Trial Outcomes & Findings for Pediatric Guideline Adherence and Outcomes- Argentina (NCT NCT03896789)

NCT ID: NCT03896789

Last Updated: 2025-01-29

Results Overview

Adherence to nine of the 15 Brain Trauma Foundation TBI guideline indicators were determined for indicators that were logistically relevant in the South American clinical care context. To determine the first 3-day cumulative ICU TBI guideline adherence rate, adherence to each indicator was first determined for each participant and coded as yes/no/not applicable for each day. For continuous indicators, the daily guideline adherence rate to each indicator was averaged over the first three days. For non-continuous indicators, the daily guideline adherence rate to each indicator was defined as 100% if adherence was achieved within any of the first three days. The 3-day cumulative ICU TBI guideline adherence rate, overall was determined by averaging adherence rates across all nine guideline indicators. Guideline adherence was clustered by site and grouped by site allocation (control or intervention).

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

505 participants

Primary outcome timeframe

ICU Stay for severe TBI care, first 3 days from admission (or until death or discharge, if before 3 days).

Results posted on

2025-01-29

Participant Flow

Participants were screened based on ICU admission at 16 South American study hospitals between September 1, 2019 and September 30, 2023. The first participant was enrolled on September 9, 2019 and the last participant was enrolled September 26, 2023.

Due to COVID-19, we reverted to a parallel-cluster design before randomization, resulting in a baseline period (9/1/19-7/13/20) with usual care data collected at all sites. Arm assignment and site notification was 7/13/20. Participants enrolled between 7/14/20-9/30/20 during intervention site training are included in the assigned arm (intention-to-treat) due to possible behavior change once assignment was known. Intervention implementation began for participants enrolled between 10/1/20-9/30/23.

Unit of analysis: Sites

Participant milestones

Participant milestones
Measure
Usual Care, Then Usual Care (Control)
All sites collected usual care data from participants enrolled before randomization. This arm (8 sites) was randomized to maintain usual care (control) on 7/13/2020. Participants recruited post-randomization are included in the post-randomization period. They will receive the opportunity for the PEGASUS program training (intervention) after the end of study.
Usual Care, Then PEGASUS Program (Intervention)
All sites collected usual care data from participants enrolled before randomization. This arm (8 sites) was randomized to receive the PEGASUS program (intervention) on 7/13/2020. Intervention site training occurred before the intervention was implemented for new participants beginning 10/1/2020. Participants recruited post-randomization but pre-implementation are included in the post-randomization period through end of recruitment 9/30/2023. PEGASUS Program for Care: This is in essence a checklist of pediatric guidelines to follow for participants who meet inclusion criteria. Site staff will receive training in how to implement this pathway into their usual care.
Baseline
STARTED
55 8
61 8
Baseline
3-month Post-admission Follow-up
52 8
55 8
Baseline
COMPLETED
51 8
53 8
Baseline
NOT COMPLETED
4 0
8 0
Post-Randomization
STARTED
208 8
181 8
Post-Randomization
3-month Post-admission Follow-up
196 8
168 8
Post-Randomization
COMPLETED
184 8
157 8
Post-Randomization
NOT COMPLETED
24 0
24 0

Reasons for withdrawal

Reasons for withdrawal
Measure
Usual Care, Then Usual Care (Control)
All sites collected usual care data from participants enrolled before randomization. This arm (8 sites) was randomized to maintain usual care (control) on 7/13/2020. Participants recruited post-randomization are included in the post-randomization period. They will receive the opportunity for the PEGASUS program training (intervention) after the end of study.
Usual Care, Then PEGASUS Program (Intervention)
All sites collected usual care data from participants enrolled before randomization. This arm (8 sites) was randomized to receive the PEGASUS program (intervention) on 7/13/2020. Intervention site training occurred before the intervention was implemented for new participants beginning 10/1/2020. Participants recruited post-randomization but pre-implementation are included in the post-randomization period through end of recruitment 9/30/2023. PEGASUS Program for Care: This is in essence a checklist of pediatric guidelines to follow for participants who meet inclusion criteria. Site staff will receive training in how to implement this pathway into their usual care.
Baseline
Lost to Follow-up
1
2
Baseline
Death
3
6
Post-Randomization
Lost to Follow-up
12
11
Post-Randomization
Death
12
13

Baseline Characteristics

The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Usual Care, Then Usual Care (Control)
n=263 Participants
All sites collected usual care data from participants enrolled before randomization. This arm (8 sites) was randomized to maintain usual care (control) on 7/13/2020. Participants recruited post-randomization are included in the post-randomization period. They will receive the opportunity for the PEGASUS program training (intervention) after the end of study.
Usual Care, Then PEGASUS Program (Intervention)
n=242 Participants
All sites collected usual care data from participants enrolled before randomization. This arm (8 sites) was randomized to receive the PEGASUS program (intervention) on 7/13/2020. Intervention site training occurred before the intervention was implemented for new participants beginning 10/1/2020. Participants recruited post-randomization but pre-implementation are included in the post-randomization period through end of recruitment 9/30/2023. PEGASUS Program for Care: This is in essence a checklist of pediatric guidelines to follow for participants who meet inclusion criteria. Site staff will receive training in how to implement this pathway into their usual care.
Total
n=505 Participants
Total of all reporting groups
Age, Continuous
Baseline
6.2 years
STANDARD_DEVIATION 4.7 • n=55 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
7.7 years
STANDARD_DEVIATION 5.7 • n=61 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
7.0 years
STANDARD_DEVIATION 5.3 • n=116 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
Age, Continuous
Post-Randomization
6.9 years
STANDARD_DEVIATION 4.5 • n=208 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
7.8 years
STANDARD_DEVIATION 4.8 • n=181 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
7.3 years
STANDARD_DEVIATION 4.7 • n=389 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
Sex: Female, Male
Baseline · Female
19 Participants
n=55 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
23 Participants
n=61 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
42 Participants
n=116 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
Sex: Female, Male
Baseline · Male
36 Participants
n=55 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
38 Participants
n=61 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
74 Participants
n=116 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
Sex: Female, Male
Post-Randomization · Female
77 Participants
n=208 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
58 Participants
n=181 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
135 Participants
n=389 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
Sex: Female, Male
Post-Randomization · Male
131 Participants
n=208 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
123 Participants
n=181 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
254 Participants
n=389 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Total Glasgow Coma Scale (GCS) score <=8
Baseline · At admission <=8
35 Participants
n=55 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
48 Participants
n=61 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
83 Participants
n=116 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
Total Glasgow Coma Scale (GCS) score <=8
Baseline · Deteriorated <=8
18 Participants
n=55 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
13 Participants
n=61 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
31 Participants
n=116 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
Total Glasgow Coma Scale (GCS) score <=8
Baseline · Total GCS >8 (but motor<=5)
2 Participants
n=55 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
0 Participants
n=61 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
2 Participants
n=116 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
Total Glasgow Coma Scale (GCS) score <=8
Post-Randomization · At admission <=8
146 Participants
n=208 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
138 Participants
n=181 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
284 Participants
n=389 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
Total Glasgow Coma Scale (GCS) score <=8
Post-Randomization · Deteriorated <=8
62 Participants
n=208 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
43 Participants
n=181 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
105 Participants
n=389 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
Total Glasgow Coma Scale (GCS) score <=8
Post-Randomization · Total GCS >8 (but motor<=5)
0 Participants
n=208 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
0 Participants
n=181 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
0 Participants
n=389 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
Any extracranial injury
Baseline · No
20 Participants
n=55 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
19 Participants
n=61 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
39 Participants
n=116 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
Any extracranial injury
Baseline · Yes
35 Participants
n=55 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
42 Participants
n=61 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
77 Participants
n=116 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
Any extracranial injury
Post-Randomization · No
61 Participants
n=208 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
31 Participants
n=181 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
92 Participants
n=389 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
Any extracranial injury
Post-Randomization · Yes
147 Participants
n=208 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
150 Participants
n=181 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
297 Participants
n=389 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
Injury Severity Scale (ISS)
Baseline
26.9 units on a scale
STANDARD_DEVIATION 20.8 • n=55 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
28.8 units on a scale
STANDARD_DEVIATION 18.7 • n=61 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
27.3 units on a scale
STANDARD_DEVIATION 20 • n=116 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
Injury Severity Scale (ISS)
Post-Randomization
26.3 units on a scale
STANDARD_DEVIATION 18.8 • n=208 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
29.6 units on a scale
STANDARD_DEVIATION 16.7 • n=181 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.
27.8 units on a scale
STANDARD_DEVIATION 17.9 • n=389 Participants • The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.

PRIMARY outcome

Timeframe: ICU Stay for severe TBI care, first 3 days from admission (or until death or discharge, if before 3 days).

Population: We compared control and intervention arms post-randomization (07/13/20) in statistical analysis. Baseline period data contributed to other adjusted analyses.

Adherence to nine of the 15 Brain Trauma Foundation TBI guideline indicators were determined for indicators that were logistically relevant in the South American clinical care context. To determine the first 3-day cumulative ICU TBI guideline adherence rate, adherence to each indicator was first determined for each participant and coded as yes/no/not applicable for each day. For continuous indicators, the daily guideline adherence rate to each indicator was averaged over the first three days. For non-continuous indicators, the daily guideline adherence rate to each indicator was defined as 100% if adherence was achieved within any of the first three days. The 3-day cumulative ICU TBI guideline adherence rate, overall was determined by averaging adherence rates across all nine guideline indicators. Guideline adherence was clustered by site and grouped by site allocation (control or intervention).

Outcome measures

Outcome measures
Measure
Usual Care, Then Usual Care (Control)
n=263 Participants
All sites collected usual care data from participants enrolled before randomization. This arm (8 sites) was randomized to maintain usual care (control) on 7/13/2020. Participants recruited post-randomization are included in the post-randomization period. They will receive the opportunity for the PEGASUS program training (intervention) after the end of study.
Usual Care, Then PEGASUS Program (Intervention)
n=242 Participants
All sites collected usual care data from participants enrolled before randomization. This arm (8 sites) was randomized to receive the PEGASUS program (intervention) on 7/13/2020. Intervention site training occurred before the intervention was implemented for new participants beginning 10/1/2020. Participants recruited post-randomization but pre-implementation are included in the post-randomization period through end of recruitment 9/30/2023. PEGASUS Program for Care: This is in essence a checklist of pediatric guidelines to follow for participants who meet inclusion criteria. Site staff will receive training in how to implement this pathway into their usual care.
First 3-day Cumulative Intensive Care Unit (ICU) Traumatic Brain Injury (TBI) Guideline Adherence Rate, Overall
Baseline
81.7 mean percentage of guideline adherence
Standard Deviation 12.9
81.0 mean percentage of guideline adherence
Standard Deviation 13.2
First 3-day Cumulative Intensive Care Unit (ICU) Traumatic Brain Injury (TBI) Guideline Adherence Rate, Overall
Post-Randomization
83.7 mean percentage of guideline adherence
Standard Deviation 11.5
84.4 mean percentage of guideline adherence
Standard Deviation 12.8

SECONDARY outcome

Timeframe: Started within 24 hours of patient eligibility (at admission or deterioration)

Population: Analysis was intention-to-treat. Patients enrolled to the intervention arm after randomization, but before intervention implementation were still included because site investigators and sites were aware of their arm assignment from that date and could have altered behavior during the training interval before implementation start.

This outcome will be measured as yes/no for each participant at intervention sites to assess intervention delivery. In essence, the intervention started (use of PEGASUS program clinical pathway) within 24 hours of their eligibility and enrollment. Due to our intention-to-treat analysis plan, participants who enrolled after randomization but before intervention implementation at intervention sites are included in the analysis. Although they could not have implemented the intervention, sites were aware of their allocation status and were preparing and training during this interval.

Outcome measures

Outcome measures
Measure
Usual Care, Then Usual Care (Control)
n=181 Participants
All sites collected usual care data from participants enrolled before randomization. This arm (8 sites) was randomized to maintain usual care (control) on 7/13/2020. Participants recruited post-randomization are included in the post-randomization period. They will receive the opportunity for the PEGASUS program training (intervention) after the end of study.
Usual Care, Then PEGASUS Program (Intervention)
All sites collected usual care data from participants enrolled before randomization. This arm (8 sites) was randomized to receive the PEGASUS program (intervention) on 7/13/2020. Intervention site training occurred before the intervention was implemented for new participants beginning 10/1/2020. Participants recruited post-randomization but pre-implementation are included in the post-randomization period through end of recruitment 9/30/2023. PEGASUS Program for Care: This is in essence a checklist of pediatric guidelines to follow for participants who meet inclusion criteria. Site staff will receive training in how to implement this pathway into their usual care.
Clinical Pathway Adoption
Post-Randomization, Pre-Implementation
11 Participants
Clinical Pathway Adoption
Post-Randomization, Post-Implementation Implemented Clinical Pathway
170 Participants
Clinical Pathway Adoption
Post-Randomization, Post-Implementation Did Not Implement Clinical Pathway
0 Participants

SECONDARY outcome

Timeframe: Assessed at Discharge. This varies for each participant since the duration of hospitalization depended on the clinical care factors of each individual and could not be controlled by the study.

Population: The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.

Participants' GOS score at hospital discharge from medical record: Death-1 (worse) Vegetative State-2 Severe Disability-3 Moderate Disability-4 Good Recovery-5 (better) The timing varies for each participant since the duration of hospitalization depended on the clinical care factors of each individual and could not be controlled by the study.

Outcome measures

Outcome measures
Measure
Usual Care, Then Usual Care (Control)
n=263 Participants
All sites collected usual care data from participants enrolled before randomization. This arm (8 sites) was randomized to maintain usual care (control) on 7/13/2020. Participants recruited post-randomization are included in the post-randomization period. They will receive the opportunity for the PEGASUS program training (intervention) after the end of study.
Usual Care, Then PEGASUS Program (Intervention)
n=242 Participants
All sites collected usual care data from participants enrolled before randomization. This arm (8 sites) was randomized to receive the PEGASUS program (intervention) on 7/13/2020. Intervention site training occurred before the intervention was implemented for new participants beginning 10/1/2020. Participants recruited post-randomization but pre-implementation are included in the post-randomization period through end of recruitment 9/30/2023. PEGASUS Program for Care: This is in essence a checklist of pediatric guidelines to follow for participants who meet inclusion criteria. Site staff will receive training in how to implement this pathway into their usual care.
Glasgow Outcome Scale (GOS) Score at Discharge
Post-Randomization · Severe disability
18 Participants
17 Participants
Glasgow Outcome Scale (GOS) Score at Discharge
Post-Randomization · Moderate disability
24 Participants
42 Participants
Glasgow Outcome Scale (GOS) Score at Discharge
Post-Randomization · Good recovery
139 Participants
100 Participants
Glasgow Outcome Scale (GOS) Score at Discharge
Baseline · Death (all-cause)
3 Participants
6 Participants
Glasgow Outcome Scale (GOS) Score at Discharge
Baseline · Vegetative state
0 Participants
2 Participants
Glasgow Outcome Scale (GOS) Score at Discharge
Baseline · Severe disability
5 Participants
4 Participants
Glasgow Outcome Scale (GOS) Score at Discharge
Baseline · Moderate disability
3 Participants
19 Participants
Glasgow Outcome Scale (GOS) Score at Discharge
Baseline · Good recovery
44 Participants
30 Participants
Glasgow Outcome Scale (GOS) Score at Discharge
Post-Randomization · Death (all-cause)
12 Participants
13 Participants
Glasgow Outcome Scale (GOS) Score at Discharge
Post-Randomization · Vegetative state
15 Participants
9 Participants

SECONDARY outcome

Timeframe: Assessed at Discharge. This varies for each participant since the duration of hospitalization depended on the clinical care factors of each individual and could not be controlled by the study.

Population: The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.

Number of survivors at intervention and control sites (descriptive and not powered for this outcome).

Outcome measures

Outcome measures
Measure
Usual Care, Then Usual Care (Control)
n=263 Participants
All sites collected usual care data from participants enrolled before randomization. This arm (8 sites) was randomized to maintain usual care (control) on 7/13/2020. Participants recruited post-randomization are included in the post-randomization period. They will receive the opportunity for the PEGASUS program training (intervention) after the end of study.
Usual Care, Then PEGASUS Program (Intervention)
n=242 Participants
All sites collected usual care data from participants enrolled before randomization. This arm (8 sites) was randomized to receive the PEGASUS program (intervention) on 7/13/2020. Intervention site training occurred before the intervention was implemented for new participants beginning 10/1/2020. Participants recruited post-randomization but pre-implementation are included in the post-randomization period through end of recruitment 9/30/2023. PEGASUS Program for Care: This is in essence a checklist of pediatric guidelines to follow for participants who meet inclusion criteria. Site staff will receive training in how to implement this pathway into their usual care.
Discharge Survival
Baseline · Died in-hospital
3 Participants
6 Participants
Discharge Survival
Baseline · Survived
52 Participants
55 Participants
Discharge Survival
Post-Randomization · Died in-hospital
12 Participants
13 Participants
Discharge Survival
Post-Randomization · Survived
196 Participants
168 Participants

SECONDARY outcome

Timeframe: 3 months post-admission

Population: 3-month outcome assessment among those who survived (enrolled participants less those who died in-hospital) and reached for follow-up. Lost-to-follow-up noted in Participant Flow.

We will examine participants' recovery using GOSE-Peds scores. These were assessed by site study staff either in-person, by telephone, or from medical record approximately 3 months after the admission date. Death-8 (worse) Vegetative State-7 Severe Disability lower-6 Severe Disability upper-5 Moderate Disability lower-4 Moderate Disability upper-3 Good Recovery lower-2 Good Recovery upper-1 (better)

Outcome measures

Outcome measures
Measure
Usual Care, Then Usual Care (Control)
n=235 Participants
All sites collected usual care data from participants enrolled before randomization. This arm (8 sites) was randomized to maintain usual care (control) on 7/13/2020. Participants recruited post-randomization are included in the post-randomization period. They will receive the opportunity for the PEGASUS program training (intervention) after the end of study.
Usual Care, Then PEGASUS Program (Intervention)
n=210 Participants
All sites collected usual care data from participants enrolled before randomization. This arm (8 sites) was randomized to receive the PEGASUS program (intervention) on 7/13/2020. Intervention site training occurred before the intervention was implemented for new participants beginning 10/1/2020. Participants recruited post-randomization but pre-implementation are included in the post-randomization period through end of recruitment 9/30/2023. PEGASUS Program for Care: This is in essence a checklist of pediatric guidelines to follow for participants who meet inclusion criteria. Site staff will receive training in how to implement this pathway into their usual care.
Glasgow Outcome Scale-Extended, Pediatric Version (GOSE-Peds)
Baseline · Good recovery-upper
32 Participants
27 Participants
Glasgow Outcome Scale-Extended, Pediatric Version (GOSE-Peds)
Post-Randomization · Good recovery-lower
26 Participants
26 Participants
Glasgow Outcome Scale-Extended, Pediatric Version (GOSE-Peds)
Baseline · Death
0 Participants
0 Participants
Glasgow Outcome Scale-Extended, Pediatric Version (GOSE-Peds)
Baseline · Vegetative state
0 Participants
2 Participants
Glasgow Outcome Scale-Extended, Pediatric Version (GOSE-Peds)
Baseline · Severe disability-lower
5 Participants
8 Participants
Glasgow Outcome Scale-Extended, Pediatric Version (GOSE-Peds)
Baseline · Severe disability-upper
7 Participants
10 Participants
Glasgow Outcome Scale-Extended, Pediatric Version (GOSE-Peds)
Baseline · Moderate disability-lower
0 Participants
1 Participants
Glasgow Outcome Scale-Extended, Pediatric Version (GOSE-Peds)
Baseline · Moderate disability-upper
4 Participants
1 Participants
Glasgow Outcome Scale-Extended, Pediatric Version (GOSE-Peds)
Baseline · Good recovery-lower
3 Participants
4 Participants
Glasgow Outcome Scale-Extended, Pediatric Version (GOSE-Peds)
Post-Randomization · Death
0 Participants
0 Participants
Glasgow Outcome Scale-Extended, Pediatric Version (GOSE-Peds)
Post-Randomization · Vegetative state
6 Participants
9 Participants
Glasgow Outcome Scale-Extended, Pediatric Version (GOSE-Peds)
Post-Randomization · Severe disability-lower
27 Participants
25 Participants
Glasgow Outcome Scale-Extended, Pediatric Version (GOSE-Peds)
Post-Randomization · Severe disability-upper
11 Participants
17 Participants
Glasgow Outcome Scale-Extended, Pediatric Version (GOSE-Peds)
Post-Randomization · Moderate disability-lower
4 Participants
4 Participants
Glasgow Outcome Scale-Extended, Pediatric Version (GOSE-Peds)
Post-Randomization · Moderate disability-upper
9 Participants
8 Participants
Glasgow Outcome Scale-Extended, Pediatric Version (GOSE-Peds)
Post-Randomization · Good recovery-upper
101 Participants
68 Participants

SECONDARY outcome

Timeframe: 3 months post admission

Population: The two row titles encompass two participant recruitment periods with patients participating in only one period. The sum of the rows equals the overall. Participants enrolled during baseline (study start through randomization on 7/13/20) provided usual care data. Participants enrolled during post-randomization (beginning 7/14/20 through study end) provided either usual care or intervention implementation data. This period was the population used in the primary analysis.

We will examine participants' mortality at 3 months post discharge

Outcome measures

Outcome measures
Measure
Usual Care, Then Usual Care (Control)
n=235 Participants
All sites collected usual care data from participants enrolled before randomization. This arm (8 sites) was randomized to maintain usual care (control) on 7/13/2020. Participants recruited post-randomization are included in the post-randomization period. They will receive the opportunity for the PEGASUS program training (intervention) after the end of study.
Usual Care, Then PEGASUS Program (Intervention)
n=210 Participants
All sites collected usual care data from participants enrolled before randomization. This arm (8 sites) was randomized to receive the PEGASUS program (intervention) on 7/13/2020. Intervention site training occurred before the intervention was implemented for new participants beginning 10/1/2020. Participants recruited post-randomization but pre-implementation are included in the post-randomization period through end of recruitment 9/30/2023. PEGASUS Program for Care: This is in essence a checklist of pediatric guidelines to follow for participants who meet inclusion criteria. Site staff will receive training in how to implement this pathway into their usual care.
Mortality, 3-Month
Baseline · Died
0 Participants
0 Participants
Mortality, 3-Month
Baseline · Survived
51 Participants
53 Participants
Mortality, 3-Month
Post-Randomized · Died
0 Participants
0 Participants
Mortality, 3-Month
Post-Randomized · Survived
184 Participants
157 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: ICU Stay for severe TBI care, first 3 days from admission (or until death or discharge, if before 3 days).

Population: We compared control and intervention arms post-randomization (07/13/20) in statistical analysis by extracranial injury status.

Adherence to nine of the 15 Brain Trauma Foundation TBI guideline indicators were determined for indicators that were logistically relevant in the South American clinical care context. To determine the first 3-day cumulative ICU TBI guideline adherence rate, adherence to each indicator was first determined for each participant and coded as yes/no/not applicable for each day. For continuous indicators, the daily guideline adherence rate to each indicator was averaged over the first three days. For non-continuous indicators, the daily guideline adherence rate to each indicator was defined as 100% if adherence was achieved within any of the first three days. The 3-day cumulative ICU TBI guideline adherence rate, overall was determined by averaging adherence rates across all nine guideline indicators. Guideline adherence was clustered by site and grouped by site allocation (control or intervention). Here, we stratified by extracranial injury status (isolated TBI vs. TBI and ext

Outcome measures

Outcome measures
Measure
Usual Care, Then Usual Care (Control)
n=263 Participants
All sites collected usual care data from participants enrolled before randomization. This arm (8 sites) was randomized to maintain usual care (control) on 7/13/2020. Participants recruited post-randomization are included in the post-randomization period. They will receive the opportunity for the PEGASUS program training (intervention) after the end of study.
Usual Care, Then PEGASUS Program (Intervention)
n=242 Participants
All sites collected usual care data from participants enrolled before randomization. This arm (8 sites) was randomized to receive the PEGASUS program (intervention) on 7/13/2020. Intervention site training occurred before the intervention was implemented for new participants beginning 10/1/2020. Participants recruited post-randomization but pre-implementation are included in the post-randomization period through end of recruitment 9/30/2023. PEGASUS Program for Care: This is in essence a checklist of pediatric guidelines to follow for participants who meet inclusion criteria. Site staff will receive training in how to implement this pathway into their usual care.
Cumulative First 3-day ICU TBI Guideline Adherence Rate, by Extracranial Injury Status
Baseline, Isolated TBI (non-head AIS=0)
80.2 mean percentage of guideline adherence
Standard Deviation 12.1
84.3 mean percentage of guideline adherence
Standard Deviation 12.2
Cumulative First 3-day ICU TBI Guideline Adherence Rate, by Extracranial Injury Status
Baseline, Extracranial injury (non-head AIS>0)
83.0 mean percentage of guideline adherence
Standard Deviation 13.4
79.6 mean percentage of guideline adherence
Standard Deviation 13.4
Cumulative First 3-day ICU TBI Guideline Adherence Rate, by Extracranial Injury Status
Post-Randomization, Isolated TBI (non-head AIS=0)
81 mean percentage of guideline adherence
Standard Deviation 13.9
86.2 mean percentage of guideline adherence
Standard Deviation 12.4
Cumulative First 3-day ICU TBI Guideline Adherence Rate, by Extracranial Injury Status
Post-Randomization, Extracranial injury (non-head AIS>0)
84.8 mean percentage of guideline adherence
Standard Deviation 10.2
84.0 mean percentage of guideline adherence
Standard Deviation 12.9

Adverse Events

Usual Care at Baseline (Site That Was Later Assigned to the Control)

Serious events: 6 serious events
Other events: 21 other events
Deaths: 3 deaths

Usual Care at Post-Randomization Control Site

Serious events: 34 serious events
Other events: 72 other events
Deaths: 12 deaths

Usual Care at Baseline (Site That Was Later Assigned to the Intervention)

Serious events: 7 serious events
Other events: 16 other events
Deaths: 6 deaths

PEGASUS Program at Post-Randomization Intervention Site

Serious events: 17 serious events
Other events: 78 other events
Deaths: 13 deaths

Serious adverse events

Serious adverse events
Measure
Usual Care at Baseline (Site That Was Later Assigned to the Control)
n=55 participants at risk
All participants received Usual Care. This arm (8 sites) was randomized to maintain usual care (control) on 7/13/2020. Data for Adverse Events from the Baseline period (9/1/19-7/13/20) are listed here. See Outcomes for Mortality separated by study period.
Usual Care at Post-Randomization Control Site
n=208 participants at risk
All participants received Usual Care. This arm (8 sites) was randomized to maintain usual care (control) on 7/13/2020. Data for Adverse Events from the Post-Randomization period (7/14/20-9/30/23) are listed here. See Outcomes for Mortality separated by study period. Sites will receive the opportunity for the PEGASUS program training (intervention) after the end of study.
Usual Care at Baseline (Site That Was Later Assigned to the Intervention)
n=61 participants at risk
All participants received Usual Care. This arm (8 sites) was randomized to PEGASUS (intervention) on 7/13/2020. Data for Adverse Events from the Baseline period (9/1/19-7/13/20) are listed here. See Outcomes for Mortality separated by study period.
PEGASUS Program at Post-Randomization Intervention Site
n=181 participants at risk
All participants received the PEGASUS Program in addition to Usual Care. This arm (8 sites) was randomized to PEGASUS (intervention) on 7/13/2020. Data for Adverse Events from the Post-Randomization period (7/14/20-9/30/23) are listed here. See Outcomes for Mortality separated by study period. Intervention site training occurred before the intervention was implemented for participants admitted beginning 10/1/2020. Participants in the Post-Randomization were intention-to-treat once site arm was assigned. Participants in this study period received Usual Care while site were receiving pre-implementation training, after implementation, participants received Usual Care and the PEGASUS Program. See Outcomes for Mortality separated by study period. PEGASUS Program for Care: This is in essence a checklist of pediatric guidelines to follow for participants who meet inclusion criteria. Site staff will receive training in how to implement this pathway into their usual care.
Infections and infestations
Pneumonia
1.8%
1/55 • Number of events 1 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
4.3%
9/208 • Number of events 12 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
1.6%
1/61 • Number of events 1 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
2.8%
5/181 • Number of events 5 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
Cardiac disorders
Arrhythmia
0.00%
0/55 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
0.96%
2/208 • Number of events 5 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
0.00%
0/61 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
0.55%
1/181 • Number of events 1 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
General disorders
Shock
7.3%
4/55 • Number of events 4 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
8.2%
17/208 • Number of events 23 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
4.9%
3/61 • Number of events 4 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
4.4%
8/181 • Number of events 8 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
Infections and infestations
Peritonitis
0.00%
0/55 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
0.00%
0/208 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
0.00%
0/61 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
0.00%
0/181 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
Nervous system disorders
Intraparenchymal hemorrhage
3.6%
2/55 • Number of events 2 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
1.4%
3/208 • Number of events 3 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
1.6%
1/61 • Number of events 1 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
1.1%
2/181 • Number of events 2 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
Respiratory, thoracic and mediastinal disorders
Other: Respiratory
3.6%
2/55 • Number of events 3 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
1.4%
3/208 • Number of events 3 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
3.3%
2/61 • Number of events 2 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
0.00%
0/181 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
Nervous system disorders
Other: Neurological
0.00%
0/55 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
5.8%
12/208 • Number of events 15 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
1.6%
1/61 • Number of events 1 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
2.2%
4/181 • Number of events 10 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
Metabolism and nutrition disorders
Other: Electrolyte/Metabolic
0.00%
0/55 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
1.9%
4/208 • Number of events 9 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
0.00%
0/61 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
0.55%
1/181 • Number of events 2 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
Cardiac disorders
Other: Cardiac
0.00%
0/55 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
0.48%
1/208 • Number of events 1 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
0.00%
0/61 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
0.00%
0/181 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
Blood and lymphatic system disorders
Other: Hematology
0.00%
0/55 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
0.00%
0/208 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
0.00%
0/61 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
0.00%
0/181 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
Infections and infestations
Other: Infectious
0.00%
0/55 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
0.96%
2/208 • Number of events 2 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
0.00%
0/61 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
0.55%
1/181 • Number of events 1 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.

Other adverse events

Other adverse events
Measure
Usual Care at Baseline (Site That Was Later Assigned to the Control)
n=55 participants at risk
All participants received Usual Care. This arm (8 sites) was randomized to maintain usual care (control) on 7/13/2020. Data for Adverse Events from the Baseline period (9/1/19-7/13/20) are listed here. See Outcomes for Mortality separated by study period.
Usual Care at Post-Randomization Control Site
n=208 participants at risk
All participants received Usual Care. This arm (8 sites) was randomized to maintain usual care (control) on 7/13/2020. Data for Adverse Events from the Post-Randomization period (7/14/20-9/30/23) are listed here. See Outcomes for Mortality separated by study period. Sites will receive the opportunity for the PEGASUS program training (intervention) after the end of study.
Usual Care at Baseline (Site That Was Later Assigned to the Intervention)
n=61 participants at risk
All participants received Usual Care. This arm (8 sites) was randomized to PEGASUS (intervention) on 7/13/2020. Data for Adverse Events from the Baseline period (9/1/19-7/13/20) are listed here. See Outcomes for Mortality separated by study period.
PEGASUS Program at Post-Randomization Intervention Site
n=181 participants at risk
All participants received the PEGASUS Program in addition to Usual Care. This arm (8 sites) was randomized to PEGASUS (intervention) on 7/13/2020. Data for Adverse Events from the Post-Randomization period (7/14/20-9/30/23) are listed here. See Outcomes for Mortality separated by study period. Intervention site training occurred before the intervention was implemented for participants admitted beginning 10/1/2020. Participants in the Post-Randomization were intention-to-treat once site arm was assigned. Participants in this study period received Usual Care while site were receiving pre-implementation training, after implementation, participants received Usual Care and the PEGASUS Program. See Outcomes for Mortality separated by study period. PEGASUS Program for Care: This is in essence a checklist of pediatric guidelines to follow for participants who meet inclusion criteria. Site staff will receive training in how to implement this pathway into their usual care.
Infections and infestations
Pneumonia
10.9%
6/55 • Number of events 7 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
23.6%
49/208 • Number of events 50 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
16.4%
10/61 • Number of events 11 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
22.1%
40/181 • Number of events 43 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
Cardiac disorders
Arrhythmia
0.00%
0/55 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
0.00%
0/208 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
0.00%
0/61 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
0.00%
0/181 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
General disorders
Shock
3.6%
2/55 • Number of events 3 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
1.4%
3/208 • Number of events 3 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
1.6%
1/61 • Number of events 1 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
1.1%
2/181 • Number of events 2 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
Infections and infestations
Peritonitis
0.00%
0/55 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
0.00%
0/208 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
1.6%
1/61 • Number of events 1 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
0.55%
1/181 • Number of events 1 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
Nervous system disorders
Intraparenchymal hemorrhage
3.6%
2/55 • Number of events 2 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
0.96%
2/208 • Number of events 2 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
1.6%
1/61 • Number of events 1 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
0.55%
1/181 • Number of events 1 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
Infections and infestations
Other: Infectious
7.3%
4/55 • Number of events 5 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
1.9%
4/208 • Number of events 4 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
6.6%
4/61 • Number of events 4 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
10.5%
19/181 • Number of events 21 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
Respiratory, thoracic and mediastinal disorders
Other: Respiratory
9.1%
5/55 • Number of events 6 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
1.9%
4/208 • Number of events 4 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
0.00%
0/61 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
1.7%
3/181 • Number of events 3 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
Nervous system disorders
Other: Neurological
9.1%
5/55 • Number of events 7 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
9.6%
20/208 • Number of events 22 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
3.3%
2/61 • Number of events 3 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
11.6%
21/181 • Number of events 24 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
Gastrointestinal disorders
Other: Gastrointestinal
0.00%
0/55 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
0.48%
1/208 • Number of events 1 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
1.6%
1/61 • Number of events 1 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
1.1%
2/181 • Number of events 2 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
Blood and lymphatic system disorders
Other: Hematology
0.00%
0/55 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
0.96%
2/208 • Number of events 2 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
1.6%
1/61 • Number of events 1 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
1.7%
3/181 • Number of events 3 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
Cardiac disorders
Other: Cardiac
1.8%
1/55 • Number of events 1 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
0.00%
0/208 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
0.00%
0/61 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
0.00%
0/181 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
Metabolism and nutrition disorders
Other: Electrolyte/Metabolic
1.8%
1/55 • Number of events 1 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
0.96%
2/208 • Number of events 3 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
1.6%
1/61 • Number of events 1 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
1.1%
2/181 • Number of events 2 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
Eye disorders
Other: Ophthalmalogical
0.00%
0/55 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
0.96%
2/208 • Number of events 2 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
0.00%
0/61 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
0.55%
1/181 • Number of events 1 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
Renal and urinary disorders
Other: Kidney
0.00%
0/55 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
0.00%
0/208 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
0.00%
0/61 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
0.55%
1/181 • Number of events 1 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
Skin and subcutaneous tissue disorders
Other: Dermatological
0.00%
0/55 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
0.00%
0/208 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
0.00%
0/61 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.
0.55%
1/181 • Number of events 1 • Adverse events data (in-hospital complications and in-hospital mortality) were collected for all participants, all study periods (baseline and post-randomization), and all arms. Individual participants' data were collected for the timeframe of their study hospital admission date through their study hospital discharge which varied depending on the individual participant's clinical care needs and was not controlled by the study.
Our in-hospital complications form reported pneumonia, arrhythmia, shock, peritonitis, intraparenchymal hemorrhages, and other complications as free text. Severity was reported as severe, moderate, or mild. Severe events are reported here as serious adverse events and moderate/mild as other adverse events. More than one complication, complication type, and severity could be reported for the same participant. Other was free text classified into organ system by investigators.

Additional Information

Dr. Monica S. Vavilala

University of Washington

Phone: 206-744-7235

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place