心脏局部IL-6对心脏手术后房颤发生的分子机制、基因基础及预测价值研究

注册号:

Registration number:

ChiCTR-OCH-13003050 

最近更新日期:

Date of Last Refreshed on:

2017-09-11 11:23:10 

注册时间:

Date of Registration:

2013-02-07 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

心脏局部IL-6对心脏手术后房颤发生的分子机制、基因基础及预测价值研究

Public title:

The molecular mechanism, genetic basis and predictive value of local cardiac IL-6 for atrial fibrillation after cardiac surgery clinical study

注册题目简写:

English Acronym:

研究课题的正式科学名称:

心脏局部IL-6对心脏手术后房颤发生的分子机制、基因基础及预测价值研究

Scientific title:

The molecular mechanism, genetic basis and predictive value of local cardiac IL-6 for atrial fibrillation after cardiac surgery clinical 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:

吴瑛 

研究负责人:

吴瑛 

Applicant:

Ying Wu 

Study leader:

Ying Wu 

申请注册联系人电话:

Applicant telephone:

+86 10 83911766

研究负责人电话:

Study leader's
telephone:

+86 10 83911766

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:

helenywu@vip.163.com

研究负责人电子邮件:

Study leader's E-mail:

helenywu@vip.163.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:

北京市丰台区右安门外西头条10号

研究负责人通讯地址:

北京市丰台区右安门外西头条10号

Applicant address:

10 Xi'toutiao, You'anmenwai, Fengtai district, Beijing

Study leader's address:

10 Xi'toutiao, You'anmenwai, Fengtai district, Beijing

申请注册联系人邮政编码:

Applicant postcode:

100069

研究负责人邮政编码:

Study leader's postcode:

100069

申请人所在单位:

首都医科大学护理学院

Applicant's institution:

School of Nursing, Capital Medical University

研究负责人所在单位:

Affiliation of the Leader:

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:

20119y30

伦理委员会批件附件:

Approved file of Ethical Committee:

批准本研究的伦理委员会名称:

首都医科大学伦理委员会

Name of the ethic committee:

Ethics Committee of Capital Medical University

伦理委员会批准日期:

Date of approved by ethic committee:

2012-01-01 00:00:00

伦理委员会联系人:

Contact Name of the ethic committee:

伦理委员会联系地址:

Contact Address of the ethic committee:

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:

首都医科大学护理学院

Primary sponsor:

School of Nursing, Capital Medical University

研究实施负责(组长)单位地址:

北京市丰台区右安门外西头条10号

Primary sponsor's address:

10 Xi'toutiao, You'anmenwai, Fengtai district, Beijing.

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

北京

市(区县):

Country:

China

Province:

Beijing

City:

单位(医院):

北京朝阳医院

具体地址:

Institution
hospital:

Beijing Chao-yang Hospital

Address:

经费或物资来源:

国家自然科学基金

Source(s) of funding:

National Natural Science Foundation of China

研究疾病:

心房颤动  

Target disease:

Atrial Fibrillation

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:

其它 

Study phase:

N/A

研究设计:

队列研究 

Study design:

Cohort study 

研究目的:

1)确定与汉族人心脏手术后近期和远期AF发生率增高有关的IL-6基因型 2)评价不同时间点外周血液和心包引流液中IL-6、MPO和BNP水平对POAF的预测价值 3)评价常规心电图P波特征(P波时限和P波离散度)对心脏手术后房颤的预测价值 4)探讨冠状动脉架桥手术后房颤的独立预测因子 5)评价CABG术后AF对近远期临床结局的影响 6)探讨冠状动脉旁路移植术后心房颤动的风险预测规则  

Objectives of Study:

1. To identify the IL-6 genotype for in-hospital and long-term AF after cardiac surgery; 2. To identify the predictive value of the levels of IL-6, MPO and BNP of blood and pericardial drainage effusions for postoperative AF (POAF); 3. To measure changes of P-wave duration and P-wave dispersion in the standard 12-lead electroc ardiogram (ECG) and validate the clinical value of it for the prediction of POAF; 4. To explore the independent predictors of POAF; 5. To evaluate the in-hospital and long-term outcomes of POAF; 6. To develop a postoperative atrial fibrillation prediction rule after coronary artery bypass graft surgery.

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任何AF病史(慢性AF、孤立性AF、特发性AF等);
②急症手术者;
③心脏起搏器或除颤器植入者;
④手术前后有活动性感染征象或接受糖皮质激素类及其他抑制炎症反应和免疫反应类药物治疗者;
⑤血液透析、肝功能衰竭者;
⑥不愿意参加研究或未获得知情同意书者。

Exclusion criteria:

1. patients who had a history of atrial fibrillation (chronic AF,lone AF, idiopathic AF,etc.);
2. patients with emergent cardiac surgery;
3. patients with a inplanted pacemaker or ICD;
4. patients had active infection or chronic inflammatory disorders or impaired immune system, or was on anti-inflammatory therapy;
5. patients with hemodialysis or liver failure;
6. patients who refused to participate in or haven't give written informed consent.

研究实施时间:

Study execute time:

From 2012-02-01 00:00:00 To 2017-05-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2013-02-01 00:00:00 To 2017-05-31 00:00:00

干预措施:

Interventions:

组别:

房颤组

样本量:

260

Group:

AF

Sample size:

干预措施:

干预措施代码:

Intervention:

No

Intervention code:

组别:

窦性心律组

样本量:

560

Group:

SR

Sample size:

干预措施:

干预措施代码:

Intervention:

No

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

北京 

市(区县):

 

Country:

China

Province:

Beijing

City:

单位(医院):

北京朝阳医院 

单位级别:

三级甲等 

Institution
hospital:

Beijing Chao-yang Hospital

Level of the institution:

Tertiary

国家:

中国

省(直辖市):

北京 

市(区县):

 

Country:

China

Province:

Beijing

City:

单位(医院):

首都医科大学宣武医院 

单位级别:

三甲医院 

Institution
hospital:

Xuanwu Hospital, Capital Medical University

Level of the institution:

Tertiary A hospital

测量指标:

Outcomes:

指标中文名:

心脏手术后心房颤动

指标类型:

主要指标

Outcome:

Atrial fibrillation after cardiac surgery

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

心包引流液白细胞介素-6

指标类型:

主要指标

Outcome:

Pericardial Drainage Interleukin-6

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

外周血液白细胞介素-6

指标类型:

主要指标

Outcome:

Blood Interleukin-6

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

白细胞介素-6 基因多态性

指标类型:

主要指标

Outcome:

IL-6 SNP

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

心包引流液髓过氧化物酶

指标类型:

主要指标

Outcome:

Pericardial Drainage MPO

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

外周血液髓过氧化物酶

指标类型:

主要指标

Outcome:

Blood MPO

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

心包引流液B型脑钠肽

指标类型:

主要指标

Outcome:

Pericardial Drainage BNP

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

外周血液B型脑钠肽

指标类型:

主要指标

Outcome:

Blood BNP

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血液白细胞计数

指标类型:

主要指标

Outcome:

Blood White Blood Cell count

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

P波时限

指标类型:

主要指标

Outcome:

P-wave duration

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

P波离散度

指标类型:

主要指标

Outcome:

P-wave dispersion

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

出院后房颤发生率

指标类型:

主要指标

Outcome:

the incidence of AF after discharge

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

健康相关性生活质量

指标类型:

主要指标

Outcome:

Health-related quality of life

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

认知状态

指标类型:

主要指标

Outcome:

Cognitive status

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

再住院率

指标类型:

主要指标

Outcome:

Readimission rates

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

全因死亡率

指标类型:

主要指标

Outcome:

All-cause motality

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后心肌梗死(院内)

指标类型:

主要指标

Outcome:

Postoperative myocardial infaraction(in-hospital)

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后脑卒中(院内)

指标类型:

主要指标

Outcome:

Postoperative stroke (in-hospital)

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后感染(院内)

指标类型:

主要指标

Outcome:

Postoperative infection (in-hospital)

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后新发肾功能不全(院内)

指标类型:

主要指标

Outcome:

Postoperative new-onset renal dysfunction (in-hospital)

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

术后住ICU时间

指标类型:

主要指标

Outcome:

ICU stay

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

谵妄

指标类型:

主要指标

Outcome:

Delirium

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:

心包引流液

组织:

心包腔

Sample Name:

Pericardial Drainage

Tissue:

Pericardial cavity

人体标本去向

使用后销毁  

说明

5年

Fate of sample:

Destruction after use  

Note:

5 years

标本中文名:

血液

组织:

动脉/静脉

Sample Name:

Blood

Tissue:

Artery/vein

人体标本去向

使用后销毁  

说明

5年

Fate of sample:

Destruction after use  

Note:

5 years

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 85 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):

NA

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

NA

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

否No

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):

Not stated

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

Not stated

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:

Not stated

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

Not stated

数据与安全监察委员会:

Data and Safety Monitoring Committee:

注册人:

Name of Registration:

 2013-02-11 00:00:00