Delta qSOFA for Risk Stratification in Emergency Infected Patients

NCT ID: NCT02926664

Last Updated: 2017-10-24

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

512 participants

Study Classification

OBSERVATIONAL

Study Start Date

2016-10-31

Study Completion Date

2017-05-01

Brief Summary

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The study will investigate the prognostic value of qSOFA (quick Sequential Organ Failure Assessment) kinetics between H0 and H1, and between H0 and H3 in patients with suspicion of Sepsis, i.e. an initial qSOFA of at least of 2.

Detailed Description

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qSOFA has been reported as a good tool for risk stratification in the ED for patients with infection.

However, it is not clear whether qSOFA remains stable during the ED stay, nor whether its kinetics can have prognostic added value.

Patients with a qSOFA of at least 2 in the ED, and suspicion of infection will be included.

After treatment is initiated and fluids challenge performed, we will collect qSOFA value at 1 hour and 3 hours.

Our hypothesis is that a decrease in qSOFA between H0 and H3 is associated with better outcome. We assume that 50% of patients will have a deltaqSOFA \>0, with an overall mortality of 23% (according to previous cohort). Under the hypothesis of difference of at least 15% in mortality between the two groups (DeltaqSOFA \> 0 and Delta qSOFA\<=0), with a power of 90% and an alpha of 0.05, we need to recruit 322 patients.

Conditions

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Sepsis

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Interventions

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measurement of qSOFA

qSOFA will be measured at H0, H1 and H3

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* suspicion of infection by the emergency physicians
* at least two of the following criteria : respiratory rate \<= 22, systolic blood pressure \<= 100 mmHg and altered mental status

Exclusion Criteria

* Infection ruled out by the expert after chart review
* patient who refuse to participate
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Societe Française de Medecine d'urgence

OTHER

Sponsor Role lead

Responsible Party

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Yonathan Freund

Associate professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Yonathan Freund

Role: PRINCIPAL_INVESTIGATOR

Emergency Department - hopital pitie salpetriere, Paris, France

Locations

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Cliniques St Luc

Brussels, , Belgium

Site Status

CHU Nimes

Nîmes, , France

Site Status

Cochin

Paris, , France

Site Status

Hopital Europeen Georges Pompidou

Paris, , France

Site Status

Hopital Pitié-Salpêtrière

Paris, , France

Site Status

Hopital Tenon

Paris, , France

Site Status

Lariboisière

Paris, , France

Site Status

Saint Antoine

Paris, , France

Site Status

CHU Strasbourg

Strasbourg, , France

Site Status

Hospital Clinic

Barcelona, , Spain

Site Status

Countries

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Belgium France Spain

Other Identifiers

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DeltaSCREEN

Identifier Type: -

Identifier Source: org_study_id