Predictors of Early Chest Infection in Acute Ischemic Stroke

NCT ID: NCT00906542

Last Updated: 2010-02-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

530 participants

Study Classification

OBSERVATIONAL

Study Start Date

2009-05-31

Study Completion Date

2010-02-28

Brief Summary

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Pneumonia is a frequent complication of acute stroke and is associated with increased mortality and long-term impairment in the affected subjects. In previous studies, a number of clinical (e.g., dysphagia, severe neurological impairment, mechanical ventilation), radiological (e.g., large infarctions in the territory of middle cerebral artery, insular infarction) and biochemical (e.g., increased serum levels of C-reactive protein, decreased levels of CD4+ T-lymphocytes) findings have been reported as risk factors of stroke-related chest infection. The present study (PRECAST) aims to identify a small set out of these previously described risk factors that can predict stroke-related pneumonia with high sensitivity and specificity.

Detailed Description

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Conditions

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Acute Ischemic Stroke Pneumonia

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Acute ischemic stroke patients

Acute ischemic stroke patients admitted to the neurological intensive care unit or stroke unit within 24 hours after stroke onset in whom ischemic brain lesion was clearly assessed on CT and/or MRI

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* acute ischemic stroke
* admission to the neurological intensive care unit or stroke unit within 24 hours after stroke onset
* clearly assessed brain lesion location

Exclusion Criteria

* previous large (non-lacunar) stroke
* chest infection present already on hospital admission
* mechanical ventilation already on day 1 or 2 after hospital admission
* treatment with immunosuppressive drugs
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Rostock

OTHER

Sponsor Role lead

Responsible Party

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University of Rostock, Department of Neurology

Principal Investigators

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Uwe Walter, MD

Role: STUDY_CHAIR

University of Rostock, Germany

Locations

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University of Rostock, Department of Neurology

Rostock, , Germany

Site Status

Countries

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Germany

References

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Prass K, Meisel C, Hoflich C, Braun J, Halle E, Wolf T, Ruscher K, Victorov IV, Priller J, Dirnagl U, Volk HD, Meisel A. Stroke-induced immunodeficiency promotes spontaneous bacterial infections and is mediated by sympathetic activation reversal by poststroke T helper cell type 1-like immunostimulation. J Exp Med. 2003 Sep 1;198(5):725-36. doi: 10.1084/jem.20021098. Epub 2003 Aug 25.

Reference Type BACKGROUND
PMID: 12939340 (View on PubMed)

Chamorro A, Amaro S, Vargas M, Obach V, Cervera A, Torres F, Planas AM. Interleukin 10, monocytes and increased risk of early infection in ischaemic stroke. J Neurol Neurosurg Psychiatry. 2006 Nov;77(11):1279-81. doi: 10.1136/jnnp.2006.100800.

Reference Type BACKGROUND
PMID: 17043295 (View on PubMed)

Chamorro A, Amaro S, Vargas M, Obach V, Cervera A, Gomez-Choco M, Torres F, Planas AM. Catecholamines, infection, and death in acute ischemic stroke. J Neurol Sci. 2007 Jan 15;252(1):29-35. doi: 10.1016/j.jns.2006.10.001. Epub 2006 Nov 28.

Reference Type BACKGROUND
PMID: 17129587 (View on PubMed)

Walter U, Knoblich R, Steinhagen V, Donat M, Benecke R, Kloth A. Predictors of pneumonia in acute stroke patients admitted to a neurological intensive care unit. J Neurol. 2007 Oct;254(10):1323-9. doi: 10.1007/s00415-007-0520-0. Epub 2007 Mar 14.

Reference Type BACKGROUND
PMID: 17361338 (View on PubMed)

Vogelgesang A, Grunwald U, Langner S, Jack R, Broker BM, Kessler C, Dressel A. Analysis of lymphocyte subsets in patients with stroke and their influence on infection after stroke. Stroke. 2008 Jan;39(1):237-41. doi: 10.1161/STROKEAHA.107.493635. Epub 2007 Nov 29.

Reference Type BACKGROUND
PMID: 18048864 (View on PubMed)

Steinhagen V, Grossmann A, Benecke R, Walter U. Swallowing disturbance pattern relates to brain lesion location in acute stroke patients. Stroke. 2009 May;40(5):1903-6. doi: 10.1161/STROKEAHA.108.535468. Epub 2009 Mar 12.

Reference Type BACKGROUND
PMID: 19286597 (View on PubMed)

Other Identifiers

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PRECAST-01

Identifier Type: -

Identifier Source: org_study_id

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