Unique ID issued by UMIN | UMIN000027895 |
---|---|
Receipt number | R000031957 |
Scientific Title | Association of intraoperative HES130/0.4 and postoperative complications in dialysis-dependent patients :A retrospective cohort study using DPC database |
Date of disclosure of the study information | 2017/06/30 |
Last modified on | 2018/12/19 14:38:58 |
Association of intraoperative HES130/0.4 and postoperative complications in dialysis-dependent patients :A retrospective cohort study using DPC database
Association of intraoperative HES130/0.4 and postoperative complications for dialysis-dependent patients.
Association of intraoperative HES130/0.4 and postoperative complications in dialysis-dependent patients :A retrospective cohort study using DPC database
Association of intraoperative HES130/0.4 and postoperative complications for dialysis-dependent patients.
Japan |
Dialysis-dependent patients who underwent surgery
Surgery in general | Gastrointestinal surgery | Hepato-biliary-pancreatic surgery |
Vascular surgery | Chest surgery | Endocrine surgery |
Breast surgery | Obstetrics and Gynecology | Oto-rhino-laryngology |
Orthopedics | Urology | Anesthesiology |
Neurosurgery | Cardiovascular surgery | Operative medicine |
Malignancy
NO
In dialysis-dependent patients, to investigate the influence of intraoperative HES130/0.4 on postoperative complications, coagulation status, ICU admission, length of postoperative hospital stay, medical expenditure, etc. by comparing the patients who received HES to the patients who did not received HES.
Safety
Others
Others
Not applicable
Incidence of postoperative complications
(Myocardial infarction, congestive heart failure, arrhythmia, hypotension, pneumonia, cerebrovascular accident, surgical site infection, postoperative bleeding, sepsis, emergency dialysis (day of surgery), postoperative mortality (within 30 days after surgery) )
(1)Number of postoperative complications
(2)ICU admission
(3)Length of postoperative hospital stay
(4)Medical expenditure during hospital stay
(5)Blood clotting ability (platelet count, PT-INR, APTT)
Observational
18 | years-old | <= |
Not applicable |
Male and Female
(1)Dialysis-dependent patients who underwent surgery from January 2014 to December 2016
(2)Patients 18 years or older
(3)Patients who underwent surgery under general anesthesia
(1)Patients who received dextran or HES70/0.5
(2)Patients who received HES130/0.4 during the period between 7 days before surgery and the day before surgery
(3)Patients who died within 2 days after surgery
(4)Patients who underwent multiple surgeries (during the period of 30 days before and 30 days after surgery)
(5)Patients who received HES130/0.4 only before and/or after surgery on the day of surgery
4000
1st name | |
Middle name | |
Last name | Akiyoshi Kuroda |
Otsuka Pharmaceutical Factory, Inc.
Applied Clinical Development Department
2-9 Kanda Tsukasamachi, Chiyoda-ku Tokyo
03-5217-5954
Kuroda.Akiyoshi@otsuka.jp
1st name | |
Middle name | |
Last name | Satoru Kamoshita |
Otsuka Pharmaceutical Factory, Inc.
Applied Clinical Development Department
2-9 Kanda Tsukasamachi, Chiyoda-ku Tokyo
03-5217-5954
kamoshitas@otsuka.jp
Otsuka Pharmaceutical Factory, Inc.
Otsuka Pharmaceutical Factory, Inc.
Profit organization
Japan
Saitama Medical Center, Saitama Medical University
Toho University Ohashi Medical Center
Fresenius Kabi Japan K.K.
NO
2017 | Year | 06 | Month | 30 | Day |
Published
The incidence of postoperative complications were not significantly different between HES group and non-HES group (49% vs. 51%; RR, 0.96; 95%CI, 0.80-1.16; P=0.70). Number of postoperative complications, ICU admission, length of postoperative hospital stay and medical expenditure were not significantly different between HES group and non-HES group.
Completed
2017 | Year | 06 | Month | 13 | Day |
2017 | Year | 07 | Month | 01 | Day |
2018 | Year | 03 | Month | 16 | Day |
Study design:
Retrospective cohort study using the DPC database
Propensity score matching analysis
Data source:
A medical database provided by Medical Data Vision Co. Ltd.
The database is based on the DPC data/pharmacy claims data, and partly includes laboratory data, too. The database covers 16% of all DPC hospitals in Japan. All data is anonymized from the viewpoint of personal information protection.
Study methods:
Among the dialysis-dependent patients who underwent surgery from January 2014 to December 2016, patients who meet the inclusion criteria and exclusion criteria are extracted. The extracted patients are allocated to either of the following two groups; the patients receiving HES130/0.4 and the patients not receiving HES130/0.4.
After propensity score matching, the influence of intraoperative HES130/0.4 on postoperative complications, coagulation status, ICU admission, length of postoperative hospital stay, medical expenditure, etc. is investigated by comparing the patients who received HES130/0.4 to the patients who did not received HES130/0.4.
2017 | Year | 06 | Month | 23 | Day |
2018 | Year | 12 | Month | 19 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000031957