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Observational study for the natural course of acute kidney injury after out-of-hospital cardiac arrest

Prospective multi-center observational study to determine the natural course of acute kidney injury according to the injury stage in adult out-of-hospital cardiac arrest patients treated with targeted temperature management

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
CRIS
Registry ID
KCT0003544
Enrollment
238
Registered
2019-02-21
Start date
2019-03-18
Completion date
Unknown
Last updated
2020-10-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Interventions

None listed

Sponsors

Chung-Ang Univerisity Hospital
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: All adult patients (=19 years) with out-of-hospital cardiac arrest irrespective of the cause of arrest who are unconscious after return of spontaneous circulation (Glasgow Coma Scale score <8) and treated with targeted temperature management.

Exclusion criteria

Exclusion criteria: (1) Patients’ age<19 years (2) Patients who are dead on arrival to the hospital and do not receive cardiopulmonary resuscitation (CPR) (3) Patients who do not achieve return of spontaneous circulation (ROSC) in spite of CPR (4) Patients who do not receive targeted temperature management in spite of achieving ROSC (5) Patients who were diagnosed as end-stage renal disease with dialysis (peritoneal dialysis or hemodialysis) before developing cardiac arrest (6) Patients who have Do-Not-Attempt-Resuscitation order (7) Patients who have acute intracranial hemorrhage or acute ischemic stroke (8) Patients who have active bleeding (9) Patients’ legal surrogates refuse to participate the study or withdrawal of informed consent during the study period by patients’ legal surrogates or patients’ themselves (10) Patients’ legal surrogates cannot speak Korean.

Design outcomes

Primary

MeasureTime frame
The date of acute kidney injury development and recovery which is calculated since the day of achieving return of spontaneous circulation

Secondary

MeasureTime frame
Arrest location (home, workplace, sports or recreating, street or highway, public building, nursing home, and educational institution);Bystander cardiopulmonary resuscitation (yes or no);First monitored rhythm (ventricular fibrillation, pulseless ventricular tachycardia, pulseless electrical activity, and asystole);The date of expiration if patients expire at 30th day since return of spontaneous circulation;Daily serum creatinine level (mg/dL, if the serum creatinine level will be checked two or more times in a day, highest value will be recorded);Renal replacement therapy (yes or no);The type of renal replacement therapy (continuous renal replacement therapy or hemodialysis);Date of renal replacement therapy (initiation, termination, and duration);Discharge date;Age (years);Sex (male or female);Weight (kg);Past medical history (hypertension, diabetes mellitus, heart failure, chronic kidney disease);Witnessed arrest (witnessed or not witnessed);Pathogenesis (medical, trauma, drug overdose, drowning, electrocution, and asphyxia);Response time (time interval from call to visit);Defibrillation time (time interval from call to the time the first shock);Epinephrine dose (mg);Coronary angiography (yes or no);Extracorporeal membrane oxygenation (yes or no);Targeted temperature of TTM (33°C or 36°C);Maintenance period of targeted temperature management (24 h or 48 h);Urine output (mL/kg/h) in intensive care unit (ICU);Event of shock (mean arterial pressure < 70 mmHg) after return of spontaneous circulation;Survival discharge (yes or no);Modified Rankin scale at discharge;Modified Rankin scale at 30th day since return of spontaneous circulation

Countries

Korea, Republic of

Contacts

Public ContactJe Hyeok Oh

Chung-Ang Univerisity Hospital

Outcome results

None listed

Source: CRIS (via WHO ICTRP) · Data processed: Feb 4, 2026