Lung Ultrasound to Detect Pulmonary Complications in Critically Ill Parturients

NCT ID: NCT03828630

Last Updated: 2019-04-25

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

168 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-07-08

Study Completion Date

2019-03-28

Brief Summary

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This study aims at describing the frequency, timing and type of pulmonary complications detected with lung ultrasound in critically-ill parturients in admitted to a high-dependency unit in Freetown, Sierra Leone.

Detailed Description

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Rationale: The three big 'killers' in parturients, peripartum hemorrhage, sepsis and pre-eclampsia all predispose to pulmonary complications. These complications affect management before, during and after the primary obstetric problem has been solved. A timely diagnosis and thorough follow-up of pulmonary complications may benefit parturients. Lung ultrasound (LUS) is a point-of-care imaging bedside tool increasingly used in the critical care setting that may prove useful in parturients.

Objective: To describe frequency, timing and type of pulmonary complications detected with LUS in critically ill parturients in a high-dependency unit (HDU), and to determine the association with outcome.

Hypotheses: Pulmonary complications detected by LUS are frequent in parturients admitted to a HDU in a resource-limited setting, and are associated with hospital mortality.

Study design: A prospective observational study. Study population: Critically ill parturients admitted to the HDU of the Princess Christian Maternity Hospital (PCMH) in Freetown, Sierra Leone.

Sample size: No formal sample size calculation is performed. Based on current rates of admissions to the HDU of the PCMH the investigators expect to perform LUS in at least 125 patients.

Methods: A trained physician performs all 12-region LUS investigations. LUS is performed at admission, after 24 and 48 hours, and when a patient's respiratory condition deteriorates. LUS findings are reported using a standardized semi-quantitative visual LUS scoring method.

Main study parameters/primary endpoints: The proportion of critically ill parturients admitted to the HDU of the PCMH with pulmonary complications detected by LUS, including interstitial syndrome, pulmonary consolidation, and pleural effusion.

Conditions

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Obstetric Complication Lung Injury, Acute Pulmonary Disease Acute Respiratory Distress Syndrome

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

* Admitted to the HDU of the PCMH during the study period
* Verbal informed consent of the patient or his/her formal representative

Exclusion Criteria

* Lung ultrasound not feasible, e.g., due to electricity breakdown, or absence of the trained sonographer.
Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Mahidol Oxford Tropical Medicine Research Unit

OTHER

Sponsor Role collaborator

University of Sierra Leone

OTHER

Sponsor Role collaborator

Doctors with Africa - CUAMM

OTHER

Sponsor Role collaborator

University of Bari

OTHER

Sponsor Role collaborator

Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)

OTHER

Sponsor Role lead

Responsible Party

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Prof. Dr. Marcus J. Schultz

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Marcella Schiavone, MD, PhD

Role: STUDY_CHAIR

Doctors with Africa - CUAMM

Anna de Nicolo, MD, PhD

Role: STUDY_CHAIR

University of Bari

Eva Henciles, MD

Role: PRINCIPAL_INVESTIGATOR

University of Sierra Leone

Marcus J Schultz, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Amsterdam

Locations

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Princess Christian Maternity Hospital

Freetown, , Sierra Leone

Site Status

Countries

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Sierra Leone

References

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Leopold SJ, Ghose A, Plewes KA, Mazumder S, Pisani L, Kingston HWF, Paul S, Barua A, Sattar MA, Huson MAM, Walden AP, Henwood PC, Riviello ED, Schultz MJ, Day NPJ, Kumar Dutta A, White NJ, Dondorp AM. Point-of-care lung ultrasound for the detection of pulmonary manifestations of malaria and sepsis: An observational study. PLoS One. 2018 Dec 12;13(12):e0204832. doi: 10.1371/journal.pone.0204832. eCollection 2018.

Reference Type BACKGROUND
PMID: 30540757 (View on PubMed)

Vercesi V, Pisani L, van Tongeren PSI, Lagrand WK, Leopold SJ, Huson MMA, Henwood PC, Walden A, Smit M, Riviello ED, Pelosi P, Dondorp AM, Schultz MJ; Lung Ultrasound Consortium. External confirmation and exploration of the Kigali modification for diagnosing moderate or severe ARDS. Intensive Care Med. 2018 Apr;44(4):523-524. doi: 10.1007/s00134-018-5048-5. Epub 2018 Jan 24. No abstract available.

Reference Type BACKGROUND
PMID: 29368056 (View on PubMed)

Other Identifiers

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LUSIP

Identifier Type: -

Identifier Source: org_study_id

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