Continuous Glucose Monitoring for Emergency Laparotomy

NCT ID: NCT05641792

Last Updated: 2023-02-02

Study Results

Results pending

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

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-03-15

Study Completion Date

2025-12-01

Brief Summary

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CLUE trial aims to determine the feasibility and predictive value for surgical site infection (SSI) of continuous glucose monitoring (CGM) in emergency laparotomy patients with diffuse peritonitis.

Detailed Description

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Hyperglycaemia commonly occurs during surgery due to a reaction to metabolic stress and trauma. It has been shown that improper glycemia control leads to impaired wound healing and a higher risk of other postoperative complications. Therefore, the investigators predict that number of hyperglycaemia episodes could be a predictor of SSI.

Continuous glucose monitoring allows for a minimally invasive real-time remote glycemia control, yet it has not been applied in an emergency surgery setting. Intraoperative glycemia monitoring would allow to determine the effect of specific interventions during a surgical procedure that may provoke hyperglycaemia.

CLUE is a single-centre prospective observational study held in an academic tertiary medical centre in Poland. Adult patients qualified for an emergency laparotomy for peritonitis in University Clinical Centre (UCC) Division of Oncological, Endocrine and General Surgery, with class ≥ III wounds according to Centers for Disease Control and Prevention (CDC) classification, will be eligible for the CLUE trial. Patients who will be unable or will refuse to express informed consent will be excluded. Patients will be co-enrolled in PRISTINE randomized health services study that aims to compare the effectiveness of negative pressure wound therapy (NPWT) and primary closure (PC) in surgical site infection prevention.

On admission day, patients will have a Dexcom G6 system placed on the outer part of the upper arm. Patients will undergo standard surgical procedures and perioperative care. Patients will be randomized to NPWT or PC according to PRISTINE protocol. Glycemia will be continuously monitored for 10 days.

Conditions

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Peritonitis Surgical Site Infection Infections Hyperglycemia Hypoglycemia

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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CGM pre-, intra- and postoperatively

Patients will have a Dexcom G6 system placed on admission on outer part of the arm, glycaemia will be monitored for 10 consecutive days

Group Type EXPERIMENTAL

CGM (Dexcom G6)

Intervention Type DEVICE

Dexcom G6 system consists of a transmitter and sensor that measure interstitial glycaemia every 5 minutes. Measurements are transmitted via Bluetooth to a compatible device, that uploads the data on a virtual drive. This allows for remote real-time glycaemia monitoring on another device.

Interventions

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CGM (Dexcom G6)

Dexcom G6 system consists of a transmitter and sensor that measure interstitial glycaemia every 5 minutes. Measurements are transmitted via Bluetooth to a compatible device, that uploads the data on a virtual drive. This allows for remote real-time glycaemia monitoring on another device.

Intervention Type DEVICE

Other Intervention Names

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continuous glucose monitoring, CGM, Dexcom G6

Eligibility Criteria

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Inclusion Criteria

* emergency laparotomy for peritonitis
* written informed consent

Exclusion Criteria

\- open abdomen treatment
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medical University of Gdansk

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Piotr Spychalski, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

MUG Division of General Surgery

Katarzyna Polomska

Role: PRINCIPAL_INVESTIGATOR

Medical University of Gdansk (MUG)

Jaroslaw Kobiela, Prof.

Role: PRINCIPAL_INVESTIGATOR

MUG Division of General Surgery

Locations

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UCC Division of Oncological, Transplant and General Surgery

Gdansk, Pomeranian Voivodeship, Poland

Site Status

Countries

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Poland

Central Contacts

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Katarzyna M Polomska

Role: CONTACT

+48794037928

Piotr Spychalski, MD, PhD

Role: CONTACT

+48667843555

Other Identifiers

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420/2

Identifier Type: -

Identifier Source: org_study_id

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