RECRUITING

Precision Resuscitation With Crystalloids in Sepsis

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

Fluids are one of the most common treatments given to patients in the hospital. Fluids are especially important in treating patients with sepsis. Multiple clinical studies have compared the two main types of fluids used in sepsis (normal saline and balanced crystalloids). However, these studies have not found a clear benefit of one type of fluid versus the other. Which fluid should be given to which patient is an essential question because of the ubiquity of this intervention. Even a small difference in mortality could drastically change the standards of care given the national (and worldwide) scale of this intervention. The investigators have developed an algorithm that uses bedside vital signs (temperature, heart rate, respiratory rate, and blood pressure) to identify a group of patients (Group D) who have a significant mortality benefit from balanced crystalloids. The study randomizes adult patients admitted through emergency departments across 6 Emory hospitals belonging to Group D to intervention versus usual care. The intervention arm involves a prompt to clinicians to use balanced crystalloids rather than normal saline.

Official Title

Precision Resuscitation With Crystalloids in Sepsis (PRECISE)

Quick Facts

Study Start:2024-06-13
Study Completion:2026-03
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT06253585

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. * All adult patients presenting to the Emergency Department, with a blood culture order in the Emergency Department, who are classified as Group D, in whom a clinician initiates a normal saline order
  1. * None

Contacts and Locations

Study Contact

Sivasubramanium Bhavani, MD
CONTACT
404-712-2970
sivasubramanium.bhavani@emory.edu

Principal Investigator

Sivasubramanium Bhavani, MD
PRINCIPAL_INVESTIGATOR
Emory University

Study Locations (Sites)

Emory Midtown Hospital
Atlanta, Georgia, 30308
United States
Emory Saint Joseph's Hospital
Atlanta, Georgia, 30308
United States
Emory Healthcare System
Atlanta, Georgia, 30322
United States
Emory Hospital
Atlanta, Georgia, 30322
United States
Emory Decatur Hospital
Decatur, Georgia, 30033
United States
Emory Johns Creek Hospital
Johns Creek, Georgia, 30097
United States
Emory Hillandale Hospital
Lithonia, Georgia, 30058
United States

Collaborators and Investigators

Sponsor: Emory University

  • Sivasubramanium Bhavani, MD, PRINCIPAL_INVESTIGATOR, Emory University

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2024-06-13
Study Completion Date2026-03

Study Record Updates

Study Start Date2024-06-13
Study Completion Date2026-03

Terms related to this study

Keywords Provided by Researchers

  • Algorithm
  • Fluids
  • Infection
  • Crystalloids
  • Normal Saline

Additional Relevant MeSH Terms

  • Sepsis