Global Utilization and Registry Database for Improved Heart Preservation
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 入组人数
- 3,000
- 试验地点
- 22
- 主要终点
- Number of Patients with Primary Graft Dysfunction
研究概览
简要总结
The primary objective of this study is to collect real-world clinical performance data to assess the clinical outcomes of patients receiving heart transplants using donor hearts transported via the SherpaPak CTS System. These results will be compared to outcomes of retrospective patients whose hearts were transported with the previous standard method.
详细描述
This study is a registry study collecting data both retrospectively from patients already transplanted and prospectively from consecutively enrolled patients for heart transplantation. The study is a chart review study.
Ongoing eligible recipients will undergo heart transplantation according to standard practices at each participating institution.
This study will be conducted at an estimated 25 institutions globally and will have about up to 3000 patients. Subjects will be followed from transplant through one-year post-transplantation (i.e., 24 hours post-transplant, discharge, 30-days, 1-year, 2-years, 3-years, 4-years, 5-years).
GUARDIAN provides critical and contemporary data on patient outcomes, with additional insight into risk factors and patient-related indices. Both donor and recipient information along with procedural details (including transportation) will be collected to provide information for major discrete endpoints such as death, primary graft dysfunction, right ventricular dysfunction, CPB weaning, Inotrope use, CAV diagnosis, rejection, and survival.
Information about re-hospitalizations and re-transplantations is vital to address the integrated endpoint of days alive out of hospital, which is particularly relevant for this patient population. In addition, the number of in-hospital days and ICU time is closely tracked as the major resource utilized, after the initial transplant.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Cross Sectional
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Donor and donor hearts matched to the prospective recipient based upon institutional medical practice
- •Registered male or female primary heart transplant candidates including pediatric candidates
排除标准
- •Donor and donor hearts that do not meet institutional clinical requirements for transplantation
- •When safe connection with the aorta cannot be made, e.g., due to lack of enough length of the aortic root
- •Patients who are incarcerated persons (prisoners)
- •Patients who have had a previous organ transplant
结局指标
主要结局
Number of Patients with Primary Graft Dysfunction
时间窗: one year
Less than 40% LVEF by echocardiography or hemodynamics with RAP greater than 15 mm Hg, PCWP greater than 20 mm Hg, CI less thann 2 L/min/m\^2, hypotension with MAP less than 70 mm Hg (lasting more than 1 hour)
Length of ICU Stay
时间窗: one year
Length of time patient admitted to the intensive care unit post transplant
Length of Hospital Stay
时间窗: one year
Length of time before patient is discharged from the hospital post transplant
Number of Patients with Right Ventricular Dysfunction
时间窗: one year
hemodynamics with RAP grater than 15mm Hg, PCWP less than 15 mm Hg, CI less than 2 L/min/m\^2, TPG less than 15mm Hg/pulmonary artery systolic pressure less than 50 mmHg OR need for RVAD
Survival
时间窗: 5 years
The length of patient survival up to 5 years will be compared
次要结局
- Retransplant(five years)
- CAV development(five years)
- Hospitalizations(one year)