The DIPOD Study (Diagnosis Improvement of Pneumonia by Organ Dysfunction)
DIPOD
Improvement of Diagnosis of Hospital Acquired Pneumonia (HAP) Based on Early Organ Dysfunction
1 other identifier
observational
298
1 country
1
Brief Summary
The place of analysis of organ dysfunction in relation to the diagnosis of nosocomial pneumonia in intensive care is not yet defined.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Jan 2016
Shorter than P25 for all trials
1 active site
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
January 1, 2016
CompletedFirst Submitted
Initial submission to the registry
January 11, 2016
CompletedFirst Posted
Study publicly available on registry
February 17, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2016
CompletedFebruary 27, 2017
February 1, 2017
11 months
January 11, 2016
February 24, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Area under the ROC curve of the CPIS score
The CPIS score is based on six variables: * Fever * Leukocytosis * Tracheal aspirates * Oxygenation * Radiographic infiltrates * Cult of tracheal aspirates
the previous 12 hours up to performance of pulmonary bacteriological samples
Secondary Outcomes (6)
Area under the ROC curve of increased use of catecholamine and their positive and negative predictive values
the previous 12 hours up to performance of pulmonary bacteriological samples
Area under the ROC curve of increased need a volemic expansion and their positive and negative predictive values
the previous 12 hours up to performance of pulmonary bacteriological samples
Area under the ROC curve of depletion inability and their positive and negative predictive values
the previous 12 hours up to performance of pulmonary bacteriological samples
Area under the ROC curve of confusion and their positive and negative predictive values
the previous 12 hours up to performance of pulmonary bacteriological samples
Area under the ROC curve of hepatic perturbation and their positive and negative predictive values
the previous 12 hours up to performance of pulmonary bacteriological samples
- +1 more secondary outcomes
Eligibility Criteria
Patients in Intensive care unit after cardiac and/or thoracic surgery with a clinical suspicion of HAP
You may qualify if:
- Patients after cardiac/thoracic surgery with suspicion of HAP defined by the presence of the following criteria:
- new onset of pulmonary infiltrates,
- fever \>38,3°C,
- increase in white blood cell (WBC) count
- purulent tracheal secretions
- but also:
- increased use of catecholamine,
- need of volemic expansion,
- depletion inability,
- confusion,
- hepatic perturbation with increased gamma-glutamyl transpeptidase (GGT)\>2N or alkaline phosphatase (ALP) \>1.5 N, or bilirubin \>1.5N, or aminotransferase (AST or ALT\>2 N).
You may not qualify if:
- child,
- pregnancy,
- end of life.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Centre Chirurgical Marie Lannelongue
Le Plessis-Robinson, 92350, France
Related Publications (2)
Levy MM, Fink MP, Marshall JC, Abraham E, Angus D, Cook D, Cohen J, Opal SM, Vincent JL, Ramsay G; SCCM/ESICM/ACCP/ATS/SIS. 2001 SCCM/ESICM/ACCP/ATS/SIS International Sepsis Definitions Conference. Crit Care Med. 2003 Apr;31(4):1250-6. doi: 10.1097/01.CCM.0000050454.01978.3B.
PMID: 12682500BACKGROUNDCalandra T, Cohen J; International Sepsis Forum Definition of Infection in the ICU Consensus Conference. The international sepsis forum consensus conference on definitions of infection in the intensive care unit. Crit Care Med. 2005 Jul;33(7):1538-48. doi: 10.1097/01.ccm.0000168253.91200.83.
PMID: 16003060BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
TALNA KORTCHINSKY, MD
Centre Chirurgical Marie Lannelongue
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 11, 2016
First Posted
February 17, 2016
Study Start
January 1, 2016
Primary Completion
December 1, 2016
Study Completion
December 1, 2016
Last Updated
February 27, 2017
Record last verified: 2017-02
Data Sharing
- IPD Sharing
- Will not share