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临床试验/NCT03070912
NCT03070912已完成不适用

Study of the Frequency of Hemorrhages Associated With the Functional Anomalies of Willebrand Factor in Emergency Patients of a Veino Arterial or Veinous ECMO

University Hospital, Lille7 个研究点 分布在 1 个国家目标入组 257 人开始时间: 2018年1月19日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
257
试验地点
7
主要终点
Frequency of major bleeding

研究概览

简要总结

ECMO has improved the outcome of heart or respiratory failure and carcinogenic shock and are increasingly used. However bleeding complications occurring in up to 50% of patients are poorly understood and worsen the overall results. The aim is to investigate the occurence of bleeding and its frequency according to the type of ECMO either veno-arterial or veno-venous. The investigators also want to assess the relation of bleeding with von Willebrand Factor defects.

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

  • informed consent of patient or person in charge
  • patient supplied by an ECMO for cardiac or respiratory failure and referred to Lille University Hospital
  • patient affiliated to "french social security"

排除标准

  • pregnant woman
  • no consent
  • no affiliation to
  • patient affiliated to '
  • preexisting bleeding disorders

结局指标

主要结局

Frequency of major bleeding

时间窗: During ECMO support, up to 3 weeks after implantation

Number of major bleeding events (BARC classification ) occurring within the time course of support by ECMO

次要结局

  • Number of Participants With Abnormal VWF functional activities and multimeric profile according to the type of ECMO support (VA- or VV-ECMO)(1 hour, 24 hours and day seven after implantation)
  • Number of Participants With Abnormal VWF functional activities and multimeric profile in 2 groups defined by the level of pulse pressure measured before ECMO weaning: high (> median) or low (< median) pulse pressure(During ECMO support, up to 3 weeks after implantation)
  • Frequency of major bleeding events according to diabetes status(During ECMO support, up to 3 weeks after implantation)
  • Number of Participants With Abnormal VWF functional activities and multimeric profile before and after the first reduction in VA-ECMO flow rate(During ECMO support, up to 3 weeks after implantation)
  • Number of Participants With major bleeding events (BARC classification) before and after the first reduction in VA-ECMO flow rate(During ECMO support, up to 3 weeks after implantation)
  • Number of Participants With major bleeding events (BARC classification) in 2 groups defined by the level of pulse pressure measured before ECMO weaning: high (> median) or low (< median) pulse pressure(During ECMO support, up to 3 weeks after implantation)
  • Frequency of major thrombotic events according to diabetes status(During ECMO support, up to 3 weeks after implantation)
  • Frequency of pro-thrombotic biological abnormalities(During ECMO support, up to 3 weeks after implantation)

研究者

发起方
University Hospital, Lille
申办方类型
Other
责任方
Sponsor

研究点 (7)

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