri 63141, United States
  • Baxter Investigational Site
    Camden, New Jersey 08103, United States
  • Baxter Investigational Site
    Cleveland, Ohio 44195-0001, United States
  • Baxter Investigational Site
    Columbus, Ohio 43210, United States
  • Baxter Investigational SIte
    Galveston, Texas 77555, United States
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 16, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04648293
Lead sponsor
Baxter Healthcare Corporation
Responsible party
Sponsor
First posted
Dec 1, 2020
Start date
Nov 16, 2020
Primary completion
Feb 21, 2024
Completion
Feb 21, 2024
Last update
Apr 16, 2024

Study contacts

Caio Plopper, MD
study director · Baxter Healthcare

Oversight

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

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This study is completed, as verified in Apr 2024. You cannot join it, but the record below documents what was studied.

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