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Relationship between coagulation disturbances and microcirculation alterations and the development of multi-organ failure in sepsis

Completed
Conditions
blood poisoning
sepsis
10004018
10011954
Registration Number
NL-OMON39381
Lead Sponsor
Vrije Universiteit Medisch Centrum
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
36
Inclusion Criteria

- patients 18 years and older admitted to the intensive care unit with
severe sepsis and septic shock

Exclusion Criteria

-active bleeding at time of inclusion
-pre-existing haematological disorders such as protein C or S deficiency, haemophila
-therapeutic anticoagulation
-recently documented (within 3 months of study entry) or highly suspected deep vein
thrombosis or pulmonary embolus
- pregnancy
- chronic liver failure with an protrombin prolongation (international normalized ratio >1.2)

Study & Design

Study Type
Observational non invasive
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<p>Thromboelastometry parameters measured with ROTEM®:<br /><br>• Clotting time (CT)<br /><br>• Clot formation time (CFT)<br /><br>• alfa-angle<br /><br>• Maximum clot firmness (MCF)<br /><br>• Maximum lysis (ML) and Lysis index (LI)<br /><br><br /><br>Sidestream dark field imaging parameters:<br /><br>MFI (microvascular flow index), the heterogeneity index, PVD (perfused vessel<br /><br>density density), PPV (proportion of perfused vessels).</p><br>
Secondary Outcome Measures
NameTimeMethod
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