Acute Encephalopathy in Critically Ill Patients With COVID-19
Status unconfirmed
Conditions studied: COVID-19, Encephalopathy, Critically Ill
In brief
Infection with SARS-CoV-2 or severe acute respiratory syndrome coronarvirus type 2 was highlighted in December 2019 in the city of Wuhan in China, responsible for an pandemic evolution since March 11, 2020. The infection affects all ages of life, although affecting children in a very small proportion of cases. The typical presentation of the disease combines fever (98%), cough (76%), myalgia and asthenia (18%) as well as leukopenia (25%) and lymphopenia (63%). Upper airway involvement rare. The main clinical presentation requiring hospitalization of infected patients is that of atypical pneumonia which may require critical care management (27%), and progress to an acute respiratory distress syndrome (67%) involving life-threatening conditions in almost 25% of patients diagnosed with SARS-CoV-2 infection. Other organ damage have been reported, mainly concerning kidney damage (29%) which may require renal replacement therapy in approximately 17% of patients. Neurological damage has been very rarely studied, yet reported in 36% of cases in a study including patients of varying severity. Finally, the mortality associated with this emerging virus is high in patients for whom critical care management is necessary, reported in 62% of patients. We therefore propose a prospective observational study which aim at reporting the prevalence of acute encephalopathy at initial management in Critical/Intensive care or Neurocritical care , to report its morbidity and mortality and to identify prognostic factors.
Key facts
- Study ID
- NCT04320472
- Run by
- Ictal Group
- People needed
- 250
- Starts
- 2020-03-23
- Expected to finish
- 2020-12-31
- Last updated by the study team
- 2020-10-22
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Critical/Intensive care or Neurocritical care admission
- Admission for/with acute encephalopathy defined as a rapidly developing (over less than 4 weeks, but usually within hours to a few days) pathobiological process in the brain; including delirium or subsyndromal (DSM V definition) or coma (Glasgow coma scale score < 9)
- SARS-COV-2 infection (respiratory or other PCR specimen)
- Age ≥ 18 years
You may not qualify if…
- Opposition to study participation from the patient itself or patient surrogate
Where it is running
- Jackson Memorial Health System; University of Miami, Miller School of Medicine — Miami, Florida, United States
- Wellstar Atlanta Medical Center — Atlanta, Georgia, United States
- Universidade Federal de São Paulo — São Paulo, Brazil
- Fundación Valle del Lili, University Hospital — Cali, Colombia
- Cairo University Hospitals — Cairo, Egypt
- Centre Hospitalier d'Argenteuil — Argenteuil, France
- Centre Hospitalier de Beauvais — Beauvais, France
- Centre Hospitalier Universitaire Ambroise Paré — Boulogne, France
- Centre Hospitalier de Bourg en Bresse — Bourg-en-Bresse, France
- Centre Hospitalier Régional Universitaire de Brest — Brest, France
- Centre Hospitalier de Brives — Brive-la-Gaillarde, France
- Centre Hospitalier Universitaire Beaujon — Clichy, France
- Centre Hospitalier Universitaire Louis Mourier — Colombes, France
- Centre Hospitalier Universitaire Henri Mondor — Créteil, France
- Centre hospitalier de Dieppe — Dieppe, France
- Centre Hospitalier Universitaire de Dijon — Dijon, France
- Centre Hospitalier d'Etampes — Étampes, France
- Grand Hôpital de l'Est Francilien - Site de Marne-la-Vallée — Jossigny, France
- Centre Hospitalier de la Roche-sur-Yon — La Roche-sur-Yon, France
- Centre Hospitalier de La Rochelle — La Rochelle, France
- Centre Hospitalier de Versailles — Le Chesnay, France
- Centre Hospitalier Universitaire de Lille — Lille, France
- Centre Hospitalier Universitaire Hôpital Edouard Herriot — Lyon, France
- Hôpital privé Jacques Cartier — Massy, France
- Groupe Hospitalier Sud Ile-de-France — Melun, France
Full record on ClinicalTrials.gov
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