Pulmonary Edema Resolution in Severe Preeclampsia and Eclampsia
TiPER
SeveriTy of Pulmonary Edema and Timing of Resolution in Patients With Severe Pre-eclampsia and Eclampsia (TIPER): A Physiological and Sonographic Prospective Observational Study
1 other identifier
observational
55
1 country
1
Brief Summary
Patients with severe preeclampsia or eclampsia suffer from pulmonary complications. Accurate assessment of patients with pulmonary involvement using lung ultrasound (LUS) and echocardiography could lead to earlier detection of pre eclampsia and eclampsia associated pulmonary oedema, ARDS (acute respiratory distress syndrome) and other pulmonary complications. here is currently limited evidence regarding the features, severity, aetiology and history of pulmonary oedema in this group of patients Data from this prospective observational study will facilitate the early recognition of pre-eclamptic and eclamptic patients with pulmonary involvement to implement optimal triage and early therapeutic choices in a limited resource setting (diuretics, escalation to non invasive or invasive ventilation, referral to HDU (High dependency unit) or ICU, dialysis) and potentially reduce unfavorable outcomes.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for all trials
Started May 2023
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
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 8, 2023
CompletedFirst Submitted
Initial submission to the registry
September 8, 2023
CompletedFirst Posted
Study publicly available on registry
January 23, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
April 2, 2024
CompletedJanuary 23, 2024
January 1, 2024
11 months
September 8, 2023
January 19, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Frequency of LUS consistent with pulmonary edema
Frequency endpoint: proportion of patients with a LUS positive for pulmonary edema Severity: LUS aeration score
during hospital stay, average of 1 month
Timing of resolution after delivery
Categorical: Fraction of patients with improvement or resolution of LUS findings. Numerical: delta LUS score between T1 and T2
during hospital stay, average of 1 month
Secondary Outcomes (8)
Frequency of acute respiratory failure in patients with Severe Pre eclampsia and in patients with Eclampsia
during hospital stay, average of 1 month
Frequency of other LUS findings
during hospital stay, average of 1 month
Frequency of organ support strategies
during hospital stay, average of 1 month
Frequency of patients with abnormal cardiac function
during hospital stay, average of 1 month
Oxygenation assessment
during hospital stay, average of 1 month
- +3 more secondary outcomes
Eligibility Criteria
Patients hospitalized at PCMH with severe preclampsia and eclampsia will be enrolled if the applicable inclusion and exclusion criteria are met
You may qualify if:
- \- All patients with severe pre-eclampsia or eclampsia admitted to hospital Princess Christian Maternity Hospital
You may not qualify if:
- Patients with chronic hypertensive disorders
- Lung ultrasound not feasible, e.g., due to electricity breakdown, or absence of the trained sonographer or presence of subcutaneous emphysema,
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Princess Christian Maternity Hospital
Freetown, Sierra Leone
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Luigi Pisani
Doctors with Africa - CUAMM
- PRINCIPAL INVESTIGATOR
Adeniji Adetunji Oladeni
University of Sierra Leone Teaching Hospitals Complex, Princess Christian Maternity Hospital
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- RETROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 8, 2023
First Posted
January 23, 2024
Study Start
May 8, 2023
Primary Completion
April 1, 2024
Study Completion
April 2, 2024
Last Updated
January 23, 2024
Record last verified: 2024-01