NCT07232342RecruitingNot Applicable
Capillary Leak Index Versus Conventional Biomarkers in Predicting Sepsis-Related Outcomes
Conditions
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- Benha University
- Enrollment
- 100
- Locations
- 1
- Primary Endpoint
- all-cause mortality
Study Overview
Brief Summary
This study aims to evaluate the prognostic significance of CLI in predicting 28-day mortality and other outcomes in critically ill patients who develop post-operative abdominal sepsis.
Study Design
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Prospective
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Age ≥ 18 years.
- •Postoperative secondary peritonitis requiring ICU admission, with clinical evidence of:
- •Diffuse or localized abdominal pain/tenderness. Peritoneal signs (e.g., guarding, rigidity, rebound tenderness). Imaging or intraoperative confirmation of purulent/exudative intra-abdominal fluid.
- •Systemic inflammation (e.g., fever, leukocytosis, or vasopressor requirement). Sepsis diagnosis per Sepsis-3 criteria: Suspected/confirmed infection with acute increase in SOFA score ≥2 points (6).
- •Anticipated ICU stay ≥48 hours postoperatively.
Exclusion Criteria
- •Pregnancy
- •Advanced liver disease (Child-Pugh class B or C) that might independently affect albumin levels
- •Advanced kidney disease (CKD stage 4 or 5) or patients on chronic dialysis
- •Expected mortality within 48 hours of ICU admission
- •Patients with primary peritonitis or tertiary peritonitis
- •Immunocompromised patients (e.g., on chronic immunosuppressive therapy, solid organ transplant recipients, patients with HIV and CD4 count <200/mm³)
- •Patients with pre-existing systemic inflammatory diseases that might affect baseline CRP levels
- •Patients participating in interventional trials that might affect outcomes
Outcomes
Primary Outcomes
all-cause mortality
Time Frame: From 1-10-2025 to 1-10-2026
Secondary Outcomes
No secondary outcomes reported
Investigators
Samar Rafik Mohamed Amin
Dr
Benha University
Study Sites (1)
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