Explicit Assessment of Thromboembolic Risk and Prophylaxis for Medical Patients in Switzerland
1 other identifier
observational
1,478
1 country
7
Brief Summary
Until now, no risk assessment model informing about the need of thromboprophylaxis in patients admitted for an acute medical event has been validated. The goal of this project is to indirectly validate a model developed in Geneva by a non -interventional study involving the collection of patient characteristics during the hospitalization and a 3-month follow-up. These data will allow for the determination of the patient's risk, according to the Geneva model, and its validity, according the actual thrombo-embolic events, corrected for the thromboprophylaxis received. The project is multicentric in Switzerland (5-10 centers) and should involve about 1000 patients. First amendment (may 2011) : we have obtained the IRB approval for collecting data from patients who die during their hospital stay and for whom informed consent is not be possible to obtain.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Dec 2010
Shorter than P25 for all trials
7 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 1, 2010
CompletedFirst Submitted
Initial submission to the registry
January 14, 2011
CompletedFirst Posted
Study publicly available on registry
January 17, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2011
CompletedMarch 18, 2014
March 1, 2014
11 months
January 14, 2011
March 17, 2014
Conditions
Outcome Measures
Primary Outcomes (1)
relationship between the combined rate of fatal and non-fatal symptomatic venous thromboembolism and bleeding events and the calculated risk score at 90 days after hospital admission
evaluation of the relationship between the combined rate of fatal and non-fatal symptomatic venous thromboembolism and bleeding events at 90 days after hospital admission on one hand, and the calculated risk score provided by the Geneva Risk Assessment Models (RAM) at hospital admission on the other hand
90 days
Study Arms (1)
hospitalization >24 hours
Eligibility Criteria
Several public hospitals of Switzerland, genral internal medicine divisions
You may qualify if:
- Patients admitted (minimal stay \>24 hours) to medical hospital wards
- Age ≥18 years
- Ability to give an informed consent, as informed by the physicians in charge of the patient
You may not qualify if:
- Patients admitted to non-medical hospital wards
- Patients with therapeutic anticoagulation at hospital admission
- Patients admitted for a disease requiring therapeutic anticoagulation (MTE or other)
- Patients unable to give an informed consent, as informed by the physicians in charge of the patient
- Patients without signed informed consent
- Patients already included in this study
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University Hospital, Genevalead
- Insel Gruppe AG, University Hospital Berncollaborator
- Kantonsspital Badencollaborator
- University of Zurichcollaborator
- Luzerner Kantonsspitalcollaborator
- Cantonal Hospital of St. Gallencollaborator
- Sanoficollaborator
Study Sites (7)
Kantonsspital
Baden, Switzerland
University Hospitals
Bern, Switzerland
Cantonal Hospital
Fribourg, Switzerland
University Hospitals
Geneva, Switzerland
Kantonsspital
Lüzern, Switzerland
Cantonal Hospital
Sankt Gallen, Switzerland
University Hospital
Zurich, Switzerland
Related Publications (3)
Chopard P, Spirk D, Bounameaux H. Identifying acutely ill medical patients requiring thromboprophylaxis. J Thromb Haemost. 2006 Apr;4(4):915-6. doi: 10.1111/j.1538-7836.2006.01818.x. No abstract available.
PMID: 16634771BACKGROUNDNendaz M, Spirk D, Kucher N, Aujesky D, Hayoz D, Beer JH, Husmann M, Frauchiger B, Korte W, Wuillemin WA, Jager K, Righini M, Bounameaux H. Multicentre validation of the Geneva Risk Score for hospitalised medical patients at risk of venous thromboembolism. Explicit ASsessment of Thromboembolic RIsk and Prophylaxis for Medical PATients in SwitzErland (ESTIMATE). Thromb Haemost. 2014 Mar 3;111(3):531-8. doi: 10.1160/TH13-05-0427. Epub 2013 Nov 14.
PMID: 24226257RESULTSpirk D, Nendaz M, Aujesky D, Hayoz D, Beer JH, Husmann M, Frauchiger B, Korte W, Wuillemin WA, Righini M, Bounameaux H, Kucher N. Predictors of thromboprophylaxis in hospitalised medical patients. Explicit ASsessment of Thromboembolic RIsk and Prophylaxis for Medical PATients in SwitzErland (ESTIMATE). Thromb Haemost. 2015 May;113(5):1127-34. doi: 10.1160/TH14-06-0525. Epub 2015 Jan 22.
PMID: 25608607DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Mathieu R Nendaz, Dr
General Internal Medicine Division, University Hospitals of Geneva
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- MD
Study Record Dates
First Submitted
January 14, 2011
First Posted
January 17, 2011
Study Start
December 1, 2010
Primary Completion
November 1, 2011
Study Completion
November 1, 2011
Last Updated
March 18, 2014
Record last verified: 2014-03