Early Detection of Glycocalyx Damage in Emergency Room Patients

NCT ID: NCT03126032

Last Updated: 2020-04-02

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

260 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-04-03

Study Completion Date

2019-12-31

Brief Summary

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Aim of the study is to evaluate to what extent a glycocalyx damage measured in the ER in patients presenting with sepsis correlates with their clinical course and if it can be used as a clinical stratification tool and mortality predictor.

The study will focus on the changes of the microcirculation and how they correlate with the macrocirculation, as well as microbiologic parameters. In the study will participate ca. 300 patients with sepsis, as well as 30 patients without sepsis and 30 healthy individuals.

Detailed Description

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Conditions

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Sepsis SIRS

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Patients with suspected sepsis

Patients presenting in the Emergency Room (ER) with the clinical suspicion of infection/sepsis.

Evaluation of the glycocalyx damage with the use of GlycoCheck™-System, as well as blood sample at presentation, day 1 and day 7 of their hospital stay.

GlycoCheck™-System

Intervention Type OTHER

Consecutive, sublingual measurements of endothelial glycocalyx with GlycoCheck™-System will be obtained at presentation, as well as during the inpatient treatment of the patients with suspected sepsis.

Blood sample will be drawn in all groups at time of assessment. Besides that, in patients with suspected sepsis blood samples will be drawn for further microbiologic and laboratory analysis at day 1 and day 7 of their hospital stay.

Non-Sepsis Patients

Patients presenting in the Emergency Room with other conditions apart from infection/sepsis.

Evaluation of their sublingual glycocalyx and blood sample for further microbiologic and laboratory analysis at presentation.

GlycoCheck™-System

Intervention Type OTHER

Consecutive, sublingual measurements of endothelial glycocalyx with GlycoCheck™-System will be obtained at presentation, as well as during the inpatient treatment of the patients with suspected sepsis.

Blood sample will be drawn in all groups at time of assessment. Besides that, in patients with suspected sepsis blood samples will be drawn for further microbiologic and laboratory analysis at day 1 and day 7 of their hospital stay.

Healthy Individuals

Evaluation of their sublingual glycocalyx and blood sample for further microbiologic and laboratory analysis at presentation.

GlycoCheck™-System

Intervention Type OTHER

Consecutive, sublingual measurements of endothelial glycocalyx with GlycoCheck™-System will be obtained at presentation, as well as during the inpatient treatment of the patients with suspected sepsis.

Blood sample will be drawn in all groups at time of assessment. Besides that, in patients with suspected sepsis blood samples will be drawn for further microbiologic and laboratory analysis at day 1 and day 7 of their hospital stay.

Interventions

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GlycoCheck™-System

Consecutive, sublingual measurements of endothelial glycocalyx with GlycoCheck™-System will be obtained at presentation, as well as during the inpatient treatment of the patients with suspected sepsis.

Blood sample will be drawn in all groups at time of assessment. Besides that, in patients with suspected sepsis blood samples will be drawn for further microbiologic and laboratory analysis at day 1 and day 7 of their hospital stay.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

Patients with suspected sepsis

* Adult patients presenting to the ER with the clinical suspicion of infection
* Indication for hospital admission

Patients without sepsis

* Adult patients presenting to the ER with other conditions apart from sepsis/infection.

Healthy individuals

* Adult healthy individuals.

Exclusion Criteria

* Underage persons
* Pregnant women
* Oral mucosal injuries
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University Hospital Muenster

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Philipp Kümpers, MD

Role: PRINCIPAL_INVESTIGATOR

University Muenster

Locations

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Universitiy Hospital Muenster

Münster, , Germany

Site Status

Countries

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Germany

Related Links

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Other Identifiers

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EDGE 001

Identifier Type: -

Identifier Source: org_study_id

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