UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000001409
Receipt number R000001712
Scientific Title Epidemic Research on Acute Mesenteric Ischemia in Japan
Date of disclosure of the study information 2008/10/01
Last modified on 2015/04/06 12:31:19

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

Epidemic Research on Acute Mesenteric Ischemia in Japan

Acronym

ERAMI-J

Scientific Title

Epidemic Research on Acute Mesenteric Ischemia in Japan

Scientific Title:Acronym

ERAMI-J

Region

Japan


Condition

Condition

Acute Mesenteric Ischemia

Classification by specialty

Gastroenterology Gastrointestinal surgery

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To investigate the incidental rates and mortality rates of individual types of acute mesenteric ishemia and prognostic factors on mortality.

Basic objectives2

Others

Basic objectives -Others

prognostic factors

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

in-hospital mortality

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients who were admitted between Feb 1st 2002 and Jan 31st 2007, and were diagnosed with AMI by diagnostic image modalities, laparotomy or autopsy.

Key exclusion criteria

Patients who could not be distinguished from strangulated ileus via laparotomy.

Target sample size

100


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Yoshio Haga

Organization

National Hospital Organization Kumamoto Medical Center

Division name

Departemt of Surgery

Zip code


Address

1-5 Ninomaru, Kumamoto 860-0008, Japan

TEL

096-353-6501

Email

yoshio@kumamed.jp


Public contact

Name of contact person

1st name
Middle name
Last name Yoshio Haga

Organization

National Hospital Organization Kumamoto Medical Center

Division name

Departemt of Surgery

Zip code


Address

1-5Ninomaru, Kumamoto, Japan

TEL

096-353-6501

Homepage URL


Email

yoshio@kumamed.jp


Sponsor or person

Institute

National Hospital Organization Kumamoto Medical Center

Institute

Department

Personal name



Funding Source

Organization

National Hospital Organization

Organization

Division

Category of Funding Organization

Nationality of Funding Organization

JAPAN


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2008 Year 10 Month 01 Day


Related information

URL releasing protocol

http://poppy.ac/nho/img/summary/eramij_summary2.html

Publication of results

Published


Result

URL related to results and publications

http://content.karger.com/ProdukteDB/produkte.asp?Aktion=ShowAbstract&ArtikelNr=219367&Ausgabe=249595&ProduktNr=223838

Number of participants that the trial has enrolled


Results

Objective: Acute mesenteric ischemia is potentially fatal, but prognostic factors have not yet been established. This study was undertaken to elucidate them.
Methods: This is a retrospective cohort study, consisting of 110 patients who had been treated in the past 5 years, from 26 national hospitals in Japan.
Results: The overall in-hospital mortality rate was 51%. Logistic regression analysis demonstrated two independent prognostic factors, electrocardiogram scale with an odds ratio of 1.7 (95% CI 1.2-2.4) and shock index of 11 (95% CI 1.5-80). A stepwise analysis gave a prediction equation for in-hospital mortality (R) using these variables and age score. We further modified this equation to a simpler scoring system (S) using the same variables. Both R and S showed a good discriminatory ability as determined by areas under the receiver-operating characteristic curve (0.83, 95% CI 0.74-0.91 for R; 0.82, 95% CI 0.74-0.91 for S). The observed mortality rates increased as the R or S increased (19% at R <0.25, 41% at R values of 0.25 to <0.6, 85% at R values of 0.6 or more; 19% at S of 2 or less, 37% at S of 3 or 4, 91% at S of 5 or more).
Conclusion: The new prediction rules can be used at any hospital and may be promising tools for medical decision-making, informed consent and reviewing quality of care.

Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2007 Year 01 Month 18 Day

Date of IRB


Anticipated trial start date

2007 Year 04 Month 01 Day

Last follow-up date

2007 Year 09 Month 01 Day

Date of closure to data entry

2007 Year 09 Month 01 Day

Date trial data considered complete

2007 Year 09 Month 01 Day

Date analysis concluded

2008 Year 09 Month 01 Day


Other

Other related information

Publication
Haga Y, Odo M, Homma M, Komiyama K, Takeda K, Koike S, Takahashi T, Hiraka K, Yamashita H, Tanakaya K: New prediction rule for mortality in acute mesenteric ischemia. Digestion, 2009;80(2):104-111.

Oral presentation
The 43rd World Congress of the International Society of Surgery (ISS), Sep 8, 2009 Adelaide, Australia, Haga Y, Odo M, Homma M, Komiya K, Takeda K, Koike S, Take-shita T, Hiraka K: New prediction rule for mortality in acute mesenteric ischemia.


Management information

Registered date

2008 Year 10 Month 01 Day

Last modified on

2015 Year 04 Month 06 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000001712


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name