河北省脓毒症相关急性肾损伤的临床特征及影响因素:一项多中心横断面研究

注册号:

Registration number:

ChiCTR2500106425 

最近更新日期:

Date of Last Refreshed on:

2025-07-23 16:00:06 

注册时间:

Date of Registration:

2025-07-23 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

河北省脓毒症相关急性肾损伤的临床特征及影响因素:一项多中心横断面研究

Public title:

Clinical characteristics and influencing factors of Sepsis-associated acute kidney injury in Hebei Province: a multicenter cross-sectional study

注册题目简写:

English Acronym:

研究课题的正式科学名称:

河北省脓毒症相关急性肾损伤的临床特征及影响因素:一项多中心横断面研究

Scientific title:

Clinical characteristics and influencing factors of Sepsis-associated acute kidney injury in Hebei Province: a multicenter cross-sectional 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:

赵聪聪 

研究负责人:

胡振杰 

Applicant:

Cong-cong Zhao 

Study leader:

Hu Zhenjie 

申请注册联系人电话:

Applicant telephone:

+86 135 8219 4511

研究负责人电话:

Study leader's
telephone:

+86 139 3385 6908

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:

819273201@qq.com

研究负责人电子邮件:

Study leader's E-mail:

syicu@vip.sina.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:

河北省石家庄市长安区健康路12号河北医科大学第四医院

研究负责人通讯地址:

河北省石家庄市长安区健康路12号河北医科大学第四医院

Applicant address:

No.12 Jiankang Road, Chang'an District, Shijiazhuang City, Hebei Province, China. Hebei Medical University Fourth Hospital

Study leader's address:

No.12 Jiankang Road, Chang'an District, Shijiazhuang City, Hebei Province, China. Hebei Medical University Fourth Hospital

申请注册联系人邮政编码:

Applicant postcode:

050000

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

河北医科大学第四医院

Applicant's institution:

The Fourth Hospital of Hebei Medical University

研究负责人所在单位:

河北医科大学第四医院

Affiliation of the Leader:

The Fourth Hospital of Hebei 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:

2025KS083

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:

河北医科大学第四医院伦理委员会

Name of the ethic committee:

Ethics Committee of the Fourth Hospital of Hebei Medical University

伦理委员会批准日期:

Date of approved by ethic committee:

2025-07-02 00:00:00

伦理委员会联系人:

贾会贤

Contact Name of the ethic committee:

Jia Hui-xian

伦理委员会联系地址:

河北省石家庄市健康路 12 号

Contact Address of the ethic committee:

12 Healthy Road, Shijiazhuang City, Hebei Province, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 158 8393 8160

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:

河北医科大学第四医院

Primary sponsor:

The Fourth Hospital of Hebei Medical University

研究实施负责(组长)单位地址:

河北省石家庄市长安区健康路12号河北医科大学第四医院

Primary sponsor's address:

No.12 Jiankang Road, Chang'an District, Shijiazhuang City, Hebei Province, China. Hebei Medical University Fourth Hospital

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

河北省

市(区县):

石家庄

Country:

China

Province:

Hebei Province

City:

Shijiazhuang

单位(医院):

河北医科大学第四医院

具体地址:

河北省石家庄市长安区健康路12号河北医科大学第四医院

Institution
hospital:

The Fourth Hospital of Hebei Medical University

Address:

No.12 Jiankang Road, Chang'an District, Shijiazhuang City, Hebei Province, China. Hebei Medical University Fourth Hospital

经费或物资来源:

暂无

Source(s) of funding:

There is currently no funding source available

研究疾病:

脓毒症相关急性肾损伤  

Target disease:

Sepsis-associated acute kidney injury

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:

回顾性研究 

Study phase:

Retrospective study

研究设计:

横断面 

Study design:

Cross-sectional 

研究目的:

本研究联合多家省内三级医院ICU,旨在揭示河北省脓毒症相关急性肾损伤(SA-AKI)的流行病学特征及临床异质性,通过分析多中心SA-AKI患者临床指标,结合人口学、既往病史及治疗数据,明确河北省重症患者SA-AKI的预后及影响因素,为识别高危人群及改善患者预后提供数据支持。同时,纵向追踪患者预后,分析肾脏替代治疗模式及治疗剂量等干预措施对肾功能恢复率及病死率的影响,为优化SA-AKI分级诊疗和改善临床结局提供循证依据  

Objectives of Study:

This study, in collaboration with multiple provincial tertiary hospital ICUs, aims to reveal the epidemiological characteristics and clinical heterogeneity of sepsis associated acute kidney injury (SA-AKI) in Hebei Province. By analyzing clinical indicators of SA-AKI patients in multiple centers, combined with demographic, medical history, and treatment data, the prognosis and influencing factors of severe SA-AKI patients in Hebei Province are clarified, providing data support for identifying high-risk populations and improving patient prognosis. At the same time, longitudinal tracking of patient prognosis, analysis of the impact of intervention measures such as renal replacement therapy mode and treatment dose on renal function recovery rate and mortality rate, provide evidence-based basis for optimizing SA-AKI grading diagnosis and treatment and improving clinical outcomes

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、慢性肾脏病5期患者 2、接受过肾切除术的患者3、接受过肾脏移植的患者 4、血清肌酐峰值低于53 μmol/L的患者 5、血清肌酐变化无法归因于急性肾损伤的患者(例如因截肢导致的血清肌酐下降)6、接受规律透析的患者 7、入ICU24小时内放弃治疗或死亡患者 8、孕产妇及哺乳期妇女 9、电子病历无法获取的患者。

Exclusion criteria:

1. Patients with stage 5 chronic kidney disease, 2. Patients who have undergone nephrectomy, 3. Patients who have undergone kidney transplantation, 4. Patients with peak serum creatinine levels below 53 μ mol/L, 5. Patients whose serum creatinine changes cannot be attributed to acute kidney injury (such as a decrease in serum creatinine due to amputation), 6. Patients who receive regular dialysis, 7. Patients who give up treatment or die within 24 hours of ICU admission, 8. Pregnant and lactating women, 9. Patients whose electronic medical records cannot be obtained.

研究实施时间:

Study execute time:

From 2025-01-01 00:00:00 To 2026-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2025-08-01 00:00:00 To 2025-09-30 00:00:00

干预措施:

Interventions:

组别:

观察组

样本量:

1000

Group:

Observation 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):

河北省 

市(区县):

石家庄市 

Country:

China

Province:

Hebei

City:

Shijiazhuang

单位(医院):

河北医科大学第四医院 

单位级别:

三甲 

Institution
hospital:

The Fourth Hospital of Hebei Medical University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

河北省 

市(区县):

石家庄市 

Country:

China

Province:

Hebei

City:

Shijiazhuang

单位(医院):

河北省人民医院 

单位级别:

三甲 

Institution
hospital:

Hebei Provincial People's Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

河北省 

市(区县):

石家庄 

Country:

China

Province:

Hebei

City:

Shijiazhuang

单位(医院):

河北医科大学第二医院 

单位级别:

三甲 

Institution
hospital:

Hebei Medical University Second Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

河北省 

市(区县):

石家庄 

Country:

China

Province:

Hebei

City:

Shijiazhuang

单位(医院):

河北医科大学第一医院 

单位级别:

三甲 

Institution
hospital:

The First Hospital of Hebei Medical University

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

河北省 

市(区县):

石家庄 

Country:

China

Province:

Hebei

City:

Shijiazhuang

单位(医院):

河北医科大学第三医院 

单位级别:

三甲 

Institution
hospital:

Hebei Medical University Third Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

河北省 

市(区县):

唐山市 

Country:

China

Province:

Hebei

City:

Tangshan

单位(医院):

唐山市工人医院 

单位级别:

三甲 

Institution
hospital:

Tangshan Workers' Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

河北省 

市(区县):

秦皇岛 

Country:

China

Province:

Hebei

City:

Qinghuangdao

单位(医院):

秦皇岛市人民医院 

单位级别:

三甲 

Institution
hospital:

Qinhuangdao People's Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

河北省 

市(区县):

衡水市 

Country:

China

Province:

Hebei

City:

Hengshui

单位(医院):

衡水市人民医院 

单位级别:

三甲 

Institution
hospital:

Hengshui People's Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

河北省 

市(区县):

沧州市 

Country:

China

Province:

Hebei

City:

Cangzhou

单位(医院):

沧州市人民医院 

单位级别:

三甲 

Institution
hospital:

Cangzhou People's Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

河北省 

市(区县):

沧州市 

Country:

China

Province:

Hebei

City:

Cangzhou

单位(医院):

沧州市中西医结合医院 

单位级别:

三甲 

Institution
hospital:

Cangzhou Integrated Traditional Chinese and Western Medicine Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

河北省 

市(区县):

保定市 

Country:

China

Province:

Hebei

City:

Baoding

单位(医院):

河北大学附属医院 

单位级别:

三甲 

Institution
hospital:

Hebei University Affiliated Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

河北省 

市(区县):

保定市 

Country:

China

Province:

Hebei

City:

Baoding

单位(医院):

保定市第一中心医院 

单位级别:

三甲 

Institution
hospital:

Baoding First Central Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

河北省 

市(区县):

承德市 

Country:

China

Province:

Hebei

City:

Chengde

单位(医院):

承德医学院附属医院 

单位级别:

三甲 

Institution
hospital:

Chengde Medical College Affiliated Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

河北省 

市(区县):

承德市 

Country:

China

Province:

Hebei

City:

Chengde

单位(医院):

承德中心医院 

单位级别:

三甲 

Institution
hospital:

Chengde Central Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

河北省 

市(区县):

张家口市 

Country:

China

Province:

Hebei

City:

Zhangjiakou

单位(医院):

河北北方医学院第一附属医院 

单位级别:

三甲 

Institution
hospital:

The First Affiliated Hospital of Hebei Northern Medical College

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

河北省 

市(区县):

邯郸市 

Country:

China

Province:

Hebei

City:

Handan

单位(医院):

邯郸市中心医院 

单位级别:

三甲 

Institution
hospital:

Handan Central Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

河北省 

市(区县):

邢台市 

Country:

China

Province:

Hebei

City:

Xingtai

单位(医院):

邢台市人民医院 

单位级别:

三甲 

Institution
hospital:

Xingtai People's Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

河北省 

市(区县):

邢台市 

Country:

China

Province:

Hebei

City:

Xingtai

单位(医院):

邢台中心医院 

单位级别:

三甲 

Institution
hospital:

Xingtai Central Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

河北省 

市(区县):

廊坊市 

Country:

China

Province:

Hebei

City:

Langfang

单位(医院):

河北中石油中心医院 

单位级别:

三甲 

Institution
hospital:

Hebei PetroChina Central Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

河北省 

市(区县):

沧州市 

Country:

China

Province:

Hebei

City:

Cangzhou

单位(医院):

沧州市中心医院 

单位级别:

三甲 

Institution
hospital:

Cangzhou Central Hospital

Level of the institution:

Tertiary A

国家:

中国

省(直辖市):

河北省 

市(区县):

邯郸市 

Country:

China

Province:

Hebei

City:

Handan

单位(医院):

邯郸市第一医院 

单位级别:

三甲 

Institution
hospital:

Handan First Hospital

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

CRRT相关参数

指标类型:

主要指标

Outcome:

CRRT related parameters

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

28天病死率

指标类型:

主要指标

Outcome:

28 day mortality rate

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

SA-AKI发病率及分期

指标类型:

主要指标

Outcome:

SA-AKI incidence rate and Staging

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:

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:

正在进行

Recruiting

年龄范围:

Participant age:

最小 Min age 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):

非RCT研究

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

not RCT study

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:

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):

联系通讯作者

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

Contact the corresponding author

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:

CRF和Excel表

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

CRF and Excel

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:

 2025-07-23 15:59:57