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Preventing Pulmonary Complications in Surgical Patients at Risk of COVID-19

Phase 3
Conditions
COVID-19
Registration Number
PACTR202004893013257
Lead Sponsor
Dr Birgit Whitman
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending
Sex
All
Target Recruitment
6400
Inclusion Criteria

•Patients aged 16 years and over in Ghana. (This criteria MUST be made country-specific)
•Planned to undergo any type of elective or emergency inpatient surgery requiring general or regional anaesthesia (such as vulnerable patients undergoing surgery for a fractured neck of femur).
•Asymptomatic of COVID-19, including patients with: those not tested, negative test results, positive test but no symptoms
•Informed patient consent.

Exclusion Criteria

•Procedures under local anaesthesia.
•Symptomatic COVID-19 infection (by confirmed COVID-19 test or a clinical diagnosis); these patients will be eligible for the RECOVERY trial.
•Existing regular preoperative treatment with trial drugs.
•Known history of adverse reaction/contraindication to trial drugs.
•Pregnancy (including caesarean section).
•Actively breastfeeding.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
•Pneumonia<br>•Acute respiratory distress syndrome (ARDS)<br>•Death<br>
Secondary Outcome Measures
NameTimeMethod
•Pneumonia, ARDS, and death will be presented and analysed separately as secondary outcomes as well as within the composite primary outcome measure. <br>•Unexpected ventilation (unexpected inability to extubate and wean patient from ventilation after general anaesthesia, or reintubation and ventilation up to 30 days after surgery)<br>•Postoperative diagnosis of proven COVID-19 pulmonary complications (the method of diagnosis will be collected, i.e. infection based on microbiological testing or clinical features)<br>•Overall SARS-CoV-2 infected rate (symptomatic and/or asymptomatic).<br>•Duration of hospital stay (including time spent in intensive care, time ventilated)<br>•Pulmonary function in keeping with the WHO Solidarity Trial outcome scale (will be detailed in Appendix 2)<br>
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