UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000040482
Receipt number R000046206
Scientific Title Status quo of diagnostic procedures and treatment of inpatients with infective endocarditis at the department of general medicine at a university hospital in a suburban city in Japan: a single-hospital-based retrospective study
Date of disclosure of the study information 2020/05/21
Last modified on 2020/11/25 16:03:38

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Basic information

Public title

Status quo of diagnostic procedures and treatment of inpatients with infective endocarditis at the department of general medicine at a university hospital in a suburban city in Japan: a single-hospital-based retrospective study

Acronym

Status quo of diagnostic procedures and treatment of inpatients with infective endocarditis at the department of general medicine at a university hospital in a suburban city in Japan: a single-hospital-based retrospective study

Scientific Title

Status quo of diagnostic procedures and treatment of inpatients with infective endocarditis at the department of general medicine at a university hospital in a suburban city in Japan: a single-hospital-based retrospective study

Scientific Title:Acronym

Status quo of diagnostic procedures and treatment of inpatients with infective endocarditis at the department of general medicine

Region

Japan


Condition

Condition

infective endocarditis

Classification by specialty

Medicine in general Cardiology Infectious disease
Ophthalmology Radiology Cardiovascular surgery
Operative medicine Emergency medicine Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The aim of the present study is to clarify how the department of General Medicine in a University Hospital in a suburban city in Japan, Saga University Hospital, play a role in the diagnosis and treatment of IE, by comparing the characteristics of patients treated by the department of General Medicine to those only by the other departments including Cardiology and Cardiovascular Surgery.

Basic objectives2

Bio-equivalence

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

admission to the department of General Medicine

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

1 years-old <=

Age-upper limit

120 years-old >=

Gender

Male and Female

Key inclusion criteria

Inpatients diagnosed with IE in Saga University Hospital from 2007 to 2017 were identified from the International Statistical Classification of Diseases and Related Health Problems 10 code number I-330. Patients who were subsequently diagnosed as having definite IE according to modified Dukes clinical or pathological criteria were enrolled.

Key exclusion criteria

None

Target sample size

74


Research contact person

Name of lead principal investigator

1st name Shun
Middle name
Last name Yamashita

Organization

Saga University Hospital

Division name

Department of General Medicine

Zip code

849-8501

Address

5-1-1 Nabeshima, Saga, Japan

TEL

0952343238

Email

sy.hospitalist.japan@gmail.com


Public contact

Name of contact person

1st name Shun
Middle name
Last name Yamashita

Organization

Saga University Hospital

Division name

Department of General Medicine

Zip code

849-8501

Address

5-1-1 Nabeshima, Saga, Japan

TEL

0952343238

Homepage URL


Email

sy.hospitalist.japan@gmail.com


Sponsor or person

Institute

Department of General Medicine, Saga University Hospital, Japan

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Department of General Medicine, Saga University Hospital

Address

5-1-1 Nabeshima, Saga 849-8501, Japan

Tel

0952-34-3400

Email

kenkyu-shinsei@ml.cc.saga-u.ac.jp


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

2020 Year 05 Month 21 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications

https://www.dovepress.com/status-quo-of-diagnostic-procedures-and-treatment-of-inpatients-with-i-pee

Number of participants that the trial has enrolled

74

Results

Seventy-four patients were included; 17 (23%) were admitted to the general medicine department. In the GM group, the percentage of patients diagnosed with definite or suspected IE was lower at preadmission. The GM group had higher percentages of patients with back or joint pain, pyogenic spondylitis, deep-seated abscesses, pyogenic arthritis and glomerulonephritis. Mortality within 30 days of admission to our hospital and overall in-hospital mortality did not significantly differ.

Results date posted

2020 Year 11 Month 25 Day

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

2019 Year 02 Month 01 Day

Date of IRB

2019 Year 03 Month 25 Day

Anticipated trial start date

2019 Year 04 Month 01 Day

Last follow-up date

2022 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Three doctors from the Department of General Medicine in our hospital checked the medical charts and collected data on potentially eligible patients. Survey items included age, sex, symptoms within 2 months before the first visit to our hospital, duration of hospitalization in our hospital, outcome on discharge, department to which the patient was admitted, transportation by ambulance or not, nosocomial infection or not, whether being diagnosed or suspected as IE before admission to our hospital or not, presence or absence of comorbidities and their nature, administration of steroids or immunosuppressants, presence or absence of antibiotics treatment prior to blood culture, presence or absence of dental disease on admission, history of a dental clinic visit within the past six months, history of invasive dental treatments within the past six months, all the laboratory and imaging studies performed during from the first visit to the previous hospital to the discharge from our hospital, valvular surgery for IE during this hospital stay or not, death within 30 days of admission to our hospital or not, presence or absence of death at any time during hospitalization, presence or absence of cardiac murmurs on admission, presence or absence of valvular disease on admission, type and grade of valvular disease on admission, causative microorganisms, the valve or valves infected, presence or absence of any complications and their nature, and the number of complications.


Management information

Registered date

2020 Year 05 Month 21 Day

Last modified on

2020 Year 11 Month 25 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000046206


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name