Status:

COMPLETED

COVID-19 Associated Endothelial Dysfunction Study

Lead Sponsor:

University Hospital, Angers

Conditions:

Covid19

Microcirculation

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

SARS-CoV-2 enters human cells through the binding of the spike protein with angiotensin converting enzyme-2 (ACE2), a membrane receptor highly expressed in immune or non-immune cells, and in many orga...

Detailed Description

This cohort study compares 3 exposure cohorts : Cohort C1 includes COVID19 (+) patients admitted in ICU in whom the diagnosis of COVID19 pneumonia was confirmed. Cohort C2 includes COVID 19 (-) matc...

Eligibility Criteria

Inclusion

  • Inclusion criteria :
  • Adult patient (≥ 18 ans)
  • Affiliation to the French National Healthcare System
  • Voluntary patient who have given oral consent
  • Cohort C1, COVID19 (+) patients hospitalized in ICU :
  • Patient admitted to ICU within 72 hours before inclusion
  • Patient presenting SARS-COV2 pneumonia diagnosed by CT scan or by COVID-19 PCR test.
  • Cohort C2, COVID19 (-) patients hospitalized in ICU :
  • Patient admitted to ICU within 72 hours before inclusion
  • All COVID19 PCR tests carried out in the 15 days prior inclusion are negative
  • All the CT scans possibly performed since the acute event do not show COVID19 pulmonary lesions
  • Matching with the cases C1 COVID 19 (+) patients on sex, age (threshold at 65 years), treated hypertension, treated diabetes mellitus.
  • Cohort C3, elective surgery patients who are not hospitalized in ICU :
  • ASA 1 classification (no major comorbidity, a normaly healthy patient)
  • Asymptomatic to COVID19 according to French Anesthesiology Society 2020 :
  • No major symptoms among : measured fever \> 38°C, dry cough, shortness of breath or high respiratory rate (\>20/min), anosmia, ageusia
  • No more than one minor symptom among : sore throat, rhinorrhea, chest pain, myalgia, general alteration or severe tiredness, confusion, disorientation, headache, diarrhea, nausea or/and vomiting, rash/ frostbite/cracking on fingers or hand
  • No positive COVID19 PCR test within 15 days prior to inclusion
  • Non-inclusion criteria :
  • Proven sepsis (Procalcitonin \>1.0 µg/l) in the 24 hours prior to inclusion
  • End-stage kidney disease with dialysis
  • Patient with haemodynamic failure treated by norepinephrine
  • Patient with traumatic brain injury
  • Intubated patient and/or sedated
  • Pregnant woman, parturient and nursing mother
  • Person restricted in liberty by an administrative or judicial decision
  • Patient concerned with admission for psychiatric care
  • Adult person subject to a legal protection measure or unable to express consent
  • Exclusion criteria :
  • • Cohorts C2 and C3 : positive COVID-19 PCR test within 5 days after inclusion

Exclusion

    Key Trial Info

    Start Date :

    October 22 2021

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    December 21 2022

    Estimated Enrollment :

    75 Patients enrolled

    Trial Details

    Trial ID

    NCT04773899

    Start Date

    October 22 2021

    End Date

    December 21 2022

    Last Update

    May 6 2023

    Active Locations (2)

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    Page 1 of 1 (2 locations)

    1

    UH Angers

    Angers, France, 49933

    2

    Hopital E.Herriot - Hospices Civils de Lyon

    Lyon, France, 69437