Effects of Viral Reactivation on Outcomes of Brain-injured Patients ( IBIS-VIRUS)
Study Details
Study Description
Brief Summary
Morbidity and mortality of ICU patients is increased by the development of a "immunosuppression" systemic (IS). This IS develops in the early hours of hospitalization and is responsible for severe infections, including viral reactivations (Cytomegalovirus or Herpes Simplex Virus). Viral reactivation was associated with increased morbidity and mortality in intensive care units. In clinical practice, they are searched at the onset of organ failure or unexplained fever. The investigators wish to conduct this research in the stroke patients to assess the predictive power of these viral reactivations on the duration of mechanical ventilation.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Detailed Description
PCR for herpes simplex virus in blood and in tracheal aspirate (Day-1, Day-7 and Day-15) - clinicians are blinded to the results PCR for Cytomegalovirus in blood and in tracheal aspirate (Day-1, Day-7 and Day-15) - clinicians are blinded to the results
Study Design
Outcome Measures
Primary Outcome Measures
- Ventilatory-free days at day 90 [90 days]
Secondary Outcome Measures
- Bacterial hospital acquiered infection [28 days]
- organ failure [28 days]
- hospitalisation length of stay [28 days]
- Mortality [28 days and 90 days]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Hospitalisation in intensive care unit
-
Acute brain injury (trauma, subarachnoid haemorrhage, stroke, infection) with Glasgow Coma Scale <= 12
-
Age between 18 and 75 years
-
Mechanical ventilation > 24 hours
Exclusion Criteria:
-
encephalopathy post anoxy
-
active cancer
-
Immunosuppresseur treatment
-
pregnancy
-
history of autoimmune disease
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | CHU de Nantes | Nantes | France |
Sponsors and Collaborators
- Nantes University Hospital
Investigators
- Principal Investigator: Karim Asehnoune, Pr, CHU de Nantes
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- RC13_0228