The Impact of Targeted Temperature Management Duration on Thrombin Function in Cardiac Arrest Patients
- Conditions
- Thrombin FunctionTreatment DurationTargeted Temperature ManagementCardiac Arrest
- Registration Number
- NCT06543849
- Lead Sponsor
- Tang Ziren
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Not yet recruiting
- Sex
- All
- Target Recruitment
- Not specified
Inclusion Criteria:<br><br> 1. age between 18 and 80 years;<br><br> 2. Glasgow Coma Scale score of less than 8 upon admission;<br><br> 3. patients resuscitated after out-of-hospital cardiac arrest; and (4) patient or their<br> legal representative has signed the informed consent form.<br><br>Exclusion Criteria:<br><br> 1. cardiac arrest caused by irreversible factors such as trauma or poisoning;<br><br> 2. cardiac arrest due to terminal conditions like advanced cancer;<br><br> 3. uncorrected persistent cardiogenic shock, defined as a systolic blood pressure below<br> 90 mmHg despite treatment with fluid resuscitation, vasopressors, and inotropic<br> agents;<br><br> 4. pre-existing cerebrovascular disease or CT-confirmed intracerebral hemorrhage upon<br> admission;<br><br> 5. pre-arrest Cerebral Performance Category (CPC) score between 3 and 5;<br><br> 6. bradycardia or sick sinus syndrome following the return of spontaneous circulation;<br><br> 7. pre-existing coagulation disorders or severe bleeding tendencies;<br><br> 8. pregnant or breastfeeding women, or women of childbearing age with elevated serum<br> hCG levels;<br><br> 9. presence of treatment limitations (such as refusal by the patient or legal<br> representative to undergo advanced life support, including mechanical ventilation,<br> chest compressions, or targeted temperature management);<br><br> 10. determination by the principal investigator that the patient is unsuitable for the<br> trial.
Not provided
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Prothrombin Time (PT);Prothrombin Activity (PA);Activated Partial Thromboplastin Time (APTT);Thrombin Time (TT)
- Secondary Outcome Measures
Name Time Method The concentration of D-dimer (D-D);International Normalized Ratio (INR);The concentration of plasmin-a2-plasmin inhibitor complex (PIC);The concentration of fibrinogen (FBG);The concentration of thrombin-antithrombin complex (TAT);The concentration of thrombomodulin (TM);The concentration of tissue-type plasminogen activator inhibitor complex (T-PAIC);thrombelastogram (TEG);Platelet Count (PLT);The rate of bleeding-related events;The Milliliters of blood products;CPC Score