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.
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
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.
- Conditions
- Respiration, Artificial, Epidemiology
- Medical subject headings
- Respiratory Aspiration
What is being measured
The primary outcome is the main question the study is designed to answer.
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)
Main reason of Invasive Mechanical Ventilation
- 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).
- 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.
- Coma: A)Metabolic, B)Overdose, Intoxication, C)Stroke, D)Brain trauma.
- Neuromuscular disease
Measured: 1 day
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
Tidal Volume
Set tidal volume in mililiters
Measured: Up to 10 days
Weaning and mortality
Weaning characteristics and outcome of the patient in terms of mortality.
Measured: Up to 28 days
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
Incidence of delirium
Delirium measured with the CAM- ICU.
Measured: Up to 28 days
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
Incidence of tracheostomy
Presence of tracheostomy
Measured: Up to 28 days
Sedation and analgesia in mechanical ventilation
Implementation of sedation and analgesia during the period of mechanical ventilation.
Measured: Up to 28 days
Peak Pressure
Monitored Peak Pressure in centimeters of water
Measured: Up to 10 days
Plateau Pressure
Monitored Plateau Pressure in centimeters of water
Measured: Up to 10 days
Applied PEEP
Set PEEP in centimeters of water
Measured: Up to 10 days
Total PEEP
Monitored total PEEP in centimeters of water
Measured: Up to 10 days
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.
- First posted27 Sep 2019
- Study start9 Sep 2019
- Primary completion30 Nov 2019
- Study completion31 Dec 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (17)Papers the sponsor has linked to this study.
- Other trials for Respiration, ArtificialStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
Sponsor and investigators
- Lead sponsor
- Argentinian Intensive Care Society
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Gustavo Plotnikow, Argentinian Intensive Care Society
- Investigators
- Gustavo Plotnikow, RT, Principal investigator, Sanatorio Anchorena
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 21297069Brochard 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 7921460Acute 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 10793162Esteban 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 7823995Esteban 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 9279224Esteban 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 11790214Esteban 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 23631814Azevedo 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 23557378Tomicic 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 18949178Charlson 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 3558716Charlson 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 18619805Le 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 8254858Singer 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 26903338Fabregas 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 10491448Devlin 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
Study at a glance
From the registry record, last updated by the sponsor on 22 Oct 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Mechanical Ventilation Epidemiology in Argentina. EpVAr Multicenter Study.
- ClinicalTrials.gov ID
- NCT04107467
- Acronym / sponsor ID
- EpVAr2019 / EpVAr
- Conditions
- Respiration, Artificial, Epidemiology
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 950 participants (actual)
- Lead sponsor
- Argentinian Intensive Care SocietyUniversity, hospital or other
- Study start
- 9 Sep 2019 (actual)
- Primary completion
- 30 Nov 2019 (actual)
- Study completion
- 31 Dec 2019 (actual)
- First posted
- 27 Sep 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
How is the epidemiology of mechanically ventilated patients in the intensive care units of Argentina?
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.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Target follow-up
- 28 Days
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- All adult patients who require mechanical ventilation for at least 12 hours in the argentinians ICU will be enrolled.
Key inclusion criteria (3 listed)
- 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.
Key exclusion criteria (5 listed)
- 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
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Survival in the ICU
Time frame: Up to 28 days after the enrollment
"Survival in the ICU" will be measured as YES or NO at day 28 after the enrollment.
14 secondary outcomes
Main reason of Invasive Mechanical Ventilation
Time frame: 1 day
Ventilatory Modes and setting
Time frame: Up to 10 days
Tidal Volume
Time frame: Up to 10 days
Weaning and mortality
Time frame: Up to 28 days
Noninvasive ventilation during weaning and mortality
Time frame: Up to 28 days
Incidence of delirium
Time frame: Up to 28 days
Incidence of ICU acquired weakness
Time frame: Up to 28 days
Incidence of tracheostomy
Time frame: Up to 28 days
Sedation and analgesia in mechanical ventilation
Time frame: Up to 28 days
Peak Pressure
Time frame: Up to 10 days
Plateau Pressure
Time frame: Up to 10 days
Applied PEEP
Time frame: Up to 10 days
Total PEEP
Time frame: Up to 10 days
Driving Pressure
Time frame: Up to 10 days
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 22 Oct 2020.
- Background: PubMed 21297069Protti 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.
- Background: PubMed 7921460Brochard 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.
- Results publication: PubMed 10793162Acute 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.
- Results publication: PubMed 7823995Esteban 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.
- Results publication: PubMed 9279224Esteban 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.
- Results publication: PubMed 11790214Esteban 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.
- Results publication: PubMed 23631814Esteban 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.
- Results publication: PubMed 23557378Azevedo 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.
- Results publication: PubMed 18949178Tomicic 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.
- Results publication: PubMed 3558716Charlson 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.
- Results publication: PubMed 18619805Charlson 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.
- Results publication: PubMed 8254858Le 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.
- Free software environment for statistical computing and graphicsLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Gustavo Plotnikow, RT principal investigator
Sanatorio Anchorena
154 sites in 1 country: see every site and its status.
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.