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BurnsABRUPTNCT03144427

The Acute Burn Resuscitation Multicenter Prospective Observational Trial

An observational study of Burns and Shock, run by American Burn Association at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This is a prospective, non-interventional, observational study of consecutive burn patients admitted to 20 selected burn centers in North America. Primarily, data collection will be continuous "real-time" documentation of fluid infusion rates, vital signs and laboratory values of patients receiving fluid resuscitation… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Burns, Shock
Type of treatment
Injection or infusion
How many people
400 participants
Where
1 siteUnited States
Study dates
24 Feb 2017to 15 Jul 2021
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients must be ≥ 18 years of age with a TBSA burn of ≥ 20%, and they must have been admitted to the burn center ≤ 12 hours following the injury.

Who may be able to join

  • Age ≥ 18 years
  • ≥ 20% TBSA burns
  • Admitted to the burn center ≤ 12 post injury

Who cannot join

  • Significant associated trauma
  • High voltage (≥ 1000 volts) electrical burns
  • Surgery anticipated within 48 hours from injury
  • Fresh frozen plasma (FFP) anticipated to be given at any time ≤ 48 hours from injury
  • Hypertonic saline (HTS) anticipated to be given at any time ≤ 48 hours from injury
  • Hydroxyethyl starch (HES) anticipated to be given at any time ≤ 48 hours from injury
  • High dose Vitamin C infusion is anticipated to be given at any time ≤ 48 hours from injury
  • Death occurs or comfort measures are instituted within ≤ 48 hours from injury

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of California Davis Medical Center-Regional Burn Center

    Sacramento, California, 95817

Other trials in United States

About this study

This is a prospective, non-interventional, observational study of consecutive burn patients admitted to 20 selected burn centers in North America. Primarily, data collection will be continuous "real-time" documentation of fluid infusion rates, vital signs and laboratory values of patients receiving fluid resuscitation during the first 48 hours following burn injury. All aspects of the resuscitation and all investigations performed will be according to the participating center's regular protocol, as this is purely an observational and non-interventional study. Further data collection on outcomes (organ function, ventilation duration, length of stay, and survival) will be collected at 72h, 96 h, and at hospital discharge.

Read the detailed description

This is a prospective observational study with no intervention. Study sites have been selected to include wide cross-representation of resuscitation practices using crystalloids alone, crystalloid plus albumin, and among sites that use albumin, variable approaches to the timing of albumin initiation.

Detailed data will be continuously collected in "real time" during fluid resuscitation over the 1st 48 hours following a burn injury. Data collection during this phase will be done prospectively, hour-by-hour, by the bedside nurse caring for the patient. Primarily this data collection will involve recording of resuscitation fluid volumes, urinary output, vital signs (heart rate and blood pressure), and use of vasopressors and inotropes. Outcome data (organ function, need for mechanical ventilation, hospital length of stay, and survival) will be collected at various time points during the subjects' acute care stay.

At completion of the study we intend to make the following comparisons:

  1. Subjects that received crystalloids only compared to subjects that received crystalloids plus albumin.
  2. Subjects that had albumin started "early" (< 8 hours post burn), compared to subjects that had albumin started "intermediate" (8-12 hours post burn), compared to subjects that had albumin started "late" (>12 hours post burn).
  3. Characteristics of resuscitation prior to the start of albumin ("pre-albumin") compared to characteristics of resuscitation following initiation of albumin ("post albumin").
Conditions
Burns, Shock
Keywords
albumin, resuscitation, burns, shock, fluid creep
Medical subject headings
Burns, Shock

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT03144427
Study groupRoleWhat they receive
BurnsPatients with burns to 20% or more of their BSA (body surface area) require resuscitation with intravenous crystalloid fluids in order to avoid organ failure and death

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Fluid resuscitation volume

    Total fluid resuscitation volume in mL/kg/% TBSA (total body surface area) burn

    Measured: 24 hours post burn injury

  2. albumin : crystalloid ratio

    albumin : crystalloid ratio ( mL albumin : mL crystalloid, and, grams albumin : mL crystalloid)

    Measured: 24 hours hours post burn injury

  3. Fluid resuscitation volume

    Total fluid resuscitation volume in mL/kg/% TBSA burn

    Measured: 48 hours post burn injury

  4. albumin : crystalloid ratio

    albumin : crystalloid ratio ( mL albumin : mL crystalloid, and, grams albumin : mL crystalloid)

    Measured: 48 hours post burn injury

Secondary outcomes (18)
  1. I/O Ratio

    Total intake and output ratio

    Measured: 24 hours post burn injury

  2. I/O Ratio

    Total intake and output ratio

    Measured: 48 hours post burn injury

  3. Doses of vasopressors and inotropes

    Total doses of vasopressors and inotropes

    Measured: 24 hours post burn injury

  4. Doses of vasopressors and inotropes

    Total doses of vasopressors and inotropes

    Measured: 48 hours post burn injury

  5. Fasciotomy

    Documentation of fasciotomy performed

    Measured: during the first 48 hours post burn injury

  6. abdominal compartment syndrome

    Occurrence of abdominal compartment syndrome

    Measured: during the first 48 hours post burn injury

  7. completion of resuscitation

    Time to completion of resuscitation

    Measured: up to 48 hours post burn injury

  8. AKIN Score (acute kidney injury network)

    Acute Kidney Injury Network stage

    Measured: 24 hours post burn injury

  9. AKIN Score

    Acute Kidney Injury Network stage

    Measured: 48 hours post burn injury

  10. AKIN Score

    Acute Kidney Injury Network stage

    Measured: 72 hours post burn injury

  11. AKIN Score

    Acute Kidney Injury Network stage

    Measured: 96 hours post burn injury

  12. SOFA score (sequential organ failure assessment)

    Sequential Organ Failure Assessment

    Measured: 24 hours post burn injury

  13. SOFA score

    Sequential Organ Failure Assessment

    Measured: 48 hours post burn injury

  14. SOFA score

    Sequential Organ Failure Assessment

    Measured: 72 hours post burn injury

  15. SOFA score

    Sequential Organ Failure Assessment

    Measured: 96 hours post burn injury

  16. Mechanical Ventilation

    Duration of mechanical ventilation and ventilator free days

    Measured: from date of hospital admit until date of hospital discharge, assessed over duration of hospitalization up to 12 months

  17. Hospital Stay

    Length of hospital stay

    Measured: from date of hospital admit until date of hospital discharge, assessed over duration of hospitalization up to 12 months

  18. Survival

    In hospital and 28 day survival

    Measured: 28 days post burn injury or death, whichever occurs first

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted8 May 2017
  2. Study start24 Feb 2017
  3. Primary completion15 Jul 2021
  4. Study completion15 Jul 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
400 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03144427
Sponsor's protocol ID
ABuRN-001
Other IDs
W81XWH-16-2-0048 Log#MB150076
Acronym
ABRUPT
Status last verified
Jul 2021
First submitted
27 Apr 2017
Last updated
21 Jul 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Pruitt BA Jr. Protection from excessive resuscitation: "pushing the pendulum back". J Trauma. 2000 Sep;49(3):567-8. doi: 10.1097/00005373-200009000-00030. No abstract available.

    PubMed 11003341
  • Zak AL, Harrington DT, Barillo DJ, Lawlor DF, Shirani KZ, Goodwin CW. Acute respiratory failure that complicates the resuscitation of pediatric patients with scald injuries. J Burn Care Rehabil. 1999 Sep-Oct;20(5):391-9. doi: 10.1097/00004630-199909000-00011.

    PubMed 10501327
  • Hobson KG, Young KM, Ciraulo A, Palmieri TL, Greenhalgh DG. Release of abdominal compartment syndrome improves survival in patients with burn injury. J Trauma. 2002 Dec;53(6):1129-33; discussion 1133-4. doi: 10.1097/00005373-200212000-00016.

    PubMed 12478039
  • Klein MB, Hayden D, Elson C, Nathens AB, Gamelli RL, Gibran NS, Herndon DN, Arnoldo B, Silver G, Schoenfeld D, Tompkins RG. The association between fluid administration and outcome following major burn: a multicenter study. Ann Surg. 2007 Apr;245(4):622-8. doi: 10.1097/01.sla.0000252572.50684.49.

    PubMed 17414612
  • Holcomb JB, del Junco DJ, Fox EE, Wade CE, Cohen MJ, Schreiber MA, Alarcon LH, Bai Y, Brasel KJ, Bulger EM, Cotton BA, Matijevic N, Muskat P, Myers JG, Phelan HA, White CE, Zhang J, Rahbar MH; PROMMTT Study Group. The prospective, observational, multicenter, major trauma transfusion (PROMMTT) study: comparative effectiveness of a time-varying treatment with competing risks. JAMA Surg. 2013 Feb;148(2):127-36. doi: 10.1001/2013.jamasurg.387.

    PubMed 23560283
  • Holcomb JB, Fox EE, Wade CE; PROMMTT Study Group. The PRospective Observational Multicenter Major Trauma Transfusion (PROMMTT) study. J Trauma Acute Care Surg. 2013 Jul;75(1 Suppl 1):S1-2. doi: 10.1097/TA.0b013e3182983876. No abstract available.

    PubMed 23778505
  • Rahbar MH, Fox EE, del Junco DJ, Cotton BA, Podbielski JM, Matijevic N, Cohen MJ, Schreiber MA, Zhang J, Mirhaji P, Duran SJ, Reynolds RJ, Benjamin-Garner R, Holcomb JB; PROMMTT Investigators. Coordination and management of multicenter clinical studies in trauma: Experience from the PRospective Observational Multicenter Major Trauma Transfusion (PROMMTT) Study. Resuscitation. 2012 Apr;83(4):459-64. doi: 10.1016/j.resuscitation.2011.09.019. Epub 2011 Oct 12.

    PubMed 22001613
  • Holcomb JB, Tilley BC, Baraniuk S, Fox EE, Wade CE, Podbielski JM, del Junco DJ, Brasel KJ, Bulger EM, Callcut RA, Cohen MJ, Cotton BA, Fabian TC, Inaba K, Kerby JD, Muskat P, O'Keeffe T, Rizoli S, Robinson BR, Scalea TM, Schreiber MA, Stein DM, Weinberg JA, Callum JL, Hess JR, Matijevic N, Miller CN, Pittet JF, Hoyt DB, Pearson GD, Leroux B, van Belle G; PROPPR Study Group. Transfusion of plasma, platelets, and red blood cells in a 1:1:1 vs a 1:1:2 ratio and mortality in patients with severe trauma: the PROPPR randomized clinical trial. JAMA. 2015 Feb 3;313(5):471-82. doi: 10.1001/jama.2015.12.

    PubMed 25647203
  • Cartotto R, Callum J. A review of the use of human albumin in burn patients. J Burn Care Res. 2012 Nov-Dec;33(6):702-17. doi: 10.1097/BCR.0b013e31825b1cf6.

    PubMed 23143614
  • Baxter CR, Shires T. Physiological response to crystalloid resuscitation of severe burns. Ann N Y Acad Sci. 1968 Aug 14;150(3):874-94. doi: 10.1111/j.1749-6632.1968.tb14738.x. No abstract available.

    PubMed 4973463
  • Baxter CR, Marvin J, Curreri PW. Fluid and electrolyte therapy of burn shock. Heart Lung. 1973 Sep-Oct;2(5):707-13. No abstract available.

    PubMed 4490375
  • Pruitt BA Jr. Fluid and electrolyte replacement in the burned patient. Surg Clin North Am. 1978 Dec;58(6):1291-1312. doi: 10.1016/s0039-6109(16)41692-0. No abstract available.

    PubMed 734610
  • Pruitt BA Jr. The burn patient: II. Later care and complications of thermal injury. Curr Probl Surg. 1979 May;16(5):1-95. doi: 10.1016/s0011-3840(79)80009-x.

    PubMed 376227
  • Cartotto RC, Innes M, Musgrave MA, Gomez M, Cooper AB. How well does the Parkland formula estimate actual fluid resuscitation volumes? J Burn Care Rehabil. 2002 Jul-Aug;23(4):258-65. doi: 10.1097/00004630-200207000-00006.

    PubMed 12142578
  • Engrav LH, Colescott PL, Kemalyan N, Heimbach DM, Gibran NS, Solem LD, Dimick AR, Gamelli RL, Lentz CW. A biopsy of the use of the Baxter formula to resuscitate burns or do we do it like Charlie did it? J Burn Care Rehabil. 2000 Mar-Apr;21(2):91-5. doi: 10.1097/00004630-200021020-00002.

    PubMed 10752739

Questions about this trial

What is this clinical trial studying?

An observational study of Burns and Shock, run by American Burn Association at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 21 Jul 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Fluid resuscitation volume (time frame: 24 hours post burn injury). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03144427, which also lists 32 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Jul 2021.

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ABRUPT Clinical Trial NCT03144427 | AzTrials