Unique ID issued by UMIN | UMIN000045020 |
---|---|
Receipt number | R000051415 |
Scientific Title | Measuring concentration of serum syndecan-1 to assess vascular endothelial glycocalyx injury during hemodialysis |
Date of disclosure of the study information | 2024/01/01 |
Last modified on | 2021/07/30 20:52:33 |
Measuring concentration of serum syndecan-1 to assess vascular endothelial glycocalyx injury during hemodialysis
Measuring concentration of serum syndecan-1 to assess vascular endothelial glycocalyx injury during hemodialysis
Measuring concentration of serum syndecan-1 to assess vascular endothelial glycocalyx injury during hemodialysis
Measuring concentration of serum syndecan-1 to assess vascular endothelial glycocalyx injury during hemodialysis
Japan |
Chronic Renal Failure/hemodialysis
Nephrology | Intensive care medicine | Adult |
Others
NO
The present study aimed to assess endothelial injury using serum syndecan-1 as an endothelial glycocalyx injury marker in patients who underwent hemodialysis. Additionally, the present study also examined the medication type and factors that influence concentration of syndecan-1.
Safety
Patients' baseline characteristics are presented as median and interquartile range (IQR) for continuous variables, and frequency and proportion for categorical variables. For the primary analysis, a mixed effect model was used to assess the change in syndecan-1 levels with hemodialysis.
The difference in syndecan-1 levels before and after hemodialysis in the anticoagulant subgroup was confirmed using paired t-test. A multivariable linear regression analysis was performed to compare the change in syndecan-1 levels before/after hemodialysis and treatment with anticoagulants. The covariates in the regression model were age, sex, dry weight, and dialysis period. In another model, dry weight and dialysis period were simultaneously incorporated into the linear regression model to evaluate the effect of factors during dialysis on levels of syndecan-1. An interaction term was included in the model to confirm the effect of modification of dry weight and dialysis period on the change in levels of syndecan-1. If the interaction term was statistically significant, the effect of dialysis period (or dry weight) on syndecan-1 was determined to be modified by dry weight (or dialysis period). A two-sided P < 0.05 was considered to be statistically significant. Because the test is exploratory and because of concerns about low statistical power, the interaction was evaluated with a two-sided P < 0.1. R version 4.1.0 was used for statistical analyses (www.r-project.org).
Observational
20 | years-old | <= |
Not applicable |
Male and Female
Patients who underwent hemodialysis at the Gifu University Hospital between March 2017 and December 2019 were enrolled in the study.
Patients aged <20 years, died, underwent plasma apheresis, plasma exchange and double filtration plasma therapy, and who had not maintained the dry weight were excluded from the analysis.
145
1st name | Hideshi |
Middle name | |
Last name | Okada |
Gifu University Graduate School of Medicine
Emergency and Disaster Medicine
501-1194
1-1Yanagido, Gifu
058-230-6448
hideshi@gifu-u.ac.jp
1st name | Hideshi |
Middle name | |
Last name | Okada |
Gifu University Graduate School of Medicine
Emergency and Disaster Medicine
501-1194
1-1 Yanagido, Gifu
058-230-6448
hideshi@gifu-u.ac.jp
Gifu University
Department of Emergency and Disaster Medicine, Gifu University Graduate School of Medicine
Other
The Medical Ethics Committee of the Gifu University Graduate School of Medicine
1-1 Yanagido, Gifu
058-230-6059
rinri@gifu-u.ac.jp
NO
2024 | Year | 01 | Month | 01 | Day |
Unpublished
145
No longer recruiting
2021 | Year | 06 | Month | 30 | Day |
2021 | Year | 07 | Month | 30 | Day |
2021 | Year | 07 | Month | 30 | Day |
2021 | Year | 07 | Month | 30 | Day |
A single-center, retrospective, observational study
2021 | Year | 07 | Month | 30 | Day |
2021 | Year | 07 | Month | 30 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000051415