血浆cfDNA浓度与择期开胸体外循环下心脏手术术后肺部并发症发生风险的相关性

注册号:

Registration number:

ChiCTR2400088073 

最近更新日期:

Date of Last Refreshed on:

2024-08-09 17:11:27 

注册时间:

Date of Registration:

2024-08-09 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

血浆cfDNA浓度与择期开胸体外循环下心脏手术术后肺部并发症发生风险的相关性

Public title:

The correlation between plasma cfDNA concentration and the risk of postoperative pulmonary complications in elective open chest extracorporeal circulation cardiac surgery

注册题目简写:

English Acronym:

研究课题的正式科学名称:

血浆cfDNA浓度与择期开胸体外循环下心脏手术术后肺部并发症发生风险的相关性研究:一项单中心、前瞻性队列研究

Scientific title:

The correlation between plasma cfDNA concentration and the risk of postoperative pulmonary complications in cardiac surgery under elective thoracotomy and cardiopulmonary bypass: a single center, prospective cohort study

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:

关英超 

研究负责人:

关英超 

Applicant:

Guan Yingchao 

Study leader:

Guan Yingchao 

申请注册联系人电话:

Applicant telephone:

+86 15650138341

研究负责人电话:

Study leader's
telephone:

+86 13570977435

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:

2447547609@qq.com

研究负责人电子邮件:

Study leader's E-mail:

2447547609@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:

山东省威海市环翠区和平路70号

研究负责人通讯地址:

威海市环翠区和平路70号

Applicant address:

70 Heping Road, Huancui District, Weihai, Shandong

Study leader's address:

70 Heping Road, Huancui District, Weihai, Shandong

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

威海市立医院

Applicant's institution:

Weihai Municipal Hospital

研究负责人所在单位:

威海市立医院

Affiliation of the Leader:

WeiHai Municipal Hospital

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:

20240093

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:

威海市立医院医学伦理委员会

Name of the ethic committee:

Medical Ethics Committee of Weihai Municipal Hospital

伦理委员会批准日期:

Date of approved by ethic committee:

2024-07-31 00:00:00

伦理委员会联系人:

王晓英

Contact Name of the ethic committee:

Wang Xiaoying

伦理委员会联系地址:

威海市环翠区和平路70号

Contact Address of the ethic committee:

70 Heping Road, Huancui District, Weihai, Shandong

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 631 5287885

伦理委员会联系人邮箱:

Contact email of the ethic committee:

wxysdwh@163.com

研究实施负责(组长)单位:

威海市立医院

Primary sponsor:

WeiHai Municipal Hospital

研究实施负责(组长)单位地址:

威海市环翠区和平路70号

Primary sponsor's address:

70 Heping Road, Huancui District, Weihai, Shandong

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

山东

市(区县):

Country:

China

Province:

Shandong

City:

单位(医院):

威海市立医院

具体地址:

威海市环翠区和平路70号

Institution
hospital:

WeiHai Municipal Hospital

Address:

70 Heping Road, Huancui District, Weihai

经费或物资来源:

山东省首批医药卫生重点学科建设项目

Source(s) of funding:

Key Discipline Construction Project of Medicine and Health in Shandong Province

研究疾病:

术后各类肺部并发症发生情况  

Target disease:

Postoperative incidence of various pulmonary complications

研究疾病代码:

Target disease code:

研究类型:

观察性研究

Study type:

Observational study

研究所处阶段:

其它 

Study phase:

N/A

研究设计:

队列研究 

Study design:

Cohort study 

研究目的:

本研究拟探讨在正中开胸体外循环辅助下的择期心脏冠脉及瓣膜手术中,不同时间点的cf测量值与术后肺部并发症的相关性,以初步寻找NETs与体外循环术后肺部并发症发生相关的临床证据,并基于cfDNA的临床预测模型,实现对体外循环术后肺部并发症发生的预测,从而改善患者预后,使患者获益。  

Objectives of Study:

This study aims to explore the correlation between CF measurements at different time points and postoperative pulmonary complications in elective coronary and valve surgery assisted by central open chest cardiopulmonary bypass, in order to preliminarily search for clinical evidence related to NETs and the occurrence of pulmonary complications after cardiopulmonary bypass. Based on the clinical prediction model of cfDNA, we aim to predict the occurrence of pulmonary complications after cardiopulmonary bypass surgery, improve patient prognosis, and benefit patients.

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.既往大型手术史,如开腹手术、开颅手术、开胸手术等;
2.急诊手术;
3.对研究用药过敏;
4.精神疾病患者,不能配合随访;

Exclusion criteria:

1.Previous history of major surgeries, such as open abdominal surgery, craniotomy, thoracotomy, etc; 2.Emergency surgery; 3.Allergies to research drugs; 4.Patients with mental illness cannot cooperate with follow-up visits.

研究实施时间:

Study execute time:

From 2024-09-01 00:00:00 To 2025-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2024-09-01 00:00:00 To 2025-12-31 00:00:00

干预措施:

Interventions:

组别:

观察组

样本量:

90

Group:

Observe 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):

山东 

市(区县):

 

Country:

China

Province:

Shandong

City:

单位(医院):

威海市立医院 

单位级别:

三级甲等 

Institution
hospital:

WeiHai Municipal Hospital

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

动脉血气

指标类型:

次要指标

Outcome:

Arterial blood gas

Type:

Secondary indicator

测量时间点:

体外循环开始前(T0),体外循环开始10min(T1)、30mi(T2)时,体外循环结束时(T3),体外循环结束30min时(T4)

测量方法:

血气分析仪测定

Measure time point of outcome:

Before the start of extracorporeal circulation (T0), at 10 minutes (T1) and 30 minutes (T2) after the extracorporeal circulation starts, extracorporeal circulation ends (T3), 30 mins after the extracorporeal circulation ends

Measure method:

Blood gas analyzer measurement

指标中文名:

cfDNA

指标类型:

主要指标

Outcome:

cfDNA

Type:

Primary indicator

测量时间点:

体外循环开始前(T0),体外循环开始10min(T1)、30mi(T2)时,体外循环结束时(T3),体外循环结束30min时(T4)

测量方法:

ELISA法测定

Measure time point of outcome:

Before the start of extracorporeal circulation (T0), at 10 minutes (T1) and 30 minutes (T2) after the extracorporeal circulation starts, extracorporeal circulation ends (T3), 30 mins after the extracorporeal circulation ends

Measure method:

ELISA method for determination

指标中文名:

TNF-α、IL-1β、IL-6、CRP

指标类型:

主要指标

Outcome:

TNF-α, IL-1β, IL-6, CRP

Type:

Primary indicator

测量时间点:

体外循环开始前(T0),体外循环开始10min(T1)、30mi(T2)时,体外循环结束时(T3),体外循环结束30min时(T4)

测量方法:

ELISA法测定

Measure time point of outcome:

Before the start of extracorporeal circulation (T0), at 10 minutes (T1) and 30 minutes (T2) after the extracorporeal circulation starts, extracorporeal circulation ends (T3), 30 mins after the extracorporeal circulation ends

Measure method:

ELISA method for determination

指标中文名:

肺部影像学改变

指标类型:

主要指标

Outcome:

Changes in pulmonary imaging

Type:

Primary indicator

测量时间点:

术后7天内

测量方法:

CT或X-ray

Measure time point of outcome:

Within 7 days after surgery

Measure method:

CT or X-ray

指标中文名:

实验室检查

指标类型:

次要指标

Outcome:

Laboratory Examination

Type:

Secondary indicator

测量时间点:

术后7天内

测量方法:

术后实验室检验

Measure time point of outcome:

Within 7 days after surgery

Measure method:

Postoperative laboratory testing

指标中文名:

术后首次拔除气管插管时间及ICU停留时间

指标类型:

次要指标

Outcome:

The time of first extubation of endotracheal tube and ICU stay after surgery

Type:

Secondary indicator

测量时间点:

术后

测量方法:

病历记录

Measure time point of outcome:

postoperative

Measure method:

HIS record

指标中文名:

住院时间及住院花费

指标类型:

次要指标

Outcome:

Hospitalization time and hospitalization expenses

Type:

Secondary indicator

测量时间点:

术后

测量方法:

病历记录

Measure time point of outcome:

postoperative

Measure method:

HIS record

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

血液

组织:

Sample Name:

blood

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

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 65 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):

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

None

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:

None

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):

2025.12.31 研究原始数据将在隐蔽患者身份信息后公布在https://figshare.com

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

2025.12.31 The original research data will be published in the https://figshare.com

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:

所有研究数据由课题组专员负责采集记录,病例记录表完成后将于指定地点妥善保存,并保证只有课题组相关人员可以查阅。

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

All research data is collected and recorded by the specialist of the research group. After the completion of the case record form, it will be properly stored in the designated location and only relevant personnel of the research group can access it.

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2024-08-09 17:11:27