Donation Network to Optimize Organ Recovery Study

NCT ID: NCT03179020

Last Updated: 2020-11-02

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

Clinical Phase

NA

Total Enrollment

1535 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-06-20

Study Completion Date

2019-08-28

Brief Summary

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This study consists in an cluster-randomized clinical trial involving near 60 Brazilian intensive care units (ICUs) with a high notification rate of potential donors of organs and tissues. ICUs will be randomized in a 1:1 ratio to manage potential organ donors through the use of a evidence-based checklist or to manage potential organ donors according usual care. The primary outcome is the rate of losses of potential donors due to cardiac arrest. Secondary outcome measures include number of effective organ donors and number of organs recovery per effective donor. The first subject was enrolled on June 20, 2018.

Detailed Description

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Conditions

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Brain Death Organ Donation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

In the present study ICUs will be randomized to manage potential organ donors through the use of a evidence-based checklist or to manage potential organ donors according usual care.
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Checklist ICUs

Management of the potential donor guided by the use of an evidence-based checklist. This checklist is based on main recommendations of the Brazilian guideline for the management of potential multiple organ donors.

Group Type EXPERIMENTAL

Checklist use

Intervention Type OTHER

Management of the potential donor guided by the use of an evidence-based checklist. This checklist is based on main recommendations of the Brazilian guideline for the management of potential multiple organ donors.

Usual Care ICUs

Management of the potential donor according usual care.

Group Type ACTIVE_COMPARATOR

Usual care

Intervention Type OTHER

Management of the potential donor according usual care.

Interventions

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Checklist use

Management of the potential donor guided by the use of an evidence-based checklist. This checklist is based on main recommendations of the Brazilian guideline for the management of potential multiple organ donors.

Intervention Type OTHER

Usual care

Management of the potential donor according usual care.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

For ICUs:

* Adults ICUs reporting at least 10 potential valid donors (without clinical contraindications for donation) per year

For potential donor:

* Age of 14 years or older
* Suspected brain death after the first clinical test

Exclusion Criteria

For ICUs:

* Coronary units, intermediate units, emergency services
* ICUs that use checklist for the management of the potential donors

For potential donors:

* Age \>90 years
* HIV
* Metastatic cancer
* Uncontrolled sepsis
* Acute hepatitis
* Malaria
* Acute viral infections
* Cryptococcal meningoencephalitis and prion diseases
* Active tuberculosis treated less than 2 months
* Colonization of the donor by bacteria without any option of antibiotic treatment
* History of breast tumor, melanoma, soft tissue sarcoma or hematologic neoplasia, WHO Group 3 primary tumors
Minimum Eligible Age

14 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ministry of Health, Brazil

OTHER_GOV

Sponsor Role collaborator

Hospital Moinhos de Vento

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Glauco Westphal, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Hospital Moinhos de Vento

Regis G Rosa, MD, PhD

Role: STUDY_DIRECTOR

Hospital Moinhos de Vento

Locations

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Hospital das Clínicas de Rio Branco

Rio Branco, Acre, Brazil

Site Status

Hospital de Urgência e Emergência de Rio Branco

Rio Branco, Acre, Brazil

Site Status

Hospital Geral Prof. Osvaldo Brandão Vilela

Maceió, Alagoas, Brazil

Site Status

Hospital de Pronto Socorro Dr. João Lúcio Pereira Machado

Manaus, Amazonas, Brazil

Site Status

Hospital Geral de Fortaleza

Fortaleza, Ceará, Brazil

Site Status

Hospital Insituto Dr José Frota

Fortaleza, Ceará, Brazil

Site Status

Hospital Regional do Cariri

Juazeiro do Norte, Ceará, Brazil

Site Status

Hospital Regional Tarcisio de Vasconcelos Maia

Mossoró, Ceará, Brazil

Site Status

Hospital Regional Norte

Sobral, Ceará, Brazil

Site Status

Santa Casa de Misericórdia de Sobral

Sobral, Ceará, Brazil

Site Status

Hospital Estadual de Urgência e Emergência de Vitória

Vitória, Espírito Santo, Brazil

Site Status

Hospital Geral Cleriston Andrade

Feira de Santana, Estado de Bahia, Brazil

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Hospital de Base do Distrito Federal

Brasília, Federal District, Brazil

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Hospital de Urgência de Goiânia

Goiânia, Goiás, Brazil

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Hospital Dr Carlos Macieira

São Luís, Maranhão, Brazil

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Socorrão I - Hospital Municipal Djalma Marques

São Luís, Maranhão, Brazil

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Santa Casa de Campo Grande

Campo Grande, Mato Grosso do Sul, Brazil

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Hospital das Clinicas das Minas Gerais

Belo Horizonte, Minas Gerais, Brazil

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Hospital João XXIII Fundação Hospitalar do Estado de Minas Gerais

Belo Horizonte, Minas Gerais, Brazil

Site Status

Hospital Universitário Ciências Médicas

Belo Horizonte, Minas Gerais, Brazil

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Santa Casa de Belo Horizonte

Belo Horizonte, Minas Gerais, Brazil

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Hospital Norte Paranaense

Arapongas, Paraná, Brazil

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Hospital e Maternidade Angelina Caron

Campina Grande do Sul, Paraná, Brazil

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Hospital Nossa Senhora do Rocio de Campo Largo

Campo Largo, Paraná, Brazil

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Hospital Universitário de Cascavel do Oeste do Paraná

Cascavel, Paraná, Brazil

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Hospital Municipal Padre Germano Lauk

Foz do Iguaçu, Paraná, Brazil

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Hospital São Vicente de Paulo Guarapuava

Guarapuava, Paraná, Brazil

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Hospital Evangélico de Londrina

Londrina, Paraná, Brazil

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Hospital Universitário Regional do Norte do Paraná

Londrina, Paraná, Brazil

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Hospital Santa Rita de Maringá

Maringá, Paraná, Brazil

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Hospital Universitário de Maringá

Maringá, Paraná, Brazil

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Irmandade Santa Casa de Misericórdia de Maringá

Maringá, Paraná, Brazil

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Hospital Bom Jesus de Ponta Grossa

Ponta Grossa, Paraná, Brazil

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Hospital Universitario Regional dos Campos Gerais

Ponta Grossa, Paraná, Brazil

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Hospital Bom Jesus de Toledo

Toledo, Paraná, Brazil

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Alberto Urquiza Wanderley - Unimed João Pessoa

João Pessoa, Paraíba, Brazil

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Hospital de Ensino Doutor Washington Antônio de barros

Petrolina, Pernambuco, Brazil

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Hospital da Restauração

Recife, Pernambuco, Brazil

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Hospital Geral de Nova Iguaçu

Nova Iguaçu, Rio de Janeiro, Brazil

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Hospital de Canoas

Canoas, Rio Grande do Sul, Brazil

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Hospital Bruno Born

Lajeado, Rio Grande do Sul, Brazil

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Hospital São Vicente de Paulo

Passo Fundo, Rio Grande do Sul, Brazil

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Hospital Universitário São Francisco de Paula

Pelotas, Rio Grande do Sul, Brazil

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Hospital Cristo Redentor

Porto Alegre, Rio Grande do Sul, Brazil

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Hospital de Clínicas de Porto Alegre

Porto Alegre, Rio Grande do Sul, Brazil

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Hospital de Pronto Socorro de Porto Alegre

Porto Alegre, Rio Grande do Sul, Brazil

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Irmandade da Santa Casa de Porto Alegre

Porto Alegre, Rio Grande do Sul, Brazil

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Hospital de Pronto Socorro João Paulo II

Porto Velho, Rondônia, Brazil

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Hospital de Urgência de Sergipe

Aracaju, Sergipe, Brazil

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Hospital das Clínicas de Botucatu

Botucatu, São Paulo, Brazil

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Hospital Universitário São Francisco da Providência de Deus de Bragança Paulista

Bragança Paulista, São Paulo, Brazil

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Hospital Municipal Irmã Dulce

Praia Grande, São Paulo, Brazil

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Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto

Ribeirão Preto, São Paulo, Brazil

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Casa de Saúde de Santos

Santos, São Paulo, Brazil

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Hospital de Base de São José do Rio Preto

São José do Rio Preto, São Paulo, Brazil

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Irmandade Santa Casa de Misericórdia de Sorocaba

Sorocaba, São Paulo, Brazil

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Hospital Regional do Vale do Paraíba

Taubaté, São Paulo, Brazil

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Hospital Estadual Getúlio Vargas

Rio de Janeiro, , Brazil

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Hospital Beneficência Portuguesa de São Paulo

São Paulo, , Brazil

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Hospital Geral de Taipas

São Paulo, , Brazil

Site Status

Hospital Paulistano

São Paulo, , Brazil

Site Status

Hospital São Paulo

São Paulo, , Brazil

Site Status

Irmandade da Santa Casa de Misericórdia de São Paulo

São Paulo, , Brazil

Site Status

Countries

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Brazil

References

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Westphal GA, Robinson CC, Giordani NE, Teixeira C, Rohden AI, Dos Passos Gimenes B, Guterres CM, Madalena IC, Andrighetto LV, Souza da Silva S, Barbosa da Silva D, Sganzerla D, Cavalcanti AB, Franke CA, Bozza FA, Machado FR, de Andrade J, Pontes Azevedo LC, Schneider S, Orlando BR, Grion CMC, Bezerra FA, Roman FR, Leite FO Jr, Ferraz Siqueira IL, Oliveira JFP, de Oliveira LC Jr, de Melo MFRB, Leal PBGP, Diniz PC, Moraes RB, Salomao Pontes DF, Araujo Queiroz JE, Hammes LS, Meade MO, Rosa RG, Falavigna M; DONORS (Donation Network to Optimize Organ Recovery Study) Investigators and the BRICNet (Brazilian Research in Intensive Care Network). Evidence-Based Checklist to Delay Cardiac Arrest in Brain-Dead Potential Organ Donors: The DONORS Cluster Randomized Clinical Trial. JAMA Netw Open. 2023 Dec 1;6(12):e2346901. doi: 10.1001/jamanetworkopen.2023.46901.

Reference Type DERIVED
PMID: 38095899 (View on PubMed)

Giordani NE, Robinson CC, Westphal GA, Rosa RG, Sganzerla D, Cavalcanti AB, Machado FR, Azevedo LCP, Bozza FA, Teixeira C, de Andrade J, Franke CA, Guterres CM, Madalena IC, Rohden AI, da Silva SS, Andrighetto LV, Rech GS, Gimenes BDP, Hammes LS, Pontes DFS, Meade MO, Falavigna M. Statistical analysis plan for a cluster-randomised trial assessing the effectiveness of implementation of a bedside evidence-based checklist for clinical management of brain-dead potential organ donors in intensive care units: DONORS (Donation Network to Optimise Organ Recovery Study). Trials. 2020 Jun 17;21(1):540. doi: 10.1186/s13063-020-04457-1.

Reference Type DERIVED
PMID: 32552839 (View on PubMed)

Westphal GA, Robinson CC, Biasi A, Machado FR, Rosa RG, Teixeira C, de Andrade J, Franke CA, Azevedo LCP, Bozza F, Guterres CM, da Silva DB, Sganzerla D, do Prado DZ, Madalena IC, Rohden AI, da Silva SS, Giordani NE, Andrighetto LV, Benck PS, Roman FR, de Melo MFRB, Pereira TB, Grion CMC, Diniz PC, Oliveira JFP, Mecatti GC, Alves FAC, Moraes RB, Nobre V, Hammes LS, Meade MO, Nothen RR, Falavigna M; DONORS (Donation Network to Optimise Organ Recovery Study) Investigators and the BRICNet. DONORS (Donation Network to Optimise Organ Recovery Study): Study protocol to evaluate the implementation of an evidence-based checklist for brain-dead potential organ donor management in intensive care units, a cluster randomised trial. BMJ Open. 2019 Jun 25;9(6):e028570. doi: 10.1136/bmjopen-2018-028570.

Reference Type DERIVED
PMID: 31243035 (View on PubMed)

Other Identifiers

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DONORS Study

Identifier Type: -

Identifier Source: org_study_id