NCT02285686

Brief Summary

Troponins are sensitive and specific markers of cardiac injury. Critically ill patients frequently have elevated troponins. In this population, distinguishing patients with elevated troponins from those with myocardial infarction is difficult. However, troponin elevations on their own seem to be associated with an increased risk of death. The optimal treatment of patients with type 2 myocardial infarction or non ischemia related troponin elevations during critical illness is unclear. There are no trials in the ICU setting to guide management. This study is a 1-month pilot cohort study of troponin screening in 4 Ontario intensive care units. The objective of this pilot study is to evaluate the ability to perform a larger study, which will determine the prevalence, incidence and risk factors for elevated troponin values, how patients with elevated troponin values are treated as a baseline, and the incidence of myocardial infarction in critically ill patients. Knowing the prognostic impact of these conditions and understanding current management will thereafter guide researchers and clinicians on the importance of carefully evaluating potential risk-modifying therapies.

Trial Health

100
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
251

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Nov 2014

Shorter than P25 for all trials

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

November 1, 2014

Completed
4 days until next milestone

First Submitted

Initial submission to the registry

November 5, 2014

Completed
2 days until next milestone

First Posted

Study publicly available on registry

November 7, 2014

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 15, 2015

Completed
15 days until next milestone

Study Completion

Last participant's last visit for all outcomes

March 30, 2015

Completed
Last Updated

November 1, 2017

Status Verified

October 1, 2017

Enrollment Period

4 months

First QC Date

November 5, 2014

Last Update Submit

October 30, 2017

Conditions

Keywords

troponinbiomarkersmyocardial infarctioncritical illness

Outcome Measures

Primary Outcomes (3)

  • Recruitment rate

    Feasibility outcome

    1 month

  • Data collection time per patient

    Feasibility outcome

    3 months

  • rate of successful deferred informed consent definition

    Feasibility outcome

    1 month

Secondary Outcomes (3)

  • All-cause in-hospital mortality

    3 months

  • Troponin elevations

    3 months

  • Myocardial infarction

    3 months

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Critically ill patients

You may qualify if:

  • All adult patients admitted to the participating ICUs of study sites during the study enrollment period will be eligible.

You may not qualify if:

  • Patients who are admitted and die or are discharged within 12 hours
  • Patients re-admitted to ICU during the index ICU enrolment month

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Biospecimen

Retention: SAMPLES WITHOUT DNA

2 cryovials

MeSH Terms

Conditions

Myocardial InfarctionCritical Illness

Condition Hierarchy (Ancestors)

Myocardial IschemiaHeart DiseasesCardiovascular DiseasesVascular DiseasesInfarctionIschemiaPathologic ProcessesPathological Conditions, Signs and SymptomsNecrosisDisease Attributes

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 5, 2014

First Posted

November 7, 2014

Study Start

November 1, 2014

Primary Completion

March 15, 2015

Study Completion

March 30, 2015

Last Updated

November 1, 2017

Record last verified: 2017-10