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临床试验/NCT05686577
NCT05686577已完成不适用

Comment Diminuer Les hémocultures Inutiles : Construction et Validation d'un Score prédictif de positivité Des hémocultures en réanimation.

University Hospital, Tours10 个研究点 分布在 1 个国家目标入组 2,411 人开始时间: 2022年11月22日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
2,411
试验地点
10
主要终点
Area under the ROC curve of the predictive performance of the score for predicting bacteremia or fungemia.

研究概览

简要总结

Prospective observational cohort consisting of all adult patients admitted to participating critical care units (ICU and CCU) during the study period, with blood cultures collected as part of their care, and who did not express any objection to participating.

For each patient, data will be collected prospectively for each blood culture set collected.

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Prospective

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Male or female, age 18 years or older
  • Patient admitted to an ICU or ICU
  • patient with a blood culture sample as part of care

排除标准

  • Patient already included in this study during a previous hospitalisation
  • Opposition expressed for participation in the study

结局指标

主要结局

Area under the ROC curve of the predictive performance of the score for predicting bacteremia or fungemia.

时间窗: day 1- day 28

次要结局

  • Area under the ROC curve of the diagnostic performance of the Shapiro score for predicting bacteremia or fungemia;(day 1- day 28)
  • Area under the ROC curve of the diagnostic performance of body temperature to predict bacteremia or fungemia;(day 1- day 28)
  • Comparison of the diagnostic performance of the score in predicting bacteremia or fungemia observed during the first 48 hours of hospitalization to later bacteremias;(48 hours)
  • Proportion of bacteremia or fungemia identified by blood cultures in patients on antibiotic therapy and broad-spectrum antibiotic therapy, and factors associated with these bacteremias or fungemias;(day 1- day 28)
  • Descriptive study of the contribution of blood cultures, whatever their results, to the prescription of anti-infectives.(day 1- day 28)
  • Efficiency of the new predictive score for blood culture positivity in Intensive Care, as compared with body temperature and Shapiro score, measured by two Incremental Cost-Effectiveness Ratios (ICER): ICER (incremental cost per additional well-detecte(less than 1 month)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (10)

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