Unique ID issued by UMIN | UMIN000030888 |
---|---|
Receipt number | R000035269 |
Scientific Title | Assessment of bleeding in patients with disseminated intravascular coagulation after surgical treatment receiving recombinant human soluble thrombomodulin: A cohort study using DPC database |
Date of disclosure of the study information | 2018/01/24 |
Last modified on | 2018/12/09 13:46:42 |
Assessment of bleeding in patients with disseminated intravascular coagulation after surgical treatment receiving recombinant human soluble thrombomodulin: A cohort study using DPC database
Assessment of bleeding in patients with disseminated intravascular coagulation after surgical treatment receiving recombinant human soluble thrombomodulin: A cohort study using DPC database
Assessment of bleeding in patients with disseminated intravascular coagulation after surgical treatment receiving recombinant human soluble thrombomodulin: A cohort study using DPC database
Assessment of bleeding in patients with disseminated intravascular coagulation after surgical treatment receiving recombinant human soluble thrombomodulin: A cohort study using DPC database
Japan |
Disseminated Intravascular Coagulation
Medicine in general | Cardiology | Hematology and clinical oncology |
Surgery in general | Gastrointestinal surgery | Vascular surgery |
Cardiovascular surgery | Operative medicine | Emergency medicine |
Intensive care medicine |
Others
NO
To evaluate the effect of recombinant thrombomodulin preparation (rTM; Product name: Recomodulin), a treatment of disseminated intravascular coagulation (DIC), on the incidence of bleeding adverse events by comparing the group of patients receiving rTM with the group of patients receiving drugs other than rTM, on the supposition that "treatment with rTM in patients diagnosed with post-operative DIC does not increase the frequency of bleeding adverse events more significantly than other treatments."
Safety
The incidence proportion of bleeding adverse events
The incidence proportion of bleeding adverse events in the case where it is added that a blood transfusion or a hemostatic procedure performed after the DIC treatment.
Observational
18 | years-old | <= |
Not applicable |
Male and Female
1. Patients who are diagnosed with DIC (ICD-10: D65, disseminated intravascular coagulation [defibrination syndrome]) using the international classification of disease (ICD-10)
2. Patients who are identified as inpatients using the outcome information in the hospital admission and discharge data
3. Patients who are identified to have received DIC treatment using the receipt electronic processing codes
4. Patients who are identified to have received medical treatment defined as "Surgery" according to the clinical practice identification name using the receipt electronic processing codes.
"Surgery" covers all surgeries including A), B), C) below
A) Digestive organ surgery related to the liver, gallbladder, and pancreas
B) Other digestive organ surgery(except for the liver, gallbladder, and pancreas)
C) Surgery related to the heart/cardiovascular system
*Patients will be included in the study even if they have only a short past history (within 30 days from the initial prescription) or no past history prior to the day of initial prescription.
1. Patients who do not have even 1 record of outcome information or who do not have outcome information in the hospital admission and discharge data at the time of initial diagnosis of DIC
2. Patients aged under 18 years
3. Patients with DIC in the department of gynecology/obstetrics (pregnant or possibly pregnant women to be contraindicated)
4. Patients who died within 2 days after the day of admission
5. Patients who received surgery on a day that is not in the same month as or in the month before the diagnosis of DIC
6. Patients who had not received DIC treatment
7. Patients who had received the initial dose of DIC treatment prior to the day of surgery or more than 1 week after surgery
8. Patients whose blood test data ("peripheral blood general") are not available
9. Patients who had intracranial hemorrhage, pulmonary hemorrhage, or gastrointestinal hemorrhage before DIC treatment (patients to be contraindicated)
10. Patients who had at least 1 dose of rTM, but no initial prescription of rTM on the day of surgery or within 1 week after that
10000
1st name | |
Middle name | |
Last name | Takuhiro Yamaguchi |
Tohoku University Graduate School of Medicine
Biostatistics
1-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi, JAPAN
022-717-7659
yamaguchi@med.tohoku.ac.jp
1st name | |
Middle name | |
Last name | Takuhiro Yamaguchi |
Tohoku University Graduate School of Medicine
Biostatistics
1-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi, JAPAN
022-717-7659
yamaguchi@med.tohoku.ac.jp
CAC Croit Corporation
Asahi Kasei Pharma Corporation
Profit organization
Japan
NO
2018 | Year | 01 | Month | 24 | Day |
Published
Main results already published
2017 | Year | 09 | Month | 07 | Day |
2017 | Year | 09 | Month | 07 | Day |
<Observational Study Model>
Prospective cohort study
<Groups>
1. the group of patients receiving rTM
2. the group of patients receiving drugs other than rTM
2018 | Year | 01 | Month | 19 | Day |
2018 | Year | 12 | Month | 09 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000035269