Platelet Function
Conditions
Keywords
Platelet function, hemofiltration, Multiplate
Brief summary
Aim of the study is a description of changes in platelet function during continuous veno-venous hemodialysis or hemofiltration in patients on an intensive care unit using the Multiplate system.
Interventions
None listed
Sponsors
Goethe University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Need for a continuous renal replacement therapy * Platelet Count \>100.000/nl
Exclusion criteria
* Pregnancy * Age \<18 years * Renal replacement therapy within the 7 days prior to enrollment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| ASPItest | Baseline, 6, 12, 24 and 48 hours | Area under the aggregation curve (AUC) after platelet stimulation with arachidonic acid at baseline and 6, 12, 24 and 48 hours after the start of the continuous hemofiltration. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| ADPtest | Baseline, 6, 12, 24 and 48 hours | Area under the aggregation curve (AUC) after platelet stimulation with adenosine diphosphate at baseline and 6, 12, 24 and 48 hours after the start of the continuous hemofiltration. |
| TRAPtest | Baseline, 6, 12, 24, 48 hours | Area under the aggregation curve (AUC) after platelet stimulation with thrombin-receptor-activating peptide 6 (TRAP-6) at baseline and 6, 12, 24 and 48 hours after the start of the continuous hemofiltration. |
| CT-INTEM | Baseline, 6, 12, 24 and 48 hours | Clotting time (CT) in the intrinsically activated rotational thrombelastometry (ROTEM) recorded in seconds at baseline and 6, 12, 24 and 48 hours after the start of continuous veno-venous hemofiltration. |
| MCF-INTEM | Baseline, 6, 12, 24 and 48hours | Maximum clot firmness (MCF) in the intrinsically activated rotational thrombelastometry (ROTEM) recorded in millimeters at baseline and 6, 12, 24 and 48 hours after the start of continuous veno-venous hemofiltration. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Antiaggregatory Premedication | Baseline | Antiaggregatory medication taken prior to enrollment wil be recorded in the categories aspirin, clopidogrel, ticagrelor, cumarins and others. |
| Age | Baseline | Age of the patient at the point of enrollment |
| Anticoagulation for hemofiltration | Baseline | The anticoagulation used for hemofiltration will be recorded in the categories heparin and calcium citrate. |
| Dialysis filter | Basline | The brand of filter used for the hemofiltration or hemodialysis will be registered. |
| Height | Baseline | Height of the patient measured in centimeters. |
| Weight | Baseline | Weight of the patient measured in kilograms. |
| Gender | Baseline | — |
| ASA-Classification | Baseline | The ASA-Classification will be determined preoperatively. |
Countries
Germany
Outcome results
None listed