NCT05845372Toboroz
Association of Prophylactic Use of Stress Ulcer Drugs and Clinical Outcomes in Patients With Acute Anterior Circulation Thrombectomy
Association of Prophylactic Use of Stress Ulcer Drugs and Clinical Outcomes in Patients With Acute Anterior Circulation Thrombectomy: a Prospective, Multicenter, Observational Cohort Study
Forrás: ClinicalTrials.gov · Utoljára frissítve: 2026. nov. 5.
Rövid összefoglaló (regiszter, angolul)
Ischemic stroke accounts for a relatively high proportion of strokes. In recent years, intravenous thrombolysis and endovascular therapy have significantly improved the revascularization rate in patients with large vessel occlusive cerebral infarction, but 20-50% of patients still experience ineffective revascularization. Therefore, postoperative monitoring and treatment of patients with large vessel occlusions is crucial for early recognition, management and prevention of complications. Stress ulcer bleeding is a serious complication after acute ischemic stroke, with a prevalence of 1%-5%, and a previously proven incidence of stress ulcer bleeding after ischemic stroke. Stress ulcer bleeding after ischemic stroke has been shown to be closely associated with unfavorable outcomes, such as mortality. Current national and international guidelines or consensus on the prevention of stress ulcers after acute ischemic stroke do not advocate the routine use of histamine receptor antagonists or proton pump inhibitors for the prevention of stress ulcers, but rather should be considered in the context of the patient's risk factors for stress ulcers and discontinued after the patient initiates enteral nutrition. However, there is no evidence-based medical evidence to support the risk-benefit relationship of stress ulcer drug prophylaxis in patients with mechanical thrombectomy for acute anterior circulation large vessel occlusion.
- Állapot (regiszter)
- Toboroz
- Vizsgálattípus
- Megfigyeléses
- Résztvevők száma
- 2592 (tervezett)
- Első benyújtás
- 2023. ápr. 26.
- Kezdés
- 2023. máj. 1.
- Elsődleges befejezés
- 2026. aug. 1.
- Fő szponzor
- Nanfang Hospital, Southern Medical University
- Betegségek
- Stroke (szélütés)
- NCT-szám
- NCT05845372
Mit vállalsz
- Vizsgálat típusa: Megfigyeléses
- Tervezett résztvevők: 2592
- 2023. máj. 1. és az elsődleges befejezés (2026. aug. 1.) között
- 19 helyszín, 1 országban
- Vizitek és vizsgálatok: kérdezd a vizsgálat csapatát, a regiszter nem sorolja fel őket
A(z) ClinicalTrials.gov regisztermezőiből összeállítva. A vizsgálat felépítését írja le.
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Más betegség
- Allergy to drug ingredients. Women who are pregnant or breastfeeding. Life expectancy of less than 3 months due to other non-ischemic stroke diseases such as malignancy, severe liver or renal failure.
Egyéb
- Have participated in other interventional clinical studies (affecting the outcome of this cohort study).
- Participants who were judged by the investigator to be unsuitable for participation in this study.
Kiket keres a vizsgálat
- Age ≥18 years.
- Within 24 hours of onset. Meet the criteria for diagnosis of acute ischemic stroke in the "China Acute Ischemic Stroke Diagnosis and Treatment Guidelines 2018".
- Meet the indications for mechanical thrombectomy in the "Chinese Guidelines for Early Endovascular Interventions in Acute Ischemic Stroke 2022".
- Treated with mechanical thrombectomy.
- NIHSS score ≥ 6 at onset of illness.
- Sign an informed notice.
Életkor a regiszterben: 18 év – - · Nem: nők és férfiak · Egészséges önkénteseket nem fogad
Helyszínek (19)
Helyszínek a regiszter sorrendjében. Ha a profilodba mented a városodat, távolság szerint rendeződnek.
| Helyszín | Város | Ország | Helyszín állapota |
|---|---|---|---|
| Sinopharm North Hospital | Baotou | Kína | Toboroz |
| The First Hospital of Changsha | Changsha | Kína | Toboroz |
| Dongguan Donghua Hospital | Dongguan | Kína | Toboroz |
| Dongguan People's Hospital | Dongguan | Kína | Toboroz |
| Fujian Medical University Union Hospital | Fuzhou | Kína | Toboroz |
| Ganzhou City People's Hospital | Ganzhou | Kína | Toboroz |
| Guangdong Provincial Hospital of Traditional Chinese Medicine | Guangzhou | Kína | Toboroz |
| The Fourth Affiliated Hospital of Guangzhou Medical University | Guangzhou | Kína | Toboroz |
| Huadu District People's Hospital of Guangzhou | Guangzhou | Kína | Toboroz |
| Nanfang Hospital of Southern Medical University | Guangzhou | Kína | Toboroz |
| Haikou People's Hospital | Haikou | Kína | Toboroz |
| Hainan Traditional Chinese Medicine Hospital | Haikou | Kína | Toboroz |
| Hainan Provincial People's Hospital | Haikou | Kína | Toboroz |
| The Second Hospital University of South China | Hengyang | Kína | Toboroz |
| Heyuan People's Hospital | Heyuan | Kína | Toboroz |
| The Affiliated Hospital of Inner Mongolia Medical University | Hohhot | Kína | Toboroz |
| Huizhou Municipal Central Hospital | Huizhou | Kína | Toboroz |
| Second Affiliated Hospital of Wenzhou Medical University | Wenzhou | Kína | Toboroz |
| Yueyang People's Hospital | Yueyang | Kína | Toboroz |
Ez az oldal tájékoztatás, nem orvosi tanács. Bármely vizsgálatról az orvosoddal beszélj.