Early Goal-Directed Therapy Utilizing Transpulmonary Thermodilution and Severe Burn Injury

NCT ID: NCT05420610

Last Updated: 2022-06-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

66 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-08-07

Study Completion Date

2022-01-20

Brief Summary

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This study aimed to optimize fluid resuscitation with transpulmonary thermodilution (TPTD)-guided protocol and to lower the mortality rate of the severely burned.

Detailed Description

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Conditions

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Burns

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

RETROSPECTIVE

Study Groups

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Patients with major burn.

Adult patients (age \> 18 years) suffered from major burn which defined as total burned surface area (TBSA) \> 20% with at least second degree burn depth were admitted to the intensive care unit (ICU) of the Burn Center at a tertiary medical center were retrospectively reviewed.

Control group: Patients being admitted when The advancement of transpulmonary thermodilution(TPTD) device was unavailable.

Intervention Type OTHER

The control group included patients being admitted when TPTD device was unavailable; and relatively stable patients without the need for TPTD. The adequacy of fluid resuscitation in the control group was monitored by traditional monitoring parameters including vital signs and hourly urine output.

Study group: TPTD device was implemented for monitoring.

Intervention Type OTHER

TPTD device was implemented for monitoring; the inclusion criteria included patients suffering from 2nd degree burn greater than 40% TBSA; a combined 2nd to 3rd degree burn greater than 30% TBSA; or patients with inhalation injury despite the burned surface area.

Interventions

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Control group: Patients being admitted when The advancement of transpulmonary thermodilution(TPTD) device was unavailable.

The control group included patients being admitted when TPTD device was unavailable; and relatively stable patients without the need for TPTD. The adequacy of fluid resuscitation in the control group was monitored by traditional monitoring parameters including vital signs and hourly urine output.

Intervention Type OTHER

Study group: TPTD device was implemented for monitoring.

TPTD device was implemented for monitoring; the inclusion criteria included patients suffering from 2nd degree burn greater than 40% TBSA; a combined 2nd to 3rd degree burn greater than 30% TBSA; or patients with inhalation injury despite the burned surface area.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Adult patients (age \> 18 years).
* Major burn (as total burned surface area (TBSA) \> 20% with at least second degree burn depth).
* Admitted to the intensive care unit (ICU) of the Burn Center.

Exclusion Criteria

* Patients younger than 18 years old.
* Patients with severe cardiopulmonary diseases, or associated with other major trauma.
* Patient with incomplete data.
Minimum Eligible Age

18 Years

Maximum Eligible Age

100 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chang Gung Memorial Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Kaohsiung Chang Gung Memorial Hospital

Kaohsiung City, , Taiwan

Site Status

Countries

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Taiwan

Other Identifiers

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202101364B0

Identifier Type: -

Identifier Source: org_study_id

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