脓毒症患者体内肠道菌群及代谢产物与各器官损伤的相关性

注册号:

Registration number:

ChiCTR2200062236 

最近更新日期:

Date of Last Refreshed on:

2023-03-30 10:26:02 

注册时间:

Date of Registration:

2022-07-30 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

脓毒症患者体内肠道菌群及代谢产物与各器官损伤的相关性

Public title:

Correlation between intestinal microbes and metabolites with organ injury in patients with sepsis

注册题目简写:

English Acronym:

研究课题的正式科学名称:

脓毒症患者体内肠道菌群及代谢产物与各器官损伤的相关性

Scientific title:

Correlation between intestinal microbes and metabolites with organ injury in patients with sepsis

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

邓凡 

研究负责人:

刘克玄 

Applicant:

Deng Fan 

Study leader:

Liu Kexuan 

申请注册联系人电话:

Applicant telephone:

+86 18772957188

研究负责人电话:

Study leader's
telephone:

+86 13710684096

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

570586695@qq.com

研究负责人电子邮件:

Study leader's E-mail:

liukexuan705@163.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

广东省广州市广州大道北1838号南方医科大学南方医院

研究负责人通讯地址:

广东省广州市广州大道北1838号南方医科大学南方医院

Applicant address:

1838 Guangzhou Avenue North, Guangzhou, Guangdong

Study leader's address:

1838 Guangzhou Avenue North, Guangzhou, Guangdong

申请注册联系人邮政编码:

Applicant postcode:

510515

研究负责人邮政编码:

Study leader's postcode:

510515

申请人所在单位:

南方医科大学南方医院

Applicant's institution:

Nanfang Hospital of Southern Medical University

研究负责人所在单位:

南方医科大学南方医院

Affiliation of the Leader:

Nanfang Hospital of Southern Medical University

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

NFEC-2022-183

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

南方医科大学南方医院医学伦理委员会

Name of the ethic committee:

Medical Ethics Committee of Nanfang Hospital, Southern Medical University

伦理委员会批准日期:

Date of approved by ethic committee:

2022-05-26 00:00:00

伦理委员会联系人:

吴炳义,肖健

Contact Name of the ethic committee:

Wu Bingyi, Xiao Jian

伦理委员会联系地址:

广东省广州市广州大道北1838号

Contact Address of the ethic committee:

1838 Guangzhou Avenue North, Guangzhou, Guangdong

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 20 62787238

伦理委员会联系人邮箱:

Contact email of the ethic committee:

nfyyec@163.com

研究实施负责(组长)单位:

南方医科大学南方医院

Primary sponsor:

Nanfang Hospital of Southern Medical University

研究实施负责(组长)单位地址:

广东省广州市广州大道北1838号

Primary sponsor's address:

1838 Guangzhou Avenue North, Guangzhou, Guangdong

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

广东

市(区县):

广州

Country:

China

Province:

Guangdong

City:

Guangzhou

单位(医院):

南方医科大学南方医院

具体地址:

广州大道北1838号

Institution
hospital:

Nanfang Hospital of Southern Medical University

Address:

1838 Guangzhou Avenue North

经费或物资来源:

国家自然科学基金

Source(s) of funding:

National Natural Science Foundation of China

研究疾病:

脓毒症  

Target disease:

Sepsis

研究疾病代码:

L1-1G4

Target disease code:

L1-1G4

研究类型:

观察性研究

Study type:

Observational study

研究所处阶段:

探索性研究/预试验 

Study phase:

0

研究设计:

队列研究 

Study design:

Cohort study 

研究目的:

1.主要目的:结合血浆、尿液的生物标志物、相关临床评分、生化指标、检查结果及并发症,肺、肝、肾等其他主要脏器损伤及发生感染的病人临床特征,分析体内肠道菌群及代谢产物及其相关性。 2.次要目的:研究发生各个器官损伤的预后危险因素。  

Objectives of Study:

1. Main objective: To analyze intestinal flora and metabolites and their correlation in combination with biomarkers of plasma and urine, related clinical scores, biochemical indexes, examination results and complications, as well as clinical characteristics of patients with lung, liver, kidney and other major organs injury and infection. 2. Secondary objective: To study the prognostic risk factors of various organ injuries.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

1. 哺乳期或孕产妇;
2. 存在心脏病史(冠心病、心肌病、瓣膜性心脏病、先天性心脏病、心律失常)、急性冠脉综合征、严重心力衰竭、心胸外科手术、胸外按压、除颤、电复律、自身免疫性疾病;
3. 心脏超声提示中重度二尖瓣和(或)主动脉瓣疾病或区域性心肌壁运动异常(提示有区域性缺血或既往存在心肌梗死);
4. 由于患者不配合或操作技术欠缺而导致的质量差的心脏超声;
5. 住院期间未行血化验、心脏超声或心电图检查;
6. 肝功能不全(肝功能 Child-Pugh 分级 10 分或以上);
7. 肾功能不全〔血肌酐≥186 μmol/L 或肾小球滤过率<60 mL/min,或慢性肾脏病(chronic kidneydisease,CKD)3 级及以上〕;
8. 经研究者判断认为不适合参与本研究。

Exclusion criteria:

1. Lactation or pregnant patients;
2. History of heart disease (coronary heart disease, cardiomyopathy, valvular heart disease, congenital heart disease, arrhythmia), acute coronary syndrome, severe heart failure, cardiothoracic surgery, chest compressions, defibrillation, electrical cardioversion, autoimmune diseases;
3. Cardiac ultrasound indicated moderate to severe mitral and/or aortic valve disease or abnormal regional myocardial wall movement (indicating regional ischemia or previous myocardial infarction);
4. Poor quality cardiac ultrasound caused by patients' uncooperation or lack of operational skills;
5. No blood tests, echocardiography or electrocardiogram were performed during hospitalization;
6. Liver insufficiency (Child-Pugh grade of liver function 10 or above);
7. Renal insufficiency (serum creatinine >=186 μmol/L or glomerular filtration rate < 60 mL/min, or chronic kidneydisease (CKD) grade 3 or above);
8. The researcher judged that it was not suitable to participate in this study.

研究实施时间:

Study execute time:

From 2022-07-30 00:00:00 To 2024-07-30 00:00:00  

征募观察对象时间:

Recruiting time:

From 2022-07-30 00:00:00 To 2024-07-30 00:00:00

干预措施:

Interventions:

组别:

心脏损伤组

样本量:

60

Group:

Cardiac injury group

Sample size:

干预措施:

干预措施代码:

Intervention:

None

Intervention code:

组别:

肝脏损伤组

样本量:

30

Group:

Liver injury group

Sample size:

干预措施:

干预措施代码:

Intervention:

None

Intervention code:

组别:

肾脏损伤组

样本量:

40

Group:

Kidney injury group

Sample size:

干预措施:

干预措施代码:

Intervention:

None

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

广东 

市(区县):

广州 

Country:

China

Province:

Guangdong

City:

Guangzhou

单位(医院):

南方医科大学南方医院 

单位级别:

三级甲等 

Institution
hospital:

Nanfang Hospital of Southern Medical University

Level of the institution:

Teritary A

国家:

中国

省(直辖市):

广东 

市(区县):

佛山 

Country:

China

Province:

Guangdong

City:

Foshan

单位(医院):

佛山市第一人民医院 

单位级别:

三级甲等 

Institution
hospital:

First People's Hospital of Foshan

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

广东 

市(区县):

福州 

Country:

China

Province:

Guangdong

City:

Fuzhou

单位(医院):

福建省立医院 

单位级别:

三级甲等 

Institution
hospital:

Fujian Provincial Hospital

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

肌酐

指标类型:

主要指标

Outcome:

Creatinine

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

尿素氮

指标类型:

主要指标

Outcome:

Urea nitrogen

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

胆红素

指标类型:

主要指标

Outcome:

Bilirubin

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

谷丙转氨酶

指标类型:

主要指标

Outcome:

Alanine aminotransferase

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

谷草转氨酶

指标类型:

主要指标

Outcome:

Aspartate aminotransferase

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

24 小时尿量

指标类型:

主要指标

Outcome:

24-hour urine volume

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

白细胞计数

指标类型:

主要指标

Outcome:

Leukocyte count

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

C-反应蛋白

指标类型:

主要指标

Outcome:

C-reactive protein

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

降钙素原

指标类型:

主要指标

Outcome:

Procalcitonin

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

射血分数

指标类型:

主要指标

Outcome:

Ejection fraction

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肺动脉收缩压

指标类型:

主要指标

Outcome:

Pulmonary artery systolic pressure

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

主动脉根部内径

指标类型:

主要指标

Outcome:

Aortic root diameter

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

左心房内径

指标类型:

主要指标

Outcome:

Left atrial diameter left atrial diameter

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

左室舒张末期内径

指标类型:

主要指标

Outcome:

Left ventricular end diastolic diameter

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

左室收缩末期内径

指标类型:

主要指标

Outcome:

Left ventricular end systolic diameter

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

室间隔厚度

指标类型:

主要指标

Outcome:

Septal thickness

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

左室后壁厚度

指标类型:

主要指标

Outcome:

Left ventricular posterior wall thickness

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

粪便

组织:

Sample Name:

Feces

Tissue:

人体标本去向

使用后销毁  

说明

样品保存3年

Fate of sample:

Destruction after use  

Note:

Sample preservation for 3 years

征募研究对象情况:

Recruiting status:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 85 years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

本研究为多中心前瞻性队列研究,主要观察脓毒症患者心、肝、肺、肾等脏器损伤与肠道菌群及代谢产物的相关性。研究期间,我们选择年龄 18-85 岁且符 合 脓 毒 症 诊 断 标 准 : 感 染 + 序 贯 器 官 衰 竭 评 分(sequentialorgan failure assessment,SOFA)≥2 分的成年患者且不符合排除标准,患者愿意并能够给予参与研究的知情同意。

Randomization Procedure (please state who generates the random number sequence and by what method):

This study is a single-center prospective cohort study, mainly to observe the correlation between heart, liver, lung, kidney and other organ injury and intestinal microbes and metabolites in patients with sepsis. During the study, we selected adult patients aged 18-85 years who met the diagnostic criteri

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

不公开/Private

盲法:

Blinding:

是否共享原始数据:

IPD sharing

否No

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

Not available

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

数据记录表上有关受试者数据应以受试者编码和电子病历 ID 方式共同识别和记录。受试者只能通过受试者编码或其姓名首字母缩写识别。本项目采取纸质文件和电子数据库共同保存的方式。由第二位研究者定期对数据进行核对来保证数据质量。

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

The relevant subject data on the data record sheet shall be jointly identified and recorded in the form of subject code and electronic medical record ID. Subjects can only be identified by the subject code or their initials. The project adopts the method of joint preservation of paper documents and electronic databases. The second researcher checks the data regularly to ensure the data quality.

数据与安全监察委员会:

Data and Safety Monitoring Committee:

暂未确定/Not yet

注册人:

Name of Registration:

 2022-07-30 23:05:33