基于FALLS流程的重症超声技术的临床价值

注册号:

Registration number:

ChiCTR1800019410 

最近更新日期:

Date of Last Refreshed on:

2018-11-10 13:53:09 

注册时间:

Date of Registration:

2018-11-10 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

基于FALLS流程的重症超声技术的临床价值

Public title:

The clinical value of critical ultrasound technology based on the FALLS process

注册题目简写:

English Acronym:

研究课题的正式科学名称:

基于FALLS流程的重症超声技术的临床价值

Scientific title:

The clinical value of critical ultrasound technology based on the FALLS process

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:

张烨 

研究负责人:

王伟 

Applicant:

Ye Zhang 

Study leader:

Wei Wang 

申请注册联系人电话:

Applicant telephone:

+86 18871535226

研究负责人电话:

Study leader's
telephone:

+86 13979171636

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:

1094576986@qq.com

研究负责人电子邮件:

Study leader's E-mail:

1255455037@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:

江西省南昌市东湖区民德路1号

研究负责人通讯地址:

江西省南昌市东湖区民德路1号

Applicant address:

1 Minde Road, Nanchang, Jiangxi, China

Study leader's address:

1 Minde Road, Nanchang, Jiangxi, China

申请注册联系人邮政编码:

Applicant postcode:

330006

研究负责人邮政编码:

Study leader's postcode:

330006

申请人所在单位:

南昌大学第二附属医院

Applicant's institution:

Second Affiliated Hospital of Nanchang University

研究负责人所在单位:

南昌大学第二附属医院

Affiliation of the Leader:

Second Affiliated Hospital of Nanchang 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:

2017-090

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:

南昌大学第二附属医院伦理委员会

Name of the ethic committee:

Medical Ethics Committee of Second affiliated hospital of Nanchang university

伦理委员会批准日期:

Date of approved by ethic committee:

2017-12-01 00:00:00

伦理委员会联系人:

程晓曙

Contact Name of the ethic committee:

Xiaoshu Cheng

伦理委员会联系地址:

南昌大学第二附属医院

Contact Address of the ethic committee:

Second Affiliated Hospital of Nanchang University, 1 Minde Road, Nanchang, Jiangxi, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

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:

南昌大学第二附属医院

Primary sponsor:

Second Affiliated Hospital of Nanchang University

研究实施负责(组长)单位地址:

江西省南昌市东湖区民德路1号

Primary sponsor's address:

1 Minde Road, Nanchang, Jiangxi, China

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

江西省

市(区县):

南昌市

Country:

China

Province:

Jiangxi

City:

Nanchang

单位(医院):

南昌大学第二附属医院

具体地址:

江西省南昌市东湖区民德路1号

Institution
hospital:

Second Affiliated Hospital of Nanchang University

Address:

1 Minde Road, Nanchang, Jiangxi, China

经费或物资来源:

江西省科技厅

Source(s) of funding:

Science and Technology Department of Jiangxi Province

研究疾病:

休克  

Target disease:

Shock

研究疾病代码:

Target disease code:

研究类型:

病因学/相关因素研究

Study type:

Cause/Relative factors study

研究所处阶段:

诊断试验新技术临床试验 

Study phase:

Diagnostic New Technique Clincal Study

研究设计:

队列研究 

Study design:

Cohort study 

研究目的:

1、 验证 FALLS 流程被用来寻找致病因素(出血部位,败血症感染的部位等),对休克的诊断效率。 2、 通过肺超声同时可以管理液体,严格监测血液循环的临床参数,实现了补液的可视化,避免临床治疗中“盲目”液体疗法提供有益指导。 3、进一步阐明通过 FALLS 流程 与 PICCO 监测对比,可以降低休克病死率,降低医疗费用。对于客观评价 FALLS 流程的临床价值, 最终达到超声 FALLS 流程在临床推广应用的目标。  

Objectives of Study:

1. Verify that the FALLS process is used to look for pathogenic factors (haemorrhage site, sepsis site, etc.) and the diagnostic efficiency for shock; 2. By means of pulmonary ultrasonography, the fluid can be managed at the same time, and the clinical parameters of blood circulation can be strictly monitored, realizing the visualization of fluid replenishment and avoiding "blind" liquid therapy in clinical treatment to provide beneficial guidance; 3. Furthermore, compared with PICCO monitoring, the FALLS process can reduce the case fatality rate of shock and reduce the medical cost. To objectively evaluate the clinical value of the FALLS process, and finally achieve the goal of the clinical promotion and application of the FALLS process.

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)体重指数(BMI指数)>35 kg/m2 或<18.5 kg/m2;
(2)妊娠;
(3)腹腔内高压;
(4)有严重循环系统疾病明确诊断的病史者(如持续心律失常、主动脉瓣或肺动脉瓣疾病、二尖瓣狭窄或关闭不全>2 度、心内
分流以及心力衰竭等。);
(5)重症肺炎、肺纤维化等无法获得良好肺部超声影像者;
(6)存在PICCO置管和抬腿禁忌症者;
(7)拒绝参与试验者。

Exclusion criteria:

(1) Body mass index (BMI) 35 kg/m2 or <18.5 kg/m2;
(2) Pregnancy;
(3) Intraperitoneal hypertension;
(4) A history of definite diagnosis of severe circulatory disease (e.g., persistent arrhythmia, aortic or pulmonary valve disease, mitral stenosis or insufficiency of >2 degrees, intracardiac shunt, heart failure and so on);
(5) Severe pneumonia, pulmonary fibrosis and can not get good pulmonary ultrasound images;
(6) Patients with PICCO catheterization and leg lifting contraindications;
(7) Refusal to participate.

研究实施时间:

Study execute time:

From 2018-11-01 00:00:00 To 2020-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2018-11-01 00:00:00 To 2020-12-31 00:00:00

干预措施:

Interventions:

组别:

FALLS组

样本量:

50

Group:

FALLS Group

Sample size:

干预措施:

FALLS指导液体管理

干预措施代码:

Intervention:

Using FALLS to guide the fluid management

Intervention code:

组别:

PiCCO组

样本量:

50

Group:

PiCCO Group

Sample size:

干预措施:

PiCCO指导液体管理

干预措施代码:

Intervention:

Using PiCCO to guide the fluid management

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

江西省 

市(区县):

南昌市 

Country:

China

Province:

Jiangxi

City:

Nanchang

单位(医院):

南昌大学第二附属医院 

单位级别:

三级甲等 

Institution
hospital:

Second Affiliated Hospital of Nanchang University

Level of the institution:

Tertiary A hospital

测量指标:

Outcomes:

指标中文名:

诊断阳性率

指标类型:

主要指标

Outcome:

Diagnostic positive 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:

28 天存活率

指标类型:

主要指标

Outcome:

28-day survival

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

液体总入量

指标类型:

次要指标

Outcome:

Total liquid input

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

液体平衡量

指标类型:

次要指标

Outcome:

Liquid equilibrium quantity

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时间

指标类型:

次要指标

Outcome:

Length of ICU stay

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

住院时间

指标类型:

次要指标

Outcome:

Length of hospital stay

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:

CRRT支持时间

指标类型:

次要指标

Outcome:

Duration of CRRT support

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:

血液

组织:

血管

Sample Name:

Blood

Tissue:

blood vessel

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 80 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):

N/A

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:

N/A

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):

通过ResMan提供原始数据查询

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

IPD will be public accessable via ResMan

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:

SPSS

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

SPSS

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:

 2018-11-10 13:53:09