Brain-based Prediction of the Dying Duration in Humans After Withdrawal of Life Sustaining Therapies to Inform Donation After Circulatory Death

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age19+
SponsorUniversity of British Columbia

About this trial

The purpose of this study is to develop a new tool that uses information collected before life-sustaining treatments are withdrawn to better predict whether a patient will die within the time needed for organ donation to be possible. The tool created should help improve planning for organ donation and provide families and healthcare teams with more accurate information.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age ≥ 19;

Eligible for DCD

Disqualifiers

Complete high cervical spinal cord injury (C5 and above)

Pacemaker in situ

Tracheostomy

Trial population

ICU

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

102 Participants
are grouped into 1 trial group
Group A: The study cohort will consist of patients eligible for donation after circulatory determination of

Trial outcomes

Primary outcomes

1

To develop a clinically applicable model to predict dying duration in a cohort of patient eligible for donation after circulatory death

Specifically, we aim at assessing the predictive ability of blood-based brain biomarkers, optic nerve sheet diameter as measured by head computed tomography (CT) scans as a surrogate of intracranial pressure and autonomic dysfunction as reflected by abnormal heart rate variability (HRV) to predict the dying duration.

Time frame
The models will be built to predict death within 30, 60 and 120 minutes

Secondary outcomes

1

Comparison of the brain-to-heart model to existing models

Our secondary aim will be to compare the created models with available models (e.g., DCD-N, UNOS, Wisconsin) and to physician gestalt

Time frame
The models will be compared for death within 30, 60 and 120 minutes

Other outcomes

Sponsors and contacts

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University of British Columbia

Lead sponsor

Canadian Institutes of Health Research (CIHR)

Collaborator

This trial is not recruiting at the moment. You can still explore other options: