CAP-China: A Registry Study on Hospitalized Patients With Community-acquired Pneumonia in Real-life of China

Sponsor
Capital Medical University (Other)
Overall Status
Unknown status
CT.gov ID
NCT02492425
Collaborator
(none)
3,000
1
28
107.3

Study Details

Study Description

Brief Summary

The purpose of this study is to evaluate the disease burden of hospitalized patients with CAP and HCAP in real life of China

Condition or Disease Intervention/Treatment Phase

    Detailed Description

    In China, the data about current management of patients hospitalized with community acquired pneumonia (CAP) in the real-life setting is not available,type of pneumonia, selection of initial antibiotic, time to clinical stability, antibiotic choice anf modification,clinical outcomes and costs remain unclear.

    In this study, we will collect comprehensive information on CAP and healthcare associated pneumonia (HCAP) management patterns to evaluate the disease burden of hospitalized patients with CAP and HCAP in real life of China .to analyze microbiological characteristics,clinical manifestations,antibiotic regimens ,adherences to guidelines and effect on outcome in different groups of patients with CAP (> and = 65 years, different comorbidities ,risk factors) ,to investigate microbiological characteristics,clinical manifestations,antibiotic regimens ,adherences to guidelines and effect on outcome in different groups of disease severity with CAP ,to provide the difference on microbiological characteristics,clinical manifestations,antibiotic regimens ,and outcome between patients with CAP and HCAP ,to understand the current situation of antibiotic regimen ,to evaluate influence of different antibiotic regimens on prognosis.

    Study Design

    Study Type:
    Observational
    Anticipated Enrollment :
    3000 participants
    Observational Model:
    Cohort
    Time Perspective:
    Prospective
    Official Title:
    Evaluating the Adherence to Guidelines' Empirical Antibiotic Recommendations and Outcome of Patients Admitted to a Hospital Ward With a Diagnosis of Community-acquired Pneumonia
    Study Start Date :
    Jan 1, 2016
    Anticipated Primary Completion Date :
    Dec 1, 2016
    Anticipated Study Completion Date :
    May 1, 2018

    Outcome Measures

    Primary Outcome Measures

    1. initial antibiotic treatment failure rate [72 hours]

      a change in antibiotic therapy due to worsening signs or symptoms of infection or lack of clinical improvement after first dose use of antibiotics to 72h

    2. in-hospital clinical failure rate [Time from date of admission to discharge up to 1 week]

      1)a change in antibiotic therapy due to worsening signs or symptoms of infection or lack of clinical improvement, 2) in-hospital mortality, 3) recurrence, defined as signs or symptoms of infection after completion of therapy requiring re-initiation of antibiotics

    3. 30-day post-discharge clinical failure rate [discharge up to 5 weeks]

      rate of re-hospitalization due to pulmonary infection and death during the follow-up period at 30 days post-discharge from hospital

    Secondary Outcome Measures

    1. Duration of intravenous antimicrobial therapy [2 weeks]

      Time from the first dose of intravenous antibiotics to date of stop of intravenous antibiotics ,participants will be followed for the duration of hospital stay

    2. Duration of oral antimicrobial therapy [2 weeks]

      Time from date of administration of first antibiotic to date of discontinuation of last antibiotic

    3. Duration of antimicrobial therapy [6 weeks]

      Time from date of administration of first antibiotic to date of discontinuation of last antibiotic (or to date of censoring, whichever comes first) upto a maximum of 30 days post-discharge from hospital post discharge from hospital

    4. Days of each antimicrobial therapy [6 weeks]

      Time from date of first administration on admission to hospital to date of discontinuation (or to date of censoring, whichever comes first) upto a maximum of 30 days post-discharge follow-up for each antibiotic

    5. Hospital length of stay [2 weeks]

      Patients will be asked about hospitalization, date, Patients will be asked about hospitalization, date, participants will be asked about the time of admission and discharge

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    14 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Patients > or = 14 years of age

    • Patient meets the criteria of community acquired pneumonia

    • Patient meets the criteria of healthcare-associated pneumonia

    • Informed consent to participate in the study is provided

    Exclusion Criteria:
    • Patients participating in a clinical trial or other intervention studies

    • Patients <14 years of age

    • Patient meets the criteria of hospital acquired pneumonia

    • Known active tuberculosis or current treatment for tuberculosis

    • Non-infectious pulmonary diseases (e.g. pulmonary embolism, pulmonary edema, pulmonary vasculitis, interstitial pneumonia)

    • HIV positive

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 China-Japan Friendship Hospital Beijing China 100029

    Sponsors and Collaborators

    • Capital Medical University

    Investigators

    • Study Chair: Bin Cao, MD, China-Japan Friendship Hospital

    Study Documents (Full-Text)

    None provided.

    More Information

    Additional Information:

    Publications

    None provided.
    Responsible Party:
    Bin Cao, MD, Capital Medical University
    ClinicalTrials.gov Identifier:
    NCT02492425
    Other Study ID Numbers:
    • NCT20150401
    First Posted:
    Jul 8, 2015
    Last Update Posted:
    Oct 15, 2015
    Last Verified:
    Oct 1, 2015
    Keywords provided by Bin Cao, MD, Capital Medical University
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Oct 15, 2015