Status:

UNKNOWN

Observational and Diagnostical Study on Transient Allostatic Responses of Thyroid Function After Cardiopulmonary Resuscitation

Lead Sponsor:

Ruhr University of Bochum

Conditions:

Heart Arrest

Ventricular Fibrillation

Eligibility:

All Genders

18+ years

Brief Summary

Time-limited adaptive responses of thyroid function are common in the critically ill. About 70% of all patients treated on intensive care units develop a so-called non-thyroidal illness syndrome (NTIS...

Detailed Description

Transient allostatic responses of thyroid function are common in the critically ill. About 70% of all patients treated on intensive care units develop a so-called non-thyroidal illness syndrome (NTIS)...

Eligibility Criteria

Inclusion

  • Admission after cardiopulmonary resuscitation
  • Minimum age of 18 years
  • Results of TSH and peripheral thyroid hormone concentrations already available or possibility to reorder these investigations in a post-hoc manner if consent has been obtained (i. e. time interval after venipuncture within the storage period of the central laboratory)
  • Inclusion after own consent of the patient after reawakening, via custodian or independent consultant.

Exclusion

  • Missing data on thyroid homeostasis in the first blood specimen (obtained before 3 hours after admission)
  • Traumatic brain injury
  • Persistent hints for thyroid dysfunction, not explained by non-thyroidal illness syndrome (NTIS) / euthyroid sick syndrome (ESS) / thyroid allostasis in critical illness, tumors, uremia and starvation (TACITUS) in consecutive investigations over several days after resuscitation
  • Functionally relevant thyroid or pituitary disorder, as documented in international classification of diseases (ICD) codes.
  • Exposure to radiocontrast agents less than 3 months ago
  • Therapy with amiodarone (currently or during the previous 3 years)
  • Pregnancy
  • Known thyroid disease
  • Consent not obtained within the routine storage period of the central laboratory
  • Post-hoc-exclusion if evidence for true dysfunction the the pituitary or the thyroid became available during the study period.

Key Trial Info

Start Date :

May 1 2021

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

December 31 2022

Estimated Enrollment :

200 Patients enrolled

Trial Details

Trial ID

NCT04392258

Start Date

May 1 2021

End Date

December 31 2022

Last Update

August 19 2021

Active Locations (1)

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1

Medizinische Klinik I, Universitätsklinikum Bergmannsheil, Ruhr-Universität Bochum

Bochum, North Rhine-Westphalia, Germany, D-44789