Factors Associated With Clinical Outcomes in Patients Hospitalized for Covid-19 in GHT-93 Est
Study Details
Study Description
Brief Summary
Healthcare centers treated several hundreds of patients with Covid-19 and prospectively gathered information in electronic format between March, 2020 to April, 2020. In the course of Covid-19 treatment, physicians employed several drugs, including hydroxychloroquine, azithromycin, lopinavir/ritonavir, tocilizumab, baricitinib, sarilumab, corticosteroids and systematic antibiotics (list is not exhaustive).
This cohort study aims to assess factors associated with clinical outcomes in patients hospitalized for Covid-19, by analyzing associations between treatments and outcomes.
All data are collected in electronical records during routine practice.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Detailed Description
Healthcare centers treated several hundreds of patients with Covid-19 and prospectively gathered information in electronic format between March, 2020 to April, 2020. In the course of Covid-19 treatment, physicians employed several drugs, including hydroxychloroquine, azithromycin, lopinavir/ritonavir, tocilizumab, baricitinib, sarilumab, corticosteroids and systematic antibiotics (list is not exhaustive).
This cohort study aims to assess factors associated with clinical outcomes in patients hospitalized for Covid-19.
Risk factors which will be studied include: baseline characteristics such as medical history and drugs with corresponding administration protocols.
Main outcomes include all-cause mortality, need for mechanical ventilation, for ICU transfer and all relevant biological syndromes.
All data are collected in electronical records during routine practice and additional data may be collected retrospectively.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Patients exposed to the study variable Depending on the studied variable (treatment or risk factor) |
|
Patients not exposed to the study variable Depending on the studied variable (treatment or risk factor) |
Outcome Measures
Primary Outcome Measures
- Composite of death and mechanical ventilation [At 14-days follow-up]
Composite of death and mechanical ventilation
Secondary Outcome Measures
- Need for mechanical ventilation [At 14-days follow-up]
Need for mechanical ventilation
- Death [At 14-days follow-up]
All-cause mortality
- Acute kidney injury [At 14-days follow-up]
As defined by AKIN
- Acute respiratory distress syndrome [At 14-days follow-up]
As defined by Berlin criteria: P/F ratio below 200, with PEEP > +5 cmH20, radiologic findings compatible with ARDS and not explained by heart failure, occurring within 7 days of an acute pulmonary or non-pulmonary aggression.
- Cardiac arrhythmia and conduction disorder [At 14-days follow-up]
Documented by EKG monitoring
- Composite of death and mechanical ventilation [Up to 60 days after inclusion]
Composite of death and mechanical ventilation
- 60-days mortality [Up to 60 days after inclusion]
All cause mortality at 60 days follow-up whenever possible
- 60-days mechanical ventilation [Up to 60 days after inclusion]
If patient was mechanically ventilated within 60 days of inclusion
Eligibility Criteria
Criteria
Inclusion Criteria:
-
hospitalized for Covid-19
-
severe pneumonia defined as pulse O2 < 96% despite > 6L/min
Exclusion Criteria:
-
lack of consent
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palliative care patients
-
patients in ICU
-
patients transferred from ICU
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Centre Hospitalier Intercommunal Robert Ballanger | Aulnay-sous-Bois | France | 93600 | |
2 | Groupe Hospitalier Pitie Salpetriere | Paris | France | 75013 |
Sponsors and Collaborators
- Centre Hospitalier Intercommunal Robert Ballanger
- Groupe Hospitalier Pitie-Salpetriere
Investigators
- Study Director: Hélène Gros, MD, Robert Ballanger
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- GHTRB-2020-01