NCT05252559

Brief Summary

In cardiac surgery patients with CPB-induced dilutional coagulopathy, ultrafiltration (UF) was applied to reduce free water and concentrate all blood components before the weaning from CPB. The impact of UF on the clot strength is determined by analyzing the changes of maximal clot formation in EXTEM assay (MCF-EXTEM) in the ROTEM test in patients who underwent elective cardiac valve surgery in KUMC.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
75

participants targeted

Target at P50-P75 for all trials

Timeline
Completed

Started Aug 2021

Shorter than P25 for all trials

Geographic Reach
1 country

1 active site

Status
completed

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

August 1, 2021

Completed
6 months until next milestone

First Submitted

Initial submission to the registry

January 25, 2022

Completed
29 days until next milestone

First Posted

Study publicly available on registry

February 23, 2022

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2022

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2022

Completed
Last Updated

June 10, 2022

Status Verified

June 1, 2022

Enrollment Period

9 months

First QC Date

January 25, 2022

Last Update Submit

June 8, 2022

Conditions

Keywords

ultrafiltrationcardiac valve diseaseviscoelastic testcardiopulmonary bypass

Outcome Measures

Primary Outcomes (1)

  • maximal clot firmness (MCF) of EXTEM assay

    change of MCF-EXTEM assay

    30 minute after the completion of ultrafiltration

Secondary Outcomes (3)

  • cut-off value of MCF-EXTEM to be improved by ultrafiltration

    30 minute after the completion of ultrafiltration

  • maximal clot firmness (MCF) of EXTEM assay to be improved by ultrafiltration

    30 minute after the completion of ultrafiltration

  • maximal clot firmness (MCF) of EXTEM assay not to be improved by ultrafiltration

    30 minute after the completion of ultrafiltration

Interventions

In cardiac surgery patients, ultrafiltration is usually applied to reduce free water and concentrate all blood components before weaning from cardiopulmonary bypass

before and after applying ultrafiltration, arterial blood sample underwent EXTEM and FIBTEM assays of rotational thromboelastometry

Eligibility Criteria

Age19 Years+
Sexall
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Patients underwent elective cardiac valve surgery with moderate hypothermic CPB and ultrafiltration

You may qualify if:

  • Patients underwent cardiac surgery during Jan 2019-Dec 2021
  • Patients underwent moderate hypothermic CPB
  • Patients underwent ultrafiltration during CPB
  • Patients underwent ROTEM tests (EXTEM assays and FIBTEM assay) before and after applying ultrafiltration

You may not qualify if:

  • Patients underwent packed RBC transfusion \> 3 units during CPB
  • patients underwent ultrafiltration but the removed free water was \< 250 ml
  • Patients underwent deep hypothermia

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Konkuk University Medical Center

Seoul, 05030, South Korea

Location

MeSH Terms

Conditions

Heart Valve Diseases

Interventions

Ultrafiltration

Condition Hierarchy (Ancestors)

Heart DiseasesCardiovascular Diseases

Intervention Hierarchy (Ancestors)

Extracorporeal CirculationSurgical Procedures, OperativeFiltrationChemistry Techniques, AnalyticalInvestigative TechniquesPhysical PhenomenaChemical Phenomena

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
RETROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor of Anesthesiology

Study Record Dates

First Submitted

January 25, 2022

First Posted

February 23, 2022

Study Start

August 1, 2021

Primary Completion

May 1, 2022

Study Completion

June 1, 2022

Last Updated

June 10, 2022

Record last verified: 2022-06

Data Sharing

IPD Sharing
Will not share

Locations