Multi-drug Resistant Gram-negative Bacteria and Veno-venous Extracorporeal Membrane Oxygenation (ECMO)
MDR-ECMO
The Impact of Multi-drug Resistant Gram-negative Bacteria on Outcomes in Patients Requiring Veno-venous Extracorporeal Membrane Oxygenation (ECMO)
1 other identifier
observational
279
1 country
1
Brief Summary
Veno-venous extracorporeal membrane oxygenation (VV-ECMO) is a life-support technique used in patients with most severe acute respiratory distress syndrome (ARDS). ARDS is a life-threatening form of respiratory failure associated with a mortality rate of approximately 40-45%.Despite several studies confirming a real benefit of the use of ECMO in patients with ARDS who are unresponsive to conventional management, ECMO is still a complex and costly treatment that can be exposed to potential complications, such as nosocomial infections (NI).
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 2017
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, 2017
CompletedFirst Submitted
Initial submission to the registry
December 26, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2023
CompletedFirst Posted
Study publicly available on registry
January 10, 2024
CompletedFebruary 28, 2024
February 1, 2024
7 years
December 26, 2023
February 26, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Overall incidence of MDR Gram negative bacteria isolations
Overall incidence of MDR Gram negative bacteria isolations during ECMO (n° events/1.000 person-days of ECMO)
From ECMO connection up to 48 hours after ECMO de-connection
Incidence of MDR Gram negative bacteria acquired
Incidence of MDR Gram negative bacteria acquired after ECMO connection (n° events/1.000 person-days of ECMO)
From ECMO connection up to 48 hours after ECMO de-connection
Incidence of MDR Gram negative bacteria isolated prior to ECMO connection
Incidence of patients requiring VV-ECMO with a previous MDR Gram negative bacteria
At study enrollment
Secondary Outcomes (3)
Incidence of MDR-related infections (plus descriptive analysis)
From ECMO connection up to 48 hours after ECMO de-connection
Incidence of MDR-related colonizations (plus descriptive analysis)
From ECMO connection up to 48 hours after ECMO de-connection
Risk factors-mortality
At ECMO connection (baseline)
Study Arms (1)
VV-ECMO patients
Patients requiring VV-ECMO for acute respiratory distress syndrome (ARDS)
Eligibility Criteria
Patients affected by ARDS (according to Berlon criteria) undergoing VV-ECMO.
You may qualify if:
- ARDS
- VV-ECMO
You may not qualify if:
- pregnancy
- age \< 18
- uncompleted records
- survival \< 24h after ECMO connection
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Padovalead
- Azienda Ospedaliera Mater Domini di Catanzarocollaborator
- Policlinico di Bari Giovanni XXIIIcollaborator
- Azienda Ospedaliera Universitaria Integrata Veronacollaborator
- Fondazione IRCCS San Gerardo di Monzacollaborator
Study Sites (1)
Azienda Ospedaliera Università Padova
Padua, 35126, Italy
Related Publications (1)
Boscolo A, Bruni A, Giani M, Garofalo E, Sella N, Pettenuzzo T, Bombino M, Palcani M, Rezoagli E, Pozzi M, Falcioni E, Pistollato E, Biamonte E, Murgolo F, D'Arrigo G, Gori M, Tripepi GL, Gottin L, Longhini F, Grasso S, Navalesi P, Foti G. Retrospective ANalysis of multi-drug resistant Gram-nEgative bacteRia on veno-venous extracorporeal membrane oxygenation. The multicenter RANGER STUDY. Crit Care. 2024 Aug 27;28(1):279. doi: 10.1186/s13054-024-05068-x.
PMID: 39192287DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Andrea Bruni, Prof
Azienda Ospedaliera Mater Domini di Catanzaro
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- RETROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Co-investigator
Study Record Dates
First Submitted
December 26, 2023
First Posted
January 10, 2024
Study Start
January 1, 2017
Primary Completion
December 31, 2023
Study Completion
December 31, 2023
Last Updated
February 28, 2024
Record last verified: 2024-02
Data Sharing
- IPD Sharing
- Will not share