Pancreatic Injury and Corresponding Management Outcome (PICO)
1 other identifier
observational
200
1 country
1
Brief Summary
Pancreatic injury is a relatively rare and result in significant morbidity and mortality. Estimates for the incidence of pancreatic injury range from 0.2-12% of abdominal traumas. Many factors, such as patient stability, the acuity of concomitant life-threatening injuries, and the need for damage control procedures must therefore be balanced when considering the proper approach to pancreatic injury management. However, few prospective studies have investigated the perioperative management of patients with pancreatic trauma.
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 2000
Longer than P75 for all trials
1 active site
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
January 1, 2000
CompletedFirst Submitted
Initial submission to the registry
September 13, 2018
CompletedFirst Posted
Study publicly available on registry
September 21, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
March 31, 2023
CompletedSeptember 23, 2022
September 1, 2022
23 years
September 13, 2018
September 21, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
30-day mortality
All cause mortality within 30 days
30 days
Secondary Outcomes (12)
pancreatic associated complications
Through study completion, an average of 1 year
Non-pancreatic associated complications
Through study completion, an average of 1 year
Organ failure
30 days
Systematic complication
30 days
Operational intervention
30 days
- +7 more secondary outcomes
Study Arms (1)
Pancreatic injury
Patient diagnosed with pancreatic trauma by surgery, computed tomography, Endoscopic retrograde cholangiopancreatography (ERCP) and Magnetic resonance cholangiopancreatography (MRCP) were included
Interventions
Treatment according to guidelines for pancreatic trauma according to the Chinese Trauma Association and the American Association for the Surgery of Trauma
Eligibility Criteria
All patients who were treated for pancreatic injuries at the Trauma Centres
You may qualify if:
- Patient diagnosed with pancreatic trauma by surgery
- computed tomography
- Endoscopic retrograde cholangiopancreatography (ERCP)
- Magnetic resonance cholangiopancreatography (MRCP)
You may not qualify if:
- The patient underwent chemotherapies or radiotherapy
- immune system disease
- end-stage chronic organ failure
- moribund cases with multiple severe injuries
- died within 24 h of admission
- younger than 18 years
- pregnant
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Jinling Hospital
Nanjing, Jiangsu, 210002, China
Related Publications (1)
Wang K, Li K, Deng Y, Wang X, Yang C, Chu C, Li W, Li J, Ding W. Postoperative hemorrhage following pancreatic injury: Risk factors and clinical outcomes. J Hepatobiliary Pancreat Sci. 2023 May;30(5):644-654. doi: 10.1002/jhbp.1251. Epub 2022 Nov 3.
PMID: 36270802DERIVED
Biospecimen
Samples analyses are performed by dedicated research center: DNA, and RNA extraction for transcriptome analysis, histological analyzes, etc: The concentrations of cell-free DNA, cell-free nucleosomes, neutrophil elastase (NE) and myeloperoxidase (MPO) were measured in sera and plasma by Human Cell Death Detection ELISA or sandwich ELISA. Pancreatic tissue was removed rapidly and divided into different parts for later analyses. One was used for confocal microscopy and one third was snap-frozen in liquid nitrogen for biochemical quantification of pancreatic myeloperoxidase (MPO), histone 3, and histone 4 levels, etc. One was fixed in formalin for histologic analysis.
MeSH Terms
Conditions
Study Officials
- STUDY DIRECTOR
Weiwei Ding, MD
Medical School of Nanjing University
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Clinical Professor
Study Record Dates
First Submitted
September 13, 2018
First Posted
September 21, 2018
Study Start
January 1, 2000
Primary Completion
December 31, 2022
Study Completion
March 31, 2023
Last Updated
September 23, 2022
Record last verified: 2022-09
Data Sharing
- IPD Sharing
- Will not share