气管镜下SEH评分对重症患者机械通气相关性肺炎的诊断价值-前瞻性观察性研究

注册号:

Registration number:

ChiCTR2500115342 

最近更新日期:

Date of Last Refreshed on:

2025-12-24 18:13:21 

注册时间:

Date of Registration:

2025-12-24 00:00:00 

注册号状态:

补注册

Registration Status:

Retrospective registration

注册题目:

气管镜下SEH评分对重症患者机械通气相关性肺炎的诊断价值-前瞻性观察性研究

Public title:

The diagnostic value of bronchoscopic scoring system for ventilatory associated pneumonia in critically ill patients- a prospective observational study

注册题目简写:

English Acronym:

研究课题的正式科学名称:

气管镜下SEH评分对重症患者机械通气相关性肺炎的诊断价值-前瞻性观察性研究

Scientific title:

The diagnostic value of bronchoscopic scoring system for ventilatory associated pneumonia in critically ill patients- a prospective observational 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:

杨义益 

研究负责人:

王波 

Applicant:

Yang Yiyi 

Study leader:

Wang Bo 

申请注册联系人电话:

Applicant telephone:

+86 152 0834 1257

研究负责人电话:

Study leader's
telephone:

+86 189 8060 6783

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:

942430456@qq.com

研究负责人电子邮件:

Study leader's E-mail:

942430456@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:

四川省成都市武侯区国学巷37号四川大学华西医院

研究负责人通讯地址:

四川省成都市武侯区国学巷37号四川大学华西医院

Applicant address:

West China Hospital of Sichuan University, 37 Guoxue Lane, Wuhou District, Chengdu City, Sichuan Province

Study leader's address:

West China Hospital of Sichuan University, 37 Guoxue Lane, Wuhou District, Chengdu City, Sichuan Province

申请注册联系人邮政编码:

Applicant postcode:

610041

研究负责人邮政编码:

Study leader's postcode:

610041

申请人所在单位:

四川大学华西医院

Applicant's institution:

West China Hospital, Sichuan University

研究负责人所在单位:

四川大学华西医院

Affiliation of the Leader:

West China Hospital, Sichuan 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:

2025年审(143)号

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:

四川大学华西医院生物医学伦理审查委员会

Name of the ethic committee:

Biomedical Ethics Review Committee, West China Hospital, Sichuan University

伦理委员会批准日期:

Date of approved by ethic committee:

2025-03-04 00:00:00

伦理委员会联系人:

邓绍林

Contact Name of the ethic committee:

Deng Shaolin

伦理委员会联系地址:

四川省成都市武侯区国学巷37号八角亭2105

Contact Address of the ethic committee:

2105 Bajiaoting, 37 Guoxue Lane, Wuhou District, Chengdu City, Sichuan Province

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 85422654

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

四川大学华西医院

Primary sponsor:

West China Hospital, Sichuan University

研究实施负责(组长)单位地址:

四川省成都市武侯区国学巷37号

Primary sponsor's address:

37 Guoxue Lane, Wuhou District, Chengdu City, Sichuan 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):

四川

市(区县):

成都

Country:

China

Province:

Sichuan

City:

Chengdu

单位(医院):

四川大学华西医院

具体地址:

四川省成都市武侯区国学巷37号

Institution
hospital:

West China Hospital Sichuan University

Address:

37 Guoxue Lane, Wuhou District, Chengdu City, Sichuan Province

经费或物资来源:

国家重点研发计划

Source(s) of funding:

National Key R&D Program of China

研究疾病:

肺部感染  

Target disease:

Lung infection

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:

连续入组 

Study design:

Sequential 

研究目的:

纳入机械通气时长>48小时的重症患者,观察首次支气管镜检查时气道黏膜及痰液情况,对痰液量、痰液颜色、痰液粘稠度、支气管黏膜水肿、支气管黏膜充血程度进行分级评价,并进行评分。观察不同肺部感染情况患者镜下表现是否存在差异性,评估镜下表现情况与肺部感染发生率的相关性,并分析评分患者预后情况是否存在差异,以评估支气管镜下表现分级对重症患者肺部感染发生及预后的评价价值。  

Objectives of Study:

Critically ill patients with mechanical ventilation for more than 48 hours were enrolled. The airway mucosa and sputum at the first bronchoscopy were observed. The sputum volume, sputum color, sputum viscosity, bronchial mucosal edema, and bronchial mucosal hyperemia were graded and scored. To observe whether there are differences in the endoscopic manifestations of patients with different pulmonary infection, to evaluate the correlation between the endoscopic manifestations and the incidence of pulmonary infection, and to analyze whether there are differences in the prognosis of patients with scoring, so as to evaluate the value of bronchoscopic manifestations grading in the occurrence and prognosis of pulmonary infection in severe 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. <18岁; 2. 孕妇; 3. 气管食管瘘; 4. 肺部近期手术病史; 5. 外伤性肺部损伤。

Exclusion criteria:

1. < 18 years; 2. Pregnant; 3. Tracheoesophageal fistula; 4. Recent pulmonary surgery history; 5. Traumatic lung injury.

研究实施时间:

Study execute time:

From 2025-05-01 00:00:00 To 2027-07-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2025-05-11 00:00:00 To 2026-12-31 00:00:00

干预措施:

Interventions:

组别:

观察组

样本量:

3000

Group:

Observational 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):

四川 

市(区县):

成都 

Country:

China

Province:

Sichuan

City:

Chengdu

单位(医院):

四川大学华西医院 

单位级别:

三甲 

Institution
hospital:

West China Hospital of Sichuan University

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

机械通气相关性肺炎发生率

指标类型:

主要指标

Outcome:

Incidence of ventilatory associated pneumonia

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肺部感染发生率

指标类型:

次要指标

Outcome:

Incidence of pulmonary infection

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

机械通气时间

指标类型:

次要指标

Outcome:

Duration of mechanical ventilation

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

28天无机械通气时间

指标类型:

次要指标

Outcome:

28 days without mechanical ventilation

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

住院死亡率

指标类型:

次要指标

Outcome:

In-hospital mortality

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

住ICU死亡率

指标类型:

次要指标

Outcome:

ICU Mortality

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:

痰液

组织:

Sample Name:

sputum

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

标本中文名:

肺泡灌洗液

组织:

Sample Name:

Bronchoalveolar lavage fluid

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:

正在进行

Recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 100 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):

不适用

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

N/A

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:

不适用

Blinding:

N/A

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 China National center for Bioinformation (https://ngdc.cncb.ac.cn/gsub/),在研究主要成果发布1年后共享原始数据。

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

Any data collected during this study can be acquired from the principal investigator upon a reasonable request.China National center for Bioinformation (https://ngdc.cncb.ac.cn/gsub/), The original data will be shared one year after the main research results are published.

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:

支气管镜检查过程中产生数据通过电子病例记录表进行采集汇总,患者基础及预后相关数据通过医院电子病历信息系统进行收集。

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

The data generated during bronchoscopy were collected and summarized through the electronic medical record form, and the basic and prognostic data of patients were collected through the electronic medical record information system of the hospital.

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:

 2025-12-24 18:13:17