AzTrials
AzTrials

Respiration, ArtificialEpVAr2019NCT04107467

Mechanical Ventilation Epidemiology in Argentina.

An observational study of Respiration, Artificial and Epidemiology, run by Argentinian Intensive Care Society at 154 sites in Argentina.

Completed

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

Official record
Search all trials

Trial summary

How is the epidemiology of mechanically ventilated patients in the intensive care units of Argentina? Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Respiration, Artificial, Epidemiology
How many people
950 participants
Where
154 sitesArgentina
Study dates
9 Sep 2019to 31 Dec 2019
How long will I take part?
28 Days
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: All adult patients who require mechanical ventilation for at least 12 hours in the argentinians ICU will be enrolled.

Who may be able to join

  • ICU patients requiring Mechanical Ventilation at least for 12 hours
  • ICU patients who initiate Mechanical Ventilation in the Operation Room or the Emergency Room
  • ICU patients who initiate Mechanical Ventilation in other institution.

Who cannot join

  • Patients under 18 years old
  • Patients in Pediatric ICU
  • Patients in Coronary ICU
  • Patients without requirements of Mechanical Ventilation
  • Patients who have been discharged from ICU and re-enter during the enrollment period

Trial locations and contacts

154 sites in 1 country.

154 sites in 1 country

Argentina154 sites
  • Hospital Fiorito

    Avellaneda

  • Sanatorio Norte SRL

    Avellaneda

  • Hospital Italiano Regional del Sur

    Bahía Blanca

  • Hospital privado Dr Raul Matera

    Bahía Blanca

  • Hospital Area Programa Bariloche "Ramón Carrillo"

    Bariloche

  • Cemic H.U. Pombo

    Buenos Aires

  • CEMIC H.U. Saavedra

    Buenos Aires

  • Clinica La Sagrada Familia

    Buenos Aires

  • Clinica y Maternidad Suizo Argentina

    Buenos Aires

  • Clinica Zabala

    Buenos Aires

  • Clínica Adventista Belgrano

    Buenos Aires

  • Clínica Bazterrica

    Buenos Aires

  • Clínica Pasteleros

    Buenos Aires

  • Complejo Medico de la Policia Federal Churruca Visca

    Buenos Aires

  • Cínica de los Virreyes

    Buenos Aires

  • Hospital Alemán

    Buenos Aires

  • Hospital Alvarez

    Buenos Aires

  • Hospital de Clínicas José de San Martín

    Buenos Aires

  • Hospital de Rehabilitación Respiratoria María Ferrer

    Buenos Aires

  • Hospital de Trauma y Emergencia Dr. Federico Abete

    Buenos Aires

  • Hospital Dr D. Velez Sarsfield

    Buenos Aires

  • Hospital Fernandez

    Buenos Aires

  • Hospital Francisco Javier Muñiz

    Buenos Aires

  • Hospital Generall de Agudos Dr Cosme Argerich

    Buenos Aires

  • Hospital Italiano de Buenos Aires

    Buenos Aires

  • Hospital Naval Pedro Mallo

    Buenos Aires

  • Hospital Piñero

    Buenos Aires

  • Hospital Ramos Mejía

    Buenos Aires

  • Hospital Santojanni SRS

    Buenos Aires

  • Hospital Santojanni

    Buenos Aires

  • Hospital Sirio Libanes

    Buenos Aires

  • Hospital Universitario Fundación Favaloro-UTI 1

    Buenos Aires

  • Hospital Universitario Fundación Favaloro-UTI 2

    Buenos Aires

  • Hospital Universitario UAI

    Buenos Aires

  • HZGA Dr alberto Balestrini

    Buenos Aires

  • Instituto Argentino de Diagnostico y Tratamiento

    Buenos Aires

  • Instituto de Trasplante y Alta Complejidad

    Buenos Aires

  • Instituto Lanari

    Buenos Aires

  • Instituto Médico de Alta Complejidad

    Buenos Aires

  • Sanatorio Anchorena

    Buenos Aires

  • Sanatorio Colegiales

    Buenos Aires

  • Sanatorio de la Trinidad Mitre

    Buenos Aires

  • Sanatorio de la Trinidad Palermo

    Buenos Aires

  • Sanatorio de los Arcos

    Buenos Aires

  • Sanatorio Finochietto

    Buenos Aires

  • Sanatorio Mater Dei

    Buenos Aires

  • Sanatorio Otamendi

    Buenos Aires

  • Htal de alta complejidad cuenca alta SAMIC

    Canuelas

  • Hospital Municipal de Agudos Dr. Pedro Ecay

    Carmen de Patagones

  • Instituto Medico de la Comunidad

    Catamarca

  • Hospital Municipal del Carmen de Chacabuco

    Chacabuco

  • Hospital de Chivilcoy

    Chivilcoy

  • Policlinico Modelo Cipolletti

    Cipolletti

  • Hospital Carrillo de Ciudadela

    Ciudadela

  • Clinica del Valle

    Comodoro Rivadavia

  • Hospital Regional V Sanguinetti

    Comodoro Rivadavia

  • Hospital Zonal Alvear

    Comodoro Rivadavia

  • Hospital Justo José de Urquiza

    Concepción del Uruguay

  • Clinica Chutro

    Córdoba

  • Clínica Santa Maria

    Córdoba

  • Clínica Universitaria Reina Fabiola

    Córdoba

  • Hospital Córdoba

    Córdoba

  • Hospital Italiano

    Córdoba

  • Hospital Misericordia Nuevo Siglo

    Córdoba

  • Hospital Municipal Principe de Asturias

    Córdoba

  • Hospital Privado de Cordoba

    Córdoba

  • Hospital Publico Provincial de la Ciudad de Córdoba

    Córdoba

  • Hospital San Roque

    Córdoba

  • Sanatorio Allende Cerro

    Córdoba

  • Sanatorio Allende Nueva Córdoba

    Córdoba

  • Sanatorio Privado del Intenterio SRL

    Córdoba

  • Hospital Escuela Gral José de San Martín

    Corrientes

  • Instituto de Cardiologia Juana Francisca Cabral

    Corrientes

  • Hospital Central de Formosa

    Formosa

  • Sanatorio Juan XXIII

    General Roca

  • Hospital Simplemente Evita

    González Catán

  • Hospital Eva Peron

    Granadero Baigorria

  • Hospital Profesor Dr Luis Guemes

    Haedo

  • Clínica la pequeña Familia

    Junín

  • Clínica Argentina

    La Pampa

  • HIEA y C "San Juan de Dios"

    La Plata

  • HIGA San Martín de La Plata

    La Plata

  • HIGA San Roque

    La Plata

  • Hospital español

    La Plata

  • Hospital Italiano de La Plata

    La Plata

  • Instituto Médico Platense

    La Plata

  • Ipensa

    La Plata

  • Sanatorio Adventista del Plata

    La Plata

  • HIGA Luisa Cravenna de Gandulfo

    Lomas de Zamora

  • Clinica 25 de Mayo

    Mar del Plata

  • HIGA Dr Oscar Alende

    Mar del Plata

  • Clinica Santa Maria

    Mendoza

  • Clinica Sociedad Española de Socorros Mutuos de Mendoza

    Mendoza

  • Hospital Central

    Mendoza

  • Hospital del Carmen

    Mendoza

  • Hospital Luis C Lagomaggiore

    Mendoza

  • Hospital Santa Isabel de Hungría

    Mendoza

  • Hospital Eva Perón

    Merlo

  • Clínica Monte Grande

    Monte Grande

  • HZGA Mariano y Luciano de la Vega

    Moreno

  • Hospital de Morón

    Morón

  • Hospital Nacional A. Posadas

    Morón

  • Sanatorio Clínica Modelo de Moron

    Morón

  • Hospital Municipal Emilio Ferreyra

    Necochea

  • Clinica CMIC

    Neuquén

  • Clínica Pasteur

    Neuquén

  • Clínica San Agustín

    Neuquén

  • Clinica Olivos

    Olivos

  • Hospital Militar Regional de Parana

    Paraná

  • HIGA San Jose de Pergamino

    Pergamino

  • Hospital Universitario Austral

    Pilar

  • Hospital Municipal de Pinamar

    Pinamar

  • Hospital Escuela de Agudos Dr. Ramon Madariaga

    Posadas

  • Hospital Público Autogestión SAMIC el Dorado

    Posadas

  • Hospital de Autogestión Samic Iguazú

    Puerto Iguazú

  • Sanatorio de la Ciudad S.R.L

    Puerto Madryn

  • Sanatorio de la Trinidad Quilmes

    Quilmes

  • Sanatorio de la Trinidad Ramos Mejía

    Ramos Mejía

  • Hospital central Reconquista

    Reconquista

  • Hospital Dr. Julio Perrando

    Resistencia

  • Hospital Español de Rosario

    Rosario

  • Policlinico PAMI 1

    Rosario

  • Sanatorio Mapaci

    Rosario

  • Sanatorio Parque

    Rosario

  • Hospital del Sr. del Milagro

    Salta

  • Hospital Papa Francisco

    Salta

  • Hospital Publico de Auogestión Dr Arturo Oñativia

    Salta

  • HPGD San Bernardo

    Salta

  • HIGA Petrona V. de Cordero de San Fernando

    San Fernando

  • Sanatorio de la Trinidad San Isidro

    San Isidro

  • Sanatorio Las Lomas

    San Isidro

  • Centro de Cuidados Intensivos

    San Juan

  • Clinica Santa Clara de la Porvincia de San Juan

    San Juan

  • Hospital Dr Guillermo Rawson

    San Juan

  • Hospital Público descentralizado Dr. Marcial Vicente Quiroga.

    San Juan

  • Hospital Italiano de San Justo

    San Justo

  • Hospital Madre Catalina

    San Luis

  • Hospital San Luis

    San Luis

  • Hospital Centro de Salud Zenón Santillán

    San Miguel de Tucumán

  • Hospital de clínica Presidente Doctor Nicolas Avellaneda

    San Miguel de Tucumán

  • Sanatorio Lavalle

    San Salvador de Jujuy

  • Sanatorio Nuestra Sra del Rosario

    San Salvador de Jujuy

  • Htal Cullen de Santa Fe

    Santa Fe

  • Sanatorio Español

    Santa Fe

  • Sanatorio Santa Fe

    Santa Fe

  • Sanatorio Santa Fé

    Santa Fe

  • Centro Integral de Salud Banda

    Santiago del Estero

  • Hospital regional Dr. Ramon Carrillo

    Santiago del Estero

  • Hospital Ramón Santamarina

    Tandil

  • Sanatorio Juncal

    Temperley

  • Hospital Regional de Ushuaia

    Ushuaia

  • Hospital Nodal Dr. Alejandro Gutierrez

    Venado Tuerto

  • Hospital Houssay

    Vicente López

  • Hospital Artemides Zatti

    Viedma

Other trials in Argentina

About this study

Official title: Mechanical Ventilation Epidemiology in Argentina. EpVAr Multicenter Study.

How is the epidemiology of mechanically ventilated patients in the intensive care units of Argentina?

Read the detailed description

Mechanical ventilation is an indispensable tool in life support and one of the interventions that characterizes intensive care units (ICU).

Epidemiological studies have allowed us to improve knowledge and optimize the treatment of patients with acute respiratory failure.

In Latin America the epidemiological data of mechanical ventilation is poor.

Primary goal of this national, observational, prospective, multicentric epidemiological study: to analyze the survival and describe epidemiological features of patients receiving mechanical ventilation in the Intensive Care Units of Argentina.

Medical subject headings
Respiratory Aspiration

What is being measured

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

  1. Survival in the ICU

    "Survival in the ICU" will be measured as YES or NO at day 28 after the enrollment.

    Measured: Up to 28 days after the enrollment

Secondary outcomes (14)
  1. Main reason of Invasive Mechanical Ventilation

    1. Acute respiratory failure in patient with chronic respiratory failure: A)Chronic Obstructive Pulmonary Disease, B) Asthma, C) Other Chronic Obstructive Pulmonary Disease (Idiopathic pulmonary fibrosis, Cystic Fibrosis, Interstitial disease).
    2. Acute Respiratory Failure: A) Acute Respiratory Distress Syndrome, B) Postoperative, C) Acute Heart Failure, D) Aspiration, E) Pneumonia, F) Sepsis, G) Trauma, H) Cardiac arrest, I)Others.
    3. Coma: A)Metabolic, B)Overdose, Intoxication, C)Stroke, D)Brain trauma.
    4. Neuromuscular disease

    Measured: 1 day

  2. Ventilatory Modes and setting

    Volume Control Ventilation, Pressure Control Ventilation, Pressure Support Ventilation, Synchronized Intermittent Mandatory Ventilation, Other (Proportional Assist Ventilation, Neurally Adjusted Ventilation, Airway Pressure Release Ventilation)

    Measured: Up to 10 days

  3. Tidal Volume

    Set tidal volume in mililiters

    Measured: Up to 10 days

  4. Weaning and mortality

    Weaning characteristics and outcome of the patient in terms of mortality.

    Measured: Up to 28 days

  5. Noninvasive ventilation during weaning and mortality

    The use of NIV during weaning and the outcome of the patient in terms of mortality

    Measured: Up to 28 days

  6. Incidence of delirium

    Delirium measured with the CAM- ICU.

    Measured: Up to 28 days

  7. Incidence of ICU acquired weakness

    Periphereal muscle weakness measured with MRC defined as a total value of less than 48 points.

    Measured: Up to 28 days

  8. Incidence of tracheostomy

    Presence of tracheostomy

    Measured: Up to 28 days

  9. Sedation and analgesia in mechanical ventilation

    Implementation of sedation and analgesia during the period of mechanical ventilation.

    Measured: Up to 28 days

  10. Peak Pressure

    Monitored Peak Pressure in centimeters of water

    Measured: Up to 10 days

  11. Plateau Pressure

    Monitored Plateau Pressure in centimeters of water

    Measured: Up to 10 days

  12. Applied PEEP

    Set PEEP in centimeters of water

    Measured: Up to 10 days

  13. Total PEEP

    Monitored total PEEP in centimeters of water

    Measured: Up to 10 days

  14. Driving Pressure

    Monitored Driving Pressure in centimeters of water as the difference between Total PEEP and Plateau Pressure in centimeters of water

    Measured: Up to 10 days

Timeline

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

  1. First posted27 Sep 2019
  2. Study start9 Sep 2019
  3. Primary completion30 Nov 2019
  4. Study completion31 Dec 2019

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
950 participants (actual)
Target duration
28 Days
IDs, dates and publications
ClinicalTrials.gov ID
NCT04107467
Sponsor's protocol ID
EpVAr
Acronym
EpVAr2019
Status last verified
Oct 2020
First submitted
25 Sep 2019
Last updated
22 Oct 2020
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Protti A, Cressoni M, Santini A, Langer T, Mietto C, Febres D, Chierichetti M, Coppola S, Conte G, Gatti S, Leopardi O, Masson S, Lombardi L, Lazzerini M, Rampoldi E, Cadringher P, Gattinoni L. Lung stress and strain during mechanical ventilation: any safe threshold? Am J Respir Crit Care Med. 2011 May 15;183(10):1354-62. doi: 10.1164/rccm.201010-1757OC. Epub 2011 Feb 4.

    PubMed 21297069
  • Brochard L, Rauss A, Benito S, Conti G, Mancebo J, Rekik N, Gasparetto A, Lemaire F. Comparison of three methods of gradual withdrawal from ventilatory support during weaning from mechanical ventilation. Am J Respir Crit Care Med. 1994 Oct;150(4):896-903. doi: 10.1164/ajrccm.150.4.7921460.

    PubMed 7921460
  • Acute Respiratory Distress Syndrome Network; Brower RG, Matthay MA, Morris A, Schoenfeld D, Thompson BT, Wheeler A. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med. 2000 May 4;342(18):1301-8. doi: 10.1056/NEJM200005043421801.

    PubMed 10793162
  • Esteban A, Frutos F, Tobin MJ, Alia I, Solsona JF, Valverdu I, Fernandez R, de la Cal MA, Benito S, Tomas R, et al. A comparison of four methods of weaning patients from mechanical ventilation. Spanish Lung Failure Collaborative Group. N Engl J Med. 1995 Feb 9;332(6):345-50. doi: 10.1056/NEJM199502093320601.

    PubMed 7823995
  • Esteban A, Alia I, Gordo F, Fernandez R, Solsona JF, Vallverdu I, Macias S, Allegue JM, Blanco J, Carriedo D, Leon M, de la Cal MA, Taboada F, Gonzalez de Velasco J, Palazon E, Carrizosa F, Tomas R, Suarez J, Goldwasser RS. Extubation outcome after spontaneous breathing trials with T-tube or pressure support ventilation. The Spanish Lung Failure Collaborative Group. Am J Respir Crit Care Med. 1997 Aug;156(2 Pt 1):459-65. doi: 10.1164/ajrccm.156.2.9610109.

    PubMed 9279224
  • Esteban A, Anzueto A, Frutos F, Alia I, Brochard L, Stewart TE, Benito S, Epstein SK, Apezteguia C, Nightingale P, Arroliga AC, Tobin MJ; Mechanical Ventilation International Study Group. Characteristics and outcomes in adult patients receiving mechanical ventilation: a 28-day international study. JAMA. 2002 Jan 16;287(3):345-55. doi: 10.1001/jama.287.3.345.

    PubMed 11790214
  • Esteban A, Frutos-Vivar F, Muriel A, Ferguson ND, Penuelas O, Abraira V, Raymondos K, Rios F, Nin N, Apezteguia C, Violi DA, Thille AW, Brochard L, Gonzalez M, Villagomez AJ, Hurtado J, Davies AR, Du B, Maggiore SM, Pelosi P, Soto L, Tomicic V, D'Empaire G, Matamis D, Abroug F, Moreno RP, Soares MA, Arabi Y, Sandi F, Jibaja M, Amin P, Koh Y, Kuiper MA, Bulow HH, Zeggwagh AA, Anzueto A. Evolution of mortality over time in patients receiving mechanical ventilation. Am J Respir Crit Care Med. 2013 Jul 15;188(2):220-30. doi: 10.1164/rccm.201212-2169OC.

    PubMed 23631814
  • Azevedo LC, Park M, Salluh JI, Rea-Neto A, Souza-Dantas VC, Varaschin P, Oliveira MC, Tierno PF, dal-Pizzol F, Silva UV, Knibel M, Nassar AP Jr, Alves RA, Ferreira JC, Teixeira C, Rezende V, Martinez A, Luciano PM, Schettino G, Soares M; ERICC (Epidemiology of Respiratory Insufficiency in Critical Care) investigators. Clinical outcomes of patients requiring ventilatory support in Brazilian intensive care units: a multicenter, prospective, cohort study. Crit Care. 2013 Apr 4;17(2):R63. doi: 10.1186/cc12594.

    PubMed 23557378
  • Tomicic V, Espinoza M, Andresen M, Molina J, Calvo M, Ugarte H, Godoy J, Galvez S, Maurelia JC, Delgado I, Esteban A; Grupo Chileno para el Estudio de la Ventilacion Mecanica. [Characteristics and factors associated with mortality in patients receiving mechanical ventilation: first Chilean multicenter study]. Rev Med Chil. 2008 Aug;136(8):959-67. Epub 2008 Oct 7. Spanish.

    PubMed 18949178
  • Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987;40(5):373-83. doi: 10.1016/0021-9681(87)90171-8.

    PubMed 3558716
  • Charlson ME, Charlson RE, Peterson JC, Marinopoulos SS, Briggs WM, Hollenberg JP. The Charlson comorbidity index is adapted to predict costs of chronic disease in primary care patients. J Clin Epidemiol. 2008 Dec;61(12):1234-1240. doi: 10.1016/j.jclinepi.2008.01.006. Epub 2008 Jul 10.

    PubMed 18619805
  • Le Gall JR, Lemeshow S, Saulnier F. A new Simplified Acute Physiology Score (SAPS II) based on a European/North American multicenter study. JAMA. 1993 Dec 22-29;270(24):2957-63. doi: 10.1001/jama.270.24.2957.

    PubMed 8254858
  • Singer M, Deutschman CS, Seymour CW, Shankar-Hari M, Annane D, Bauer M, Bellomo R, Bernard GR, Chiche JD, Coopersmith CM, Hotchkiss RS, Levy MM, Marshall JC, Martin GS, Opal SM, Rubenfeld GD, van der Poll T, Vincent JL, Angus DC. The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA. 2016 Feb 23;315(8):801-10. doi: 10.1001/jama.2016.0287.

    PubMed 26903338
  • Fabregas N, Ewig S, Torres A, El-Ebiary M, Ramirez J, de La Bellacasa JP, Bauer T, Cabello H. Clinical diagnosis of ventilator associated pneumonia revisited: comparative validation using immediate post-mortem lung biopsies. Thorax. 1999 Oct;54(10):867-73. doi: 10.1136/thx.54.10.867.

    PubMed 10491448
  • Devlin JW, Skrobik Y, Gelinas C, Needham DM, Slooter AJC, Pandharipande PP, Watson PL, Weinhouse GL, Nunnally ME, Rochwerg B, Balas MC, van den Boogaard M, Bosma KJ, Brummel NE, Chanques G, Denehy L, Drouot X, Fraser GL, Harris JE, Joffe AM, Kho ME, Kress JP, Lanphere JA, McKinley S, Neufeld KJ, Pisani MA, Payen JF, Pun BT, Puntillo KA, Riker RR, Robinson BRH, Shehabi Y, Szumita PM, Winkelman C, Centofanti JE, Price C, Nikayin S, Misak CJ, Flood PD, Kiedrowski K, Alhazzani W. Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU. Crit Care Med. 2018 Sep;46(9):e825-e873. doi: 10.1097/CCM.0000000000003299.

    PubMed 30113379

Questions about this trial

What is this clinical trial studying?

An observational study of Respiration, Artificial and Epidemiology, run by Argentinian Intensive Care Society at 154 sites in Argentina.

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 5 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 22 Oct 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 154 sites in Argentina. 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?

Survival in the ICU (time frame: Up to 28 days after the enrollment). 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 NCT04107467, which also lists 17 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 22 Oct 2020.

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