From available evidence, corticosteroids attenuate the inflammatory response to CPB which is felt to contribute to morbidity and mortality in cardiac surgery patients. The meta-analysis of the literature demonstrates a trend toward reduced risk of death in patients receiving steroid treatment, RR of 0.73, CI of 0.45 to 1.18, which, if real, would have enormous global impact.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Age >= 18 require CPB for any cardiac surgical procedure EuroScore greater than or equal 6 Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: systemic steroids or will undergo systemic steroid therapy bacterial fungal infection in last 30 days allergy or intolerance to corticosteroids Aprotinin
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Methylprednisolon given before cardiopulmonary bypass reduces 30 day all cause mortality in high risk patients;Secondary Objective: Methylprednisolon given before cardiopulmonary bypass reduces 30 day all cause mortality in high risk patients or significant myocardial injury in these patients;Primary end point(s): allcouse mortality at 30 days;Timepoint(s) of evaluation of this end point: 30 days | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): incidence of a composite of significant myocardial inury or death at 30 days;Timepoint(s) of evaluation of this end point: 30 days | — |
Countries
Austria, Canada
Contacts
Population Health Research Institute