ICU危险性消化道出血患者内镜干预时机、死亡危险因素及预后模型构建临床研究

注册号:

Registration number:

ChiCTR2400093368 

最近更新日期:

Date of Last Refreshed on:

2024-12-03 15:37:47 

注册时间:

Date of Registration:

2024-12-03 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

ICU危险性消化道出血患者内镜干预时机、死亡危险因素及预后模型构建临床研究

Public title:

Clinical study of the timing of endoscopic intervention, risk factors and prognosis model construction in ICU dangerous gastrointestinal bleeding patients

注册题目简写:

ICU危险性消化道出血患者内镜干预时机及预后的临床研究

English Acronym:

Clinical research of the timing of endoscopic intervention and prognosis for ICU gastrointestinal bleeding patients

研究课题的正式科学名称:

ICU危险性消化道出血患者内镜干预时机、死亡危险因素及预后模型构建临床研究

Scientific title:

Clinical study of the timing of endoscopic intervention, risk factors and prognosis model construction in ICU dangerous gastrointestinal bleeding patients

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:

柳舟 

研究负责人:

柳舟 

Applicant:

Liu Zhou 

Study leader:

Liu Zhou 

申请注册联系人电话:

Applicant telephone:

+86 132 7798 0494

研究负责人电话:

Study leader's
telephone:

+86 132 7798 0494

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:

992859638@qq.com

研究负责人电子邮件:

Study leader's E-mail:

992859638@qq.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:

湖北省武汉市武昌区解放路238号

研究负责人通讯地址:

湖北省武汉市武昌区解放路238号

Applicant address:

Jiefang Road No.238, Wuchang District, Wuhan city, Hubei Province

Study leader's address:

Jiefang Road No.238, Wuchang District, Wuhan city, Hubei Province

申请注册联系人邮政编码:

Applicant postcode:

430060

研究负责人邮政编码:

Study leader's postcode:

430060

申请人所在单位:

武汉大学人民医院

Applicant's institution:

Renmin Hospital of Wuhan University

研究负责人所在单位:

武汉大学人民医院

Affiliation of the Leader:

Renmin Hospital of Wuhan 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:

WDRY2024-K103

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:

武汉大学人民医院临床研究伦理委员会

Name of the ethic committee:

Clinical research in ethics committee of Renmin Hospital of Wuhan University

伦理委员会批准日期:

Date of approved by ethic committee:

2024-05-21 00:00:00

伦理委员会联系人:

陈园

Contact Name of the ethic committee:

Yuan Chen

伦理委员会联系地址:

武汉大学人民医院

Contact Address of the ethic committee:

Renmin Hospital of Wuhan University

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 27 8804 1911

伦理委员会联系人邮箱:

Contact email of the ethic committee:

llbgs609@163.com

研究实施负责(组长)单位:

武汉大学人民医院

Primary sponsor:

Renmin Hospital of Wuhan university

研究实施负责(组长)单位地址:

湖北省武汉市武昌区解放路238号

Primary sponsor's address:

Jiefang Road No.238, Wuchang District, Wuhan city, Hubei Province

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

湖北

市(区县):

武汉市

Country:

China

Province:

Hubei Province

City:

Wuhan city

单位(医院):

武汉大学人民医院

具体地址:

湖北省武汉市武昌区解放路238号

Institution
hospital:

Renmin Hospital of Wuhan university

Address:

Jiefang Road No.238, Wuchang District, Wuhan city, Hubei Province

经费或物资来源:

无经费来源

Source(s) of funding:

None

研究疾病:

消化道出血  

Target disease:

Gastrointestinal bleeding

研究疾病代码:

K92.207

Target disease code:

K92.207

研究类型:

预后研究

Study type:

Prognosis study

研究所处阶段:

回顾性研究 

Study phase:

Retrospective study

研究设计:

病例研究 

Study design:

Case study 

研究目的:

1.筛选ICU危险性消化道出血患者死亡高危因素 2.构建ICU危险性消化道出血患者临床预后模型 3.分析ICU危险性消化道出血患者内镜干预最佳时机  

Objectives of Study:

1. Screening high-risk factors for mortality in ICU patients with dangerous gastrointestinal bleeding 2. Constructing a clinical prognostic model for ICU patients with dangerous gastrointestinal bleeding 3. Analyze the optimal timing for endoscopic intervention in ICU patients with dangerous gastrointestinal bleeding

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 未成年、妊娠或哺乳期女性患者 ② 患者家属签字放弃规范化诊疗 ③ 随访失联的患者 ④ 非危险性消化道出血导致死亡患者

Exclusion criteria:

① Children, pregnant or lactating female patients ② Patient's family members sign to abandon standardized diagnosis and treatment ③ Follow up of lost patients ④ Non hazardous gastrointestinal bleeding leading to death in patient

研究实施时间:

Study execute time:

From 2024-06-01 00:00:00 To 2025-06-01 00:00:00  

征募观察对象时间:

Recruiting time:

From 2024-12-03 00:00:00 To 2025-05-31 00:00:00

干预措施:

Interventions:

组别:

生存组

样本量:

867

Group:

Survival group

Sample size:

干预措施:

干预措施代码:

Intervention:

None

Intervention code:

组别:

死亡组

样本量:

94

Group:

Non survial 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):

湖北省 

市(区县):

武汉市 

Country:

China

Province:

Hubei Province

City:

Wuhan city

单位(医院):

武汉大学人民医院 

单位级别:

三级,三甲 

Institution
hospital:

Renmin Hospital of Wuhan University

Level of the institution:

Tertiary, Teritary A

测量指标:

Outcomes:

指标中文名:

内镜时机

指标类型:

主要指标

Outcome:

The timing of the endoscopic

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

内镜诊断

指标类型:

主要指标

Outcome:

The diagnosis of the endoscopic

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

内镜下止血措施

指标类型:

主要指标

Outcome:

Endoscopic hemostasis measures

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

输浓缩红细胞

指标类型:

次要指标

Outcome:

transferustion of concentrated red blood cell

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

输血小板

指标类型:

次要指标

Outcome:

Platelet transfusion

Type:

Secondary 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:

WBC

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

中性粒细胞计数

指标类型:

次要指标

Outcome:

N%

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

淋巴细胞计数

指标类型:

次要指标

Outcome:

L

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

红细胞计数

指标类型:

主要指标

Outcome:

RBC

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血红蛋白

指标类型:

主要指标

Outcome:

Hb

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血小板

指标类型:

次要指标

Outcome:

PLT

Type:

Secondary 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:

次要指标

Outcome:

CRP

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血清淀粉样蛋白

指标类型:

次要指标

Outcome:

SAA

Type:

Secondary 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:

次要指标

Outcome:

ALT

Type:

Secondary 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:

次要指标

Outcome:

AST

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

总胆固醇

指标类型:

次要指标

Outcome:

TBIL

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

直接胆固醇

指标类型:

次要指标

Outcome:

DBIL

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

人血白蛋白

指标类型:

次要指标

Outcome:

ALB

Type:

Secondary 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:

次要指标

Outcome:

BUN

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肌酐值

指标类型:

次要指标

Outcome:

Cear

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血钾

指标类型:

次要指标

Outcome:

K

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血钠

指标类型:

次要指标

Outcome:

Na

Type:

Secondary 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:

次要指标

Outcome:

PCT

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

乳酸

指标类型:

次要指标

Outcome:

lactic acid

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

BNP

指标类型:

次要指标

Outcome:

B-type natriuretic titanium

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肌钙蛋白I

指标类型:

次要指标

Outcome:

ctnI

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

凝血酶原时间

指标类型:

次要指标

Outcome:

PT

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

活化凝血酶原时间

指标类型:

次要指标

Outcome:

APTT

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

国际凝血标准化比值

指标类型:

次要指标

Outcome:

INR

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

纤维蛋白原

指标类型:

次要指标

Outcome:

FIB

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

D二聚体

指标类型:

次要指标

Outcome:

D-dimmer

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血氨

指标类型:

次要指标

Outcome:

NH3

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

APACHE-II评分

指标类型:

主要指标

Outcome:

APACHE-II score

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

AIMS65评分

指标类型:

主要指标

Outcome:

AIMS65 score

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

GBS评分

指标类型:

主要指标

Outcome:

GBS score

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

Rockall评分

指标类型:

主要指标

Outcome:

Rockall score

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

休克指数

指标类型:

主要指标

Outcome:

Shock index

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

吸烟史

指标类型:

次要指标

Outcome:

Smoking history

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

饮酒史

指标类型:

次要指标

Outcome:

Drinking history

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

贫血史

指标类型:

次要指标

Outcome:

anemia history

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

高血压史

指标类型:

次要指标

Outcome:

Hypertension history

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

慢性肺病

指标类型:

次要指标

Outcome:

Chronic lung disease

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

高血脂

指标类型:

次要指标

Outcome:

Hyperlipidemia

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

慢性肾病

指标类型:

次要指标

Outcome:

chronic kidney disease

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

脑血管疾病

指标类型:

次要指标

Outcome:

Cerebrovascular disease

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

冠心病

指标类型:

次要指标

Outcome:

coronary heart disease

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

房颤

指标类型:

次要指标

Outcome:

atrial fibrillation

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

恶性肿瘤

指标类型:

次要指标

Outcome:

Tumour

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

抗凝药物

指标类型:

附加指标

Outcome:

anticoagulants drugs

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

抗板药物

指标类型:

附加指标

Outcome:

Antiplatelet drugs

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

心率

指标类型:

次要指标

Outcome:

HR

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

呼吸

指标类型:

次要指标

Outcome:

R

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

收缩压

指标类型:

次要指标

Outcome:

systolic pressure

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

舒张压

指标类型:

次要指标

Outcome:

diastolic pressure

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

年龄

指标类型:

附加指标

Outcome:

age

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

性别

指标类型:

附加指标

Outcome:

sex

Type:

Additional indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

总住院日

指标类型:

次要指标

Outcome:

hospital days

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

ICU住院日

指标类型:

主要指标

Outcome:

ICU hospital days

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

呕血

指标类型:

次要指标

Outcome:

hematemesis

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

黑便

指标类型:

次要指标

Outcome:

melena

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

晕厥

指标类型:

次要指标

Outcome:

syncope

Type:

Secondary 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:

组织:

Sample Name:

none

Tissue:

人体标本去向

其它  

说明

Fate of sample:

0thers  

Note:

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 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):

主要研究者采用随机数字法产生随机序列

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

The cheif researchers used the random number method to generate random sequences

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

公开/Public

盲法:

Blinding:

None

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

是否共享原始数据:

IPD sharing

是Yes

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):

国家生物信息中心 https://ngdc.cncb.ac.cn/gsub/

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

https://ngdc.cncb.ac.cn/gsub/

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),原始数据将在临床试验结束,研究论文发表后上传临床试验公共管理平台Resman数据库管理系统

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

Data collection and management consist of two parts: a Case Record Form (CRF) and an Electronic Data Capture (EDC) system. All the related raw clinical data will be shared on the clinical trails management platform after the research or the literature published

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:

 2024-12-03 15:37:38