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interim analysis incidence primary endpoint lower than anticipated. Sigicant finding based on secondary endpoint.
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| Name | Class |
|---|---|
| Dartmouth-Hitchcock Medical Center | OTHER |
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Vigorous fluid resuscitation is currently believed to play a key role in reducing complications associated with acute pancreatitis. However, aggressive fluid replacement can be associated with complications such as pulmonary fluid sequestration. The purpose of this study is to evaluate alternative approaches to early fluid resuscitation for patients with acute pancreatitis.
Primary Aim: Evaluate the impact of a goal-directed fluid resuscitation protocol compared to standard fluid resuscitation on systemic inflammation in patients with acute pancreatitis.
Secondary Aim: Evaluate the impact of resuscitation with Lactated Ringer's compared to normal saline on systemic inflammation in acute pancreatitis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental | Goal-directed fluid resuscitation with lactated Ringer's solution |
|
| 2 | Experimental | Goal-directed fluid resuscitation with normal saline |
|
| 3 | No Intervention | Standard fluid resuscitation with lactated Ringer's solution | |
| 4 | No Intervention | Standard fluid resuscitation with normal saline |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Goal-directed fluid resuscitation | Other | Targeted, weight-based fluid resuscitation |
|
| Measure | Description | Time Frame |
|---|---|---|
| Prevalence (point prevalence) of the systemic inflammatory response syndrome (SIRS) at 24 hours | first 24 hours of hospitalization |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Bechien U. Wu, MD, MPH | Brigham and Women's Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Brigham and Women's Hospital | Boston | Massachusetts | 02115 | United States |
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| ID | Term |
|---|---|
| D010195 | Pancreatitis |
| ID | Term |
|---|---|
| D010182 | Pancreatic Diseases |
| D004066 | Digestive System Diseases |
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