Unique ID issued by UMIN | UMIN000047657 |
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Receipt number | R000054334 |
Scientific Title | Evaluation of the Quantra QStat system in obstetric and non-obstetric patients: prospective non-randomized study |
Date of disclosure of the study information | 2022/05/06 |
Last modified on | 2023/05/07 16:58:45 |
Evaluation of the Quantra QStat system in obstetric and non-obstetric patients: prospective non-randomized study
Evaluation of the Quantra QStat system in obstetric and non-obstetric patients: prospective non-randomized study
Evaluation of the Quantra QStat system in obstetric and non-obstetric patients: prospective non-randomized study
Evaluation of the Quantra QStat system in obstetric and non-obstetric patients: prospective non-randomized study
Japan |
pregnancy
Obstetrics and Gynecology | Anesthesiology |
Others
NO
Postpartum hemorrhage is a leading cause of maternal mortality worldwide. It is associated with hemostatic impairment which may deteriorate bleeding. To evaluate hemostasis is the key element of postpartum hemorrhage. Sonorheometry coagulation assay, Quantra Hemostasis Analyzer, is a point-of-care testing device which is recently introduced in clinical practice. This newer sonorheometry coagulation assay has been investigated for correlation between conventional viscoelastic testing, such as thromboslastometry and theomboelastography in these several years. Evidence is growing in cardiac surgery, however, investigation in obstetric patients is limited. In obstetric setting,Kodali et al. demonstrated the good correlation between clot stiffness and fibrinogen contribution to clot stiffness in Quantra and serum fibrinogen level when the sample blood from term parturients is diluted in vitro to simulate acquired hypofibrinogenemia.The Quantra QStat system includes tests to assess coagulation and clot lysis characteristics via the intrinsic and extrinsic pathways and includes a test with tranexamic acid.
The primary purpose of this study is to evaluate this new system in obstetric and non-obstetric population. The secondary purpose is to investigate the correlation with thromboelastography and the conventional coagulation tests.
Efficacy
Exploratory
Pragmatic
Not applicable
Variables of Quantra Qstat system and correlation between obstetric and non-obstetric patients: clot time(CT), Clot stiffness (CS), platelet contribution to CS (PCS), fibrinogen contribution to CS (FCS), and Clot stability to lysis (CSL) .
Correlation with Quantra variables and TEG6s variables and conventional coagulation tests.
TEG6s variables: Clotting time (CK R), clot strength value (CRT MA) on the standard citrated kaolin assay, fibrinogen contribution to MA (CFF MA), and fibrinolysis (CRT LY30) .
conventional coagulation tests: PT, aPTT, INR, fibrinogen, antithrombin, and fibrin degenerating product.
Interventional
Parallel
Non-randomized
Open -no one is blinded
No treatment
NO
NO
Institution is considered as adjustment factor in dynamic allocation.
NO
No need to know
2
Prevention
Device,equipment |
drawing 10 mL of blood from non-laboring parturients between 37 to 41 weeks of gestation .
For control group, 10 mL of blood is drawn from non-obstetric women.
18 | years-old | <= |
45 | years-old | >= |
Female
1) age 18-45 years old at informed consent
2) diagnosed pregnant and registered for delivery in our hospital(obstetric group)
3) not pregnant and plans gynecological surgery at our hospital (control group)
4) informed and consented to the study
1)known coagulation abnormality and/or thrombocytopenia < 100 9/L
2) found coagulation abnormality and/or thrombocytopenia < 100 9/L at drawing blood
3) judged improper by the reseacher
20
1st name | Hisako |
Middle name | |
Last name | Okada |
Juntendo University Urayasu Hospital
Department of Anesthesiology and Pain Medicine
2790021
2-1-1, Tomioka, Urayasu, Chiba, 2790021
0473533111
h-okada@juntendo.ac.jp
1st name | Hisako |
Middle name | |
Last name | Okada |
Juntendo University Urayasu Hospital
Department of Anesthesiology and Pain Medicine
2790021
2-1-1, Tomioka, Urayasu, Chiba, 2790021
0473533111
h-okada@juntendo.ac.jp
Juntendo University
Heiwa Bussan
Profit organization
Juntendo Clinical Research and Trial center
3-1-3,Hongo,Bunkyo-ku,Tokyo 113-8431,Japan
03-3814-5672
jcrtc_operation@juntendo.ac.jp
NO
順天堂大学医学部附属浦安病院
2022 | Year | 05 | Month | 06 | Day |
Unpublished
Enrolling by invitation
2022 | Year | 05 | Month | 05 | Day |
2022 | Year | 06 | Month | 20 | Day |
2022 | Year | 07 | Month | 01 | Day |
2023 | Year | 06 | Month | 30 | Day |
2022 | Year | 05 | Month | 06 | Day |
2023 | Year | 05 | Month | 07 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000054334
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