Hypolyte: Treatment of Polytraumatisms With Corticoids
Study Details
Study Description
Brief Summary
Interest of treatment of polytraumatisms with corticoids (hydrocortisone) for patient with relative adrenocortical insufficiency on frequency of nosocomial infection, and hemodynamic complications and organs injuries.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 2/Phase 3 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: H Hydrocortisone |
Drug: hydrocortisone
200mg/jour (solution of 48mL), Day 1 to Day 4 100mg/jour (solution of 48mL), Day 5 50mg/jour (solution of 48mL), Day 6
|
Placebo Comparator: P Treatment by NaCl (placebo) |
Drug: NaCl
48mL from Day 1 to Day 6
|
Outcome Measures
Primary Outcome Measures
- Incidence of nosocomial pneumopathy: radiological, clinical and bacteriological criteria [28 days]
Secondary Outcome Measures
- Incidence of bacteremia, urinary infections, infections of the operatory sites, incidence of SDRA, organ dysfunction,mortality, etc. [28 days]
- Incidence of nosocomial pneumopathy [Day 8]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Age superior of 15 years
-
Hospitalization in reanimation for polytraumatism (lesion of two organs with a vital risk)
-
SISS score more than 15
-
Intubation for more than 48 hours.
-
Agreement of a family member
-
Patient with insurance
Exclusion Criteria:
-
History of corticothérapies within 6 months
-
History of adrenocortical insufficiency.
-
Treatment by immunosuppressor
-
Immunodeficiency.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | CHU Bordeaux | Bordeaux | France | ||
2 | CHU Morvan de Brest | Brest | France | 29609 | |
3 | CHU Caen | Caen | France | ||
4 | CH La Roche Sur Yon | La Roche Sur Yon | France | ||
5 | Hôtel Dieu | Nantes | France | 44093 | |
6 | CHU Pontchaillou | Rennes | France | 35033 | |
7 | CHU Trousseau | Tours | France | 37044 |
Sponsors and Collaborators
- Nantes University Hospital
- Serb
Investigators
- Principal Investigator: Mahe Joachim, MD, CHU de Nantes
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- BRD 06/6-L
- Afssaps: 060785
- CPP: 2006/25