Status:

COMPLETED

Kidney Response to Sepsis Affects Angiogenic Balance and Likelihood of CCI and PICS

Lead Sponsor:

University of Florida

Collaborating Sponsors:

National Institutes of Health (NIH)

National Institute of General Medical Sciences (NIGMS)

Conditions:

Sepsis

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

This study investigates the mechanism by which kidney dysfunction perpetuates inflammation, immunosuppression, and catabolism (PICS) in chronic critical illness. The investigators will test the hypoth...

Detailed Description

The main goal of this project is to measure kidney filtration function at day 14 or the day of discharge from hospital (whichever occurs first), in order to determine the presence and magnitude of per...

Eligibility Criteria

Inclusion

  • Presence in the surgery or trauma ICU
  • Age of ≥18 years
  • Entrance into our sepsis protocol
  • Ability to obtain informed consent.

Exclusion

  • Expected lifespan of the patient is less than 3 months due to severe pre-existing comorbidities (ex. recurrent, advanced or metastatic cancer)
  • Severe traumatic brain injury (evidence of neurologic injury on CT scan and a GCS \<8)
  • Refractory shock (i.e., patients who die within 12 hours)
  • Uncontrollable source of sepsis (e.g., irreversible disease state such as unresectable dead bowel)
  • Patient or patient's family are not committed to aggressive management of the patient's condition and/or the patient has a DNR/DNI on file.
  • Severe CHF (NY Heart Association Class IV)
  • Child-Pugh C liver disease or pre-liver transplant.
  • Known HIV infection with CD4 count \<200 cells/mm3
  • Organ transplant recipient on immunosuppressive agents
  • Known pregnancy and mother's that are breastfeeding
  • Prisoners
  • Institutionalized patients
  • Inability to obtain informed consent.
  • Chemotherapy or radiotherapy within 30 days prior to sepsis.
  • End stage renal disease on admission.

Key Trial Info

Start Date :

February 1 2015

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 20 2023

Estimated Enrollment :

73 Patients enrolled

Trial Details

Trial ID

NCT02276066

Start Date

February 1 2015

End Date

May 20 2023

Last Update

July 9 2024

Active Locations (1)

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1

UF Health at Shands hospital

Gainesville, Florida, United States, 32610