UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000056943
Receipt number R000064449
Scientific Title Epidemiological study of the impact on clinical outcomes with the introduction of ventilation algorithm: An interrupted time series analysis.
Date of disclosure of the study information 2025/02/06
Last modified on 2025/02/05 14:12:13

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Basic information

Public title

Epidemiological study of the impact on clinical outcomes with the introduction of ventilation algorithm: An interrupted time series analysis.

Acronym

Epidemiological study of the impact on clinical outcomes with the introduction of ventilation algorithm

Scientific Title

Epidemiological study of the impact on clinical outcomes with the introduction of ventilation algorithm: An interrupted time series analysis.

Scientific Title:Acronym

Epidemiological study of the impact on clinical outcomes with the introduction of ventilation algorithm

Region

Japan


Condition

Condition

Respiratory failure in need of mechanical ventilation management

Classification by specialty

Cardiology Pneumology Nephrology
Neurology Clinical immunology Infectious disease
Surgery in general Vascular surgery Chest surgery
Cardiovascular surgery Operative medicine Emergency medicine
Intensive care medicine Adult Child

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Ventilator management in the intensive care unit (ICU) is an important treatment for severe respiratory failure, but physicians vary in their use of ventilators and there is a shortage of healthcare professionals who can use ventilators correctly (PMID: 36566030). Therefore, there is a need to develop and implement a standardized ventilation management algorithm. The Standard Training and Operating Procedure for Mechanical Ventilation (STOP-MV) was developed by the Mayo Clinic as a standardized algorithm for mechanical ventilation. This algorithm details the assessment of ventilated patients in the ICU according to their vital signs and ventilator settings, and is designed to enable safe ventilatory management even for novice students. The aim of this study was to implement this ventilation algorithm in a single institution to assess the following.
1) Improved prognosis of ventilated patients.
2) Changes in ventilation-related knowledge of inexperienced physicians
3) Identification of problems and improvements in the implementation of the algorithm.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

duration of ventilator days

Key secondary outcomes

Re-intubated or not, date of ICU discharge, alive or not at ICU discharge, date of hospital discharge, alive or not at discharge, date of death, ventilator-free days, 28-day death.


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Self control

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Other

Interventions/Control_1

Continue with usual patient care without implementing the PIT STOP MVP ventilator assessment algorithm. Each day, for each patient, the presence or absence of ventilation, ventilator setting mode, predicted body weight, minute ventilation, maximum airway pressure, PEEP, driving pressure, pressure support pressure, presence or absence of algorithm use, and the number of times the algorithm is used are recorded.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit

120 years-old >=

Gender

Male and Female

Key inclusion criteria

Patients expected to require ventilation for more than 24 hours

Key exclusion criteria

Patients expected to be weaned from ventilator within 24 hours

Target sample size

100


Research contact person

Name of lead principal investigator

1st name Daisuke
Middle name
Last name Konno

Organization

Tohoku University Hospital

Division name

Tohoku University School of Medicine Department of Anesthesiology and Perioperative Medicine

Zip code

090-8575

Address

2-1, Seiryo-machi, Aoba-ku, Sendai, Miyagi

TEL

0227177321

Email

daisuke.konno.e4@tohoku.ac.jp


Public contact

Name of contact person

1st name Daisuke
Middle name
Last name Konno

Organization

Tohoku University Hospital

Division name

Tohoku University School of Medicine Department of Anesthesiology and Perioperative Medicine

Zip code

980-8575

Address

2-1, Seiryo-machi, Aoba-ku, Sendai, Miyagi

TEL

0227177321

Homepage URL


Email

anessecretary@tohokuanes.com


Sponsor or person

Institute

Tohoku University

Institute

Department

Personal name



Funding Source

Organization

Tohoku University

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Tohoku University School of Medicine Department of Anesthesiology and Perioperative Medicine

Address

2-1, Seiryo-machi, Aoba-ku, Sendai, Miyagi

Tel

0227177321

Email

daisuke.konno.e4@tohoku.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 02 Month 06 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2024 Year 12 Month 16 Day

Date of IRB


Anticipated trial start date

2025 Year 02 Month 01 Day

Last follow-up date

2025 Year 10 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2025 Year 02 Month 05 Day

Last modified on

2025 Year 02 Month 05 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000064449