Unique ID issued by UMIN | UMIN000003019 |
---|---|
Receipt number | R000003507 |
Scientific Title | Evaluation of plasma coagulation factors as additional parameter for indication of the emergency operation for type A acute aortic dissection |
Date of disclosure of the study information | 2010/01/18 |
Last modified on | 2015/02/08 18:46:05 |
Evaluation of plasma coagulation factors as additional parameter for indication of the emergency operation for type A acute aortic dissection
Evaluation of prognostic significance of coagulation factor in acute aortic dissection(CFAAD study)
Evaluation of plasma coagulation factors as additional parameter for indication of the emergency operation for type A acute aortic dissection
Evaluation of prognostic significance of coagulation factor in acute aortic dissection(CFAAD study)
Japan |
Acute aortic dissection(Stanford type A)
Cardiology | Vascular surgery | Cardiovascular surgery |
Others
NO
This study is undertaken to evaluate whether blood coagulation factor testing is a good indication of emergency surgery or not in the type A acute aortic dissection
Efficacy
in-hospital mortality
The occurrence of any of following complication
1 Cardiac tamponade
2 Shock due to the rupture of aorta
3 central nerve disorder
4 acute coronary syndrome
5 Severe lower limbs ischemia or necrosis
Observational
20 | years-old | <= |
Not applicable |
Male and Female
patients who are diagnosed as type A acute aortic dissection
non
300
1st name | |
Middle name | |
Last name | Junichi Kei |
National Hospital Organization Kumamoto Medical Center
Cardiovascular surgery
1-5, Ninomaru, Kumamoto 860-0008, Japan
096-353-6501
j-kei@za2.so-net.ne.jp
1st name | |
Middle name | |
Last name | Jyun-ichi Kei |
National Hospital Organization Kumamoto Medical Center
Cardiovascular surgery
1-5, Ninomaru, Kumamoto 860-0008, Japan
096-353-6501
j-kei@za2.so-net.ne.jp
Natonal Hospital Organization Kumamoto Medical Center
Natonal Hospital Organization
Japan
NO
00国立病院機構熊本医療センター(熊本県)
01国立病院機構大阪医療センター(大阪府)
02国立病院機構鹿児島医療センター(鹿児島県)
03国立病院機構九州医療センター(福岡県)
04国立病院機構嬉野医療センター(佐賀県)
05国立病院機構長崎医療センター(長崎県)
06国立病院機構仙台医療センター(宮城県)
07国立病院機構静岡医療センター(静岡県)
08国立病院機構呉医療センター(山口県)
09国立病院機構岩国医療センター(広島県)
10国立病院機構北海道がんセンター(北海道)
11国立病院機構岡山医療センター(岡山県)
12国立病院機構水戸医療センター(茨城県)
13国立病院機構長良医療センター(岐阜県)
14国立病院機構災害医療センター(東京都)
2010 | Year | 01 | Month | 18 | Day |
http://www.hosp.go.jp/~knh/03iryokankei/rinsyokenkyu/nhonetwork.html
Unpublished
No longer recruiting
2010 | Year | 01 | Month | 04 | Day |
2010 | Year | 01 | Month | 01 | Day |
2012 | Year | 12 | Month | 31 | Day |
2015 | Year | 01 | Month | 31 | Day |
I,study design : multicenter prospective cohort study
II,observation valuables at first hospital visit
1,Age, Sex
2,Duration from onset to the hospital visit
3,Extension of false lumen
4,Status of the false lumen
5,Maximum diameter of the ascending aorta
6,Diameter of true and false lumen at the same level
7,Pericardial effusion volume
8,Cardiac tamponade
9,Disturbance of central nerve system
10,Acute coronary syndrome
11,Acute lower limbs ischemia
12,Status of urgency
Laboratory data
13,Prothrombin time - International normalized raio
14,Activated partial thromboplastin time
15,fibrin/fibrinogen degradation products
16,D-dimer
17,Plasminogen activity
18,Antithrombine III
19,Alpha 2 plasmin inhibitor
20,Fibrinogen
21,Hemoglobine
22,EBC counts
23,Platelet counts
24,Aspartate aminotransferase
25,Aalanine aminotransferase
26,Creatinine
27,Creatine kinase
28,C-reactive protein
When urgent or immediate surgery is performed,
29,Duration from hospital visit to surgery
30,Range of replaced aorta
31,Concomitant operation
32,Blood transfusion volume
33,Operation time
34,Extra-corporeal circulation time
35,Circulatory arrest time
36,Aortic clamp time
37,Selective cerebral perfusion time
III, Statistical analysis
1) We divide it into two groups according to surgical and non-surgical treatment.
2) Among each group observation variables demonstrating significant influence on the incidences of the primary or secondary outcomes will be identified using chi-square tests and logistic regression analysis. Among these significant variables, independent factors which influence on primary or secondary outcomes will be identified using multiple logistic regression analysis.
3)We will design a formula to predict early mortality and morbidity among each surgical and non-surgical and both group using multiple logistic regression analysis. and we will evaluate the fomula as the parameter of early surgical indication for type A acute aort
2010 | Year | 01 | Month | 12 | Day |
2015 | Year | 02 | Month | 08 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000003507