PREdiction of DIagnosed Covid-19 infecTion in IUC Patients
- Conditions
- CoronavirusARDSPneumoniaInfection Viral
- Registration Number
- NCT04327180
- Lead Sponsor
- University Hospital, Lille
- Brief Summary
Coronavirus 2019 (COVID-19) is a respiratory tropism virus transmitted through droplets emitted into the environment of infected persons. The symptoms can be extremely varied and the course can range from spontaneous healing without sequelae to death.
Currently, the diagnosis of certainty for resuscitation patients (by definition "severe") is based on searching for a fragment of virus genetic material within the epithelial cells of the respiratory tree, up and/or down, by PCR.
It is to be expected that the epidemic peak will make it difficult (if not impossible) to respect the stereotypical path that is currently in place, due to the lack of space in the specific unit. This will require optimization of care pathways and use of the specific sectors.
It is therefore necessary to define the simple criteria, available from the moment patients are admitted, to predict the result of the COVID-19 PCR.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 368
- All patient admitted in ICU Lille Hospital and hospitalized in the unit "Emergent Biological Risk" (REB) before a suspicion of infection with COVID-19
- Clinical infectious syndrome: fever (>38°C) or hypothermia ( 36°C), chill, fever at home
- a severe respiratory table defined by:
- Oxygen demand > 3 L/min in the presence of significant comorbidity (pregnancy, chronic respiratory disease, chronic heart disease, hemopathy, cirrhosis) or > 6 L/min in the absence of comorbidity
- or a respiratory rate > 30 cycles per minute
- the need for mechanical, invasive or non-invasive ventilation
- the need for humidified high-flow oxygen therapy
- Patient already included in study for first stay
- Cirrhosis CHILD C
- Major surgery in the last 7 days Minor patient
- Patient under guardianship or curatorship
- Refusal to participate
- No social security coverage.
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Correlation between nasal and deep PCR positivity for Covid-19 patients performed and all predictors for Covid-19 patients performed within 24 hours of admission to ICU within 24 hours of admission to ICU
- Secondary Outcome Measures
Name Time Method Respiratory dysfunction requiring mechanical ventilation during ICU stay, up to 28 days it will be reported the evolution of respiratory dysfunction in patients infected with COVID-19 admitted to ICU during their stay and requiring mechanical ventilation (during, Pao2/FIO2 ratio,,features of artificial ventilation features of extra-bodied respiratory assistance)
Disseminated Intravascular Coagulation (DIC) score during ICU stay, up to 28 days The DIC Score was developed by the The International Society of Thrombosis and Haemostasis (ISTH.) The DIC score calculator accounts of the following four parameters.Each of the four parameters evaluated above have values that are weighted with a number of points varying from 0 to 3. By summing the points given to the choices, a final result between 0 and 8 is obtained
Hospital anxiety and depression scale (HADS) at 9 months +/- 3 months after ICU stay The scale allows to detect anxiety and depression using 14 items rated from 0-3.
Measuring the long-term impact of confirmed COVID-19 infectionCoinfections during ICU stay, up to 28 days Assessment of viral, bacterial, fungal and parasitic rate in confirmed and unconfirmed patients for COVID-19
Number of days on vasopressive amines during ICU stay, up to 28 days Occurrence of an event of venous or arterial thromboembolic disease during ICU stay, up to 28 days Modified Medical Research Council (MMRC) Dyspnea Scale at 9 months +/- 3 months after ICU stay The mMRC Dyspnea Scale stratifies severity of dyspnea in respiratory diseases Measuring the long-term impact of confirmed COVID-19 infection
Correlation between number of patient deaths and all predictors for Covid-19 including anamnestic, clinical, biological, radiological parameters until day 28 after admission of ICU Sequential Organ Failure Assessment (SOFA) Score during ICU stay, up to 28 days the SOFA assessment is used to track a person's risk status during stay in the Intensive Care Unit (ICU). The score is based on six different scores, one each for the respiratory, cardiovascular, hepatic, coagulation, renal, and neurological systems. Each organ system is assigned a point value from 0 (normal) to 4 (high degree of dysfunction/failure).
SAPS II score at admission APS II was designed to measure the severity of disease for patients admitted to Intensive care units 24 hours after admission to the ICU, the measurement has been completed and resulted in an integer point score between 0 and 163 and a predicted mortality between 0% and 100%.
Number of days with extra renal treatment (ERA) during ICU stay, up to 28 days Short Form 36 at 9 months +/- 3 months after ICU stay measuring the long-term impact of confirmed COVID-19 infection. assessment of quality of life according to 8 areas: physical activity (and related limitations), body pain, perception of one's own health, mental health (and related limitations), social life and vitality.
Impact of Event Scale - revised (IES-R) at 9 months +/- 3 months after ICU stay 22-item self-report measure that assesses subjective distress caused by traumatic events Items are rated on a 5-point scale ranging from 0 ("not at all") to 4 ("extremely"). The IES-R yields a total score (ranging from 0 to 88) Measuring the long-term impact of confirmed COVID-19 infection
Viral clearance through study completion, an average of 28 days Evolution of viral clearance in nasal and depp PCR during ICU
Number of patients alive after ICU stay less than 28 days will be tracked At 28 day Post-traumatic stress disorder Checklist version DSM-5 (PSL-5) at 9 months +/- 3 months after ICU stay Question the stressful experience or event, followed by 20 multiple-choice questions.
Measuring the long-term impact of confirmed COVID-19 infection
Trial Locations
- Locations (1)
Hôpital Roger Salengro, ICU, CHU Lille
🇫🇷Lille, France