Key Diagnostic & Therapeutic Technologies for Severe Acute High Altitude Disease (SAHAD): Integration and Application
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Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Multicenter study of HAPE:CPAP or BiPAP Group, Multicenter study of HAPE group:NO Group, Protocol for Proteomics and Peptidomics Study of HAPE:Case Group.
- Кому может быть актуально
- Состояния в реестре: Severe High Altitude Pulmonary Edema, Severe High Altitude Cerebral Edema. Базовые параметры: 18 лет — 75 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Китай
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
Integration and Application Demonstration of Key Diagnosis and Treatment Technologies for Severe Acute High Altitude Disease
Обзор
This study aims to establish a key technical system for the diagnosis and treatment of severe acute mountain sickness based on real-world clinical data in Xizang, develop standardized diagnosis and treatment protocols and an intelligent early warning model, validate its efficacy through multicenter studies, and innovate diagnostic and therapeutic technologies. It will achieve early identification, precise diagnosis, standardized treatment, and intelligent warning of severe acute mountain sickness, comprehensively improving its prevention, control and treatment success rate.
Вмешательства
- Устройство Multicenter study of HAPE:CPAP or BiPAP Group
Traditional treatment plus CPAP or BiPAP - Препарат Multicenter study of HAPE group:NO Group
Traditional treatment plus inhaled nitric oxide therapy (20-40 ppm, continuous administration for 12-24 hours) - Другое Protocol for Proteomics and Peptidomics Study of HAPE:Case Group
40 patients clinically diagnosed with HAPE. Peripheral venous blood samples were collected during the acute onset stage and prior to any effective intervention.
Первичные конечные точки
- HAPE:Recovery [Срок оценки: From date of disease onset to achievement of recovery criteria ,assessed up to 36 months]
- HACE :recovery [Срок оценки: From date of disease onset to achievement of recovery criteria ,assessed up to 36 months]
- Death [Срок оценки: From admission to discharge, or all-cause mortality within 30 days and 90 days after discharge.]
- Length of hospital stay [Срок оценки: The total duration from the first day of hospitalization to recovery and discharge, assessed up to 36 months]
Вторичные конечные точки (9)
- HAPE:Improvement [Срок оценки: At discharge(assessed up to 5 days)]
- Length of ICU/CCU stay [Срок оценки: From date of the first day admimion in the ICU until the last day in the ICU, up to 48 weeks.]
- Duration of mechanical ventilation [Срок оценки: From the date of the first day of mechanical ventilation until the last day of mechanical ventilation,up to 48 weeks.]
- Total hospitalization cost (CNY) [Срок оценки: At discharge(assessed up to 5 days)]
- Time to independence from oxygen therapy (days) [Срок оценки: At discharge(assessed up to 5 days)]
- HAPE:incidence of complications [Срок оценки: From date of admission until the date of discharge, and within 30 days and 90 days after discharge,up to 48 weeks.]
- HACE:improved [Срок оценки: At discharge(assessed up to 5 days)]
- HACE:Incidence of complications [Срок оценки: From date of admission until the date of discharge, and within 30 days and 90 days after discharge,up to 48 weeks.]
- HACE:Modified Rankin Scale (mRS) score at 90 days [Срок оценки: From the first day of admission to 90 days thereafter]
Критерии участия
Критерии включения
- Meeting the diagnostic criteria for severe acute mountain sickness (including high-altitude pulmonary edema \[HAPE\] and high-altitude cerebral edema \[HACE\]).
- Aged 18 to 75 years.
- Rapid ascent to an altitude above 2500 m within 72 hours prior to onset.
Критерии исключения
- History of severe cardiopulmonary diseases.
- Pregnant women, patients with psychiatric disorders, inability to cooperate with treatment or follow-up, and patients with an expected survival of less than 6 months.
- Patients with malignant tumors, severe hepatic or renal insufficiency, or immune system diseases requiring immunosuppressive therapy.
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Да
Дизайн исследования
- Распределение
- Рандомизированное
- Модель
- Параллельные группы
- Маскирование
- Открытое
- Основная цель
- Лечение
Центры проведения
Китай · 1 центр
- Xizang Autonomous Region People's Hospital — Lhasa
Идентификаторы
NCT: NCT07639931 · ME-TBHP-25-090