UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000042965
Receipt number R000049049
Scientific Title Development of a clinical prediction model for infective endocarditis among patients with undiagnosed fever: Multi-center based retrospective observational study.
Date of disclosure of the study information 2021/03/01
Last modified on 2023/07/24 12:47:18

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Basic information

Public title

Development of a clinical prediction model for infective endocarditis among patients with undiagnosed fever: Multi-center based retrospective observational study.

Acronym

Development of a clinical prediction model for infective endocarditis among patients with undiagnosed fever: Multi-center based retrospective observational study.

Scientific Title

Development of a clinical prediction model for infective endocarditis among patients with undiagnosed fever: Multi-center based retrospective observational study.

Scientific Title:Acronym

Clinical prediction model for infective endocarditis

Region

Japan


Condition

Condition

Infective endocarditis/fever of unknown origin

Classification by specialty

Medicine in general Gastroenterology Hepato-biliary-pancreatic medicine
Cardiology Pneumology Endocrinology and Metabolism
Hematology and clinical oncology Nephrology Neurology
Clinical immunology Infectious disease Geriatrics
Hepato-biliary-pancreatic surgery Vascular surgery Dermatology
Urology Radiology Neurosurgery
Cardiovascular surgery Laboratory medicine Emergency medicine
Intensive care medicine Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To develop a clinical prediction model for definite Infective endocarditis among patients with undiagnosed fever in Saga University hospital, Juntendo University Hospital, Toho University Omori Medical Center, and Dokkyo Medical University Hospital.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

modified Dukes criteria

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

20 years-old <=

Age-upper limit

120 years-old >=

Gender

Male and Female

Key inclusion criteria

Patients aged 20 years or older with ICD-10 code of I-330 (Infective endocarditis) or R-50-9 (undiagnosed fever) admitted to each hospital of research from January 2018 to December 2020.

Key exclusion criteria

1. Non-hospitalization
2. Without fever before hospitalization
3. Of I-330 patients, nosocomial onset patients, patients with referral for valve surgery after treatment in previous hospital and on-definite IE in modified Dukes criteria (DC).
4. Of patients with R-50-9, patients with identifiable fever origin before hospitalization and patients without chest x-ray, blood tests, and urinary tests before admission.
5. Patients with definite non-infectious disease despite modified DC being definite.
6. Those who have announced that they will not participate in the research

Target sample size

320


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

http://www.hospital.med.saga-u.ac.jp/chiken/

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

2021 Year 03 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

320

Results


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

2021 Year 01 Month 10 Day

Date of IRB

2021 Year 01 Month 27 Day

Anticipated trial start date

2021 Year 03 Month 01 Day

Last follow-up date

2024 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Multiple physicians collect the following medical information from medical records and referral letters from previous doctors.
Patient characteristics including patients ID, age, sex, length of hospital stay, presence of death within 30 days after admission, presence of death during hospitalization, presence of emergency transportation, presence of pre-hospital antibiotics, comorbidities and their nature (chronic skin disease, diabetes, malignant tumor, administration of steroids or immunosuppressants, chronic renal failure, vasculitis, history of a dental clinic visit within the past six months, history of invasive dental treatments within the past six months).
Vital sign on admission including pulse rate, respiratory rate, systolic blood pressure, diastolic blood pressure, SpO2, consciousness disorder, oxygen dose.
Physical examinations on admission including cardiac murmur or dental lesions.
Chest imaging findings on admission including pulmonary edema or pleural effusion.
Laboratory findings on admission.
Items in modified Dukes criteria including blood culture, echocardiographic findings, past cardiac disease, fever over 38 degree, infarction, cranial bleeding, Roth spot, rheumatoid factor, or characteristic physical findings such as Osler node and Janeway lesion.


Management information

Registered date

2021 Year 01 Month 10 Day

Last modified on

2023 Year 07 Month 24 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000049049


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name