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Trial registered on ANZCTR
Registration number
ACTRN12612000504819
Ethics application status
Approved
Date submitted
8/05/2012
Date registered
10/05/2012
Date last updated
10/05/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
Examination of Relationship Between Bilirubin with cytokines and Scores Used as a Marker of Mortality in Patients with Sepsis
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Scientific title
The Association of Bilirubin with IL-6, IL-10 and Mortality Scores of Patients with Sepsis
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Secondary ID [1]
280459
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none
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
sepsis
286436
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Condition category
Condition code
Infection
286693
286693
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0
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Other infectious diseases
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
1)The patients were classified into two groups:
one group, patients diagnosed with sepsis according to the American College of Chest Physicians/Society of Clinical Care Medicine (ACCP/SCCM) consensus conference criteria,
other group, patients being treated with a non-sepsis disease in ICU.
2)Blood samples were taken at three time intervals: the time of origin (defined as the day of sepsis diagnosis), 24 hours after diagnosis, and 48 hours after diagnosis.
3)APACHE II (Acute Physiology and Chronic Health Evaluation) and SOFA (Sepsis Related Organ Failure Score) scores were recorded at three time intervals: the time of origin (defined as the day of sepsis diagnosis), 24 hours after diagnosis, and 48 hours after diagnosis.
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Intervention code [1]
284822
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Not applicable
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Comparator / control treatment
During study, it was elected from patients who treated with a non-sepsis reason in ICU and ventilated mechanically.
blood samples were taken at the same periods and were recorded mortality scores.
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Control group
Active
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Outcomes
Primary outcome [1]
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serum bilirubin (Direct, indirect, total) levels
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Assessment method [1]
287088
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Timepoint [1]
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at the time of origin (defined as the day of sepsis diagnosis),
24 hours after diagnosis,
48 hours after diagnosis
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Primary outcome [2]
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serum IL-6, IL-10 levels
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Assessment method [2]
287089
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Timepoint [2]
287089
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at the time of origin (defined as the day of sepsis diagnosis),
24 hours after diagnosis,
48 hours after diagnosis
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Secondary outcome [1]
297346
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APACHE score,
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Assessment method [1]
297346
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Timepoint [1]
297346
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at the time of origin (defined as the day of sepsis diagnosis),
24 hours after diagnosis,
48 hours after diagnosis
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Secondary outcome [2]
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SOFA score
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Assessment method [2]
297360
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Timepoint [2]
297360
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at the time of origin (defined as the day of sepsis diagnosis),
24 hours after diagnosis,
48 hours after diagnosis
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Eligibility
Key inclusion criteria
20 ICU patients diagnosed with sepsis (according to the American College of Chest Physicians/Society of Clinical Care Medicine (ACCP/SCCM) consensus conference criteria) or other diseases
the ages of 18 and 75
receiving mechanical ventilation (SIMV, VT: 6-8 ml/kg, f: 12-14, I/E: 1/2).
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Minimum age
18
Years
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Maximum age
75
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients with a history of hepatobiliary diseases, jaundice, HBV/HCV sero positivity, renal failure, drug overdose, hemolytic anemia, hypoxia, severe hemodynamic instability, and/or possible brain death were excluded.
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Study design
Purpose
Screening
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/08/2010
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
20
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
4295
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Turkey
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State/province [1]
4295
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Funding & Sponsors
Funding source category [1]
285218
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University
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Name [1]
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FIRAT UNIVERSITY SCIENTIFIC RESEARCH PROJECTS UNIT
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Address [1]
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Firat University Scientific Research Projects Unit
Firat University
23119 Elazig
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Country [1]
285218
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Turkey
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Primary sponsor type
University
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Name
Firat University Scientific Research Projects Unit
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Address
Firat University Scientific Research Projects Unit
Firat University
23119 Elazig
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Country
Turkey
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Secondary sponsor category [1]
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None
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Name [1]
284089
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Address [1]
284089
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Country [1]
284089
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
287222
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Firat University Medical School Ethical Evaluation Commission Chairman
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Ethics committee address [1]
287222
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Firat University Medical School Ethical Evaluation Commission Chairman Firat University 23119,Elazig
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Ethics committee country [1]
287222
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Turkey
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Date submitted for ethics approval [1]
287222
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04/05/2010
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Approval date [1]
287222
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03/06/2010
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Ethics approval number [1]
287222
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Summary
Brief summary
Purpose: Bilirubin has been shown to influence the mechanisms of both apoptosis and inflammation. We investigated the association of bilirubin with sepsis progression. Materials and Methods: Twenty patients from Intensive Care Unit (ICU) were recruited for this study. Patients were divided into two groups: patients diagnosed with sepsis according to the ACCP/SCCM consensus conference criteria (n=10) and patients treated for various other diagnoses (n=10). Blood samples were collected for both groups at the time of origin (defined as the time of diagnosis), and 24 and 48 hours after diagnosis. Serum IL-6, IL-10 and bilirubin levels were analyzed and compared. APACHE II and SOFA scores of the patients were also recorded. Results: At all time intervals, serum IL-6, IL-10, and total, direct, and indirect bilirubin were significantly higher in the sepsis group (p<0.05); APACHE II and SOFA scores were also significantly higher. Both SOFA scores and serum IL-10 levels were positively correlated with bilirubin levels 24 hours after diagnosis (p<0.05, r=-0.76). Conclusion: Although levels of bilirubin and other associated parameters were higher for the sepsis group, only SOFA score and bilirubin levels were correlated. Because bilirubin is already a SOFA parameter, this correlation was not considered clinically significant.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Ayse Belin OZER
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Address
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Firat University Medicine Faculty
Anesthesiology and Reanimation Department
23119, Elazig
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Country
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Turkey
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Phone
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+90 424 533 4478924
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Fax
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+90 424 2388096
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Email
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[email protected]
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Contact person for scientific queries
Name
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Ayse Belin OZER
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Address
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Firat University Medicine Faculty
Anesthesiology and Reanimation Department
23119, Elazig
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Country
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Turkey
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Phone
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+90 424 533 4478924
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Fax
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+90 424 2388096
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Email
8328
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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