Comprehensive Care of Sleep Disordered Breathing

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorBeijing Anzhen Hospital

About this trial

The Comprehensive Care of Sleep Disordered Breathing study (Care-SDB) is a prospective, multi-center, registry-based cohort study designed to investigate the integrated management of sleep-disordered breathing (SDB). The investigators aim to establish a nationwide SDB cohort and biobank to identify prognostic biomarkers, explore pathogenic mechanisms, and evaluate optimal treatment models. A total of 11,100 adult patients with recent sleep monitoring will be enrolled and followed longitudinally for up to 5 years. Data collection, including clinical outcomes and major adverse events, will be managed via a unified Electronic Data Capture platform. The results from Care-SDB are expected to provide critical evidence-based guidance for the risk stratification, standardized intervention, and personalized management of patients with sleep-disordered breathing.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Age ≥ 18 years.

Patients who have completed sleep breathing monitoring within 1 month prior to enrollment.

Capable of providing signed informed consent.

Disqualifiers

Estimated life expectancy of less than 3 months.

Refusal to participate in the study.

Inability to cooperate with baseline data collection or follow-up evaluations.

Trial population

The study population consists of adult patients presenting to the outpatient or inpatient departments of participating clinical centers across China who have completed or are scheduled for sleep breathing monitoring for suspected or confirmed SDB.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • Clinical Management for SDB

    Other intervention

    Participants receive standard clinical care and management for sleep-disordered breathing according to established clinical guidelines. This may include, but is not limited to, CPAP therapy, lifestyle modifications, oral appliances, or other medical interventions as determined by the treating physician.

Treatment groups

11,100 Participants
are divided into 1 treatment group
Group A: SDB Comprehensive Management Cohort1 intervention

Trial outcomes

Primary outcomes

1

All-cause mortality

Time frame
3 and 12 months after enrollment, then annually thereafter, with a maximum follow-up duration of 5 years

Secondary outcomes

1

All-cause hospitalization

Time frame
Up to 5 years.
2

Comorbidity-related Adverse Events

Major adverse cardiovascular and cerebrovascular events (MACCE, a composite endpoint including cardiac mortality, non-fatal myocardial infarction, non-fatal stroke, ischemia-driven revascularization and readmission due to angina), the individual endpoints included in MACCE. Occurrence and recurrence of arrhythmias such as atrial fibrillation. Respiratory-related adverse events (chronic obstructive pulmonary disease exacerbation, asthma attacks, progression of interstitial lung disease, and pulmonary embolism, etc). Metabolism-related adverse events (diabetes, diabetic complications, non-alcoholic fatty liver disease, etc). Psychology-related adverse events (anxiety and depression, cognitive impairment, Alzheimer's disease, Parkinson's disease, epilepsy, etc). Chronic kidney disease-related adverse events (progression of renal function to end-stage renal disease, significant decline in estimated glomerular filtration rate, etc) Tumor occurrence and progression.

Time frame
Up to 5 years.
3

Change from Baseline in Sleep-Disordered Breathing Parameters

Evaluation of changes in parameters such as Apnea-Hypopnea Index (AHI) and Oxygen Desaturation Index (ODI) through repeated sleep breathing monitoring.

Time frame
Baseline and up to 5 years.
4

Change in Daytime Sleepiness assessed by Epworth Sleepiness Scale (ESS)

The ESS is a self-administered questionnaire with 8 questions. Each item is scored from 0 to 3, with a total score range of 0 to 24. Higher scores indicate increased daytime sleepiness, representing a worse outcome.

Time frame
Baseline and up to 5 years.

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Beijing Anzhen Hospital

Lead sponsor

Beijing Hospital

Collaborator

Second Xiangya Hospital of Central South University

Collaborator

Peking University Hospital of Stomatology

Collaborator

Shantou University Medical College

Collaborator

Shanghai Institute of Hypertension

Collaborator

First Affiliated Hospital of Fujian Medical University

Collaborator

Beijing Tiantan Hospital

Collaborator

Beijing Jishuitan Hospital

Collaborator

Beijing Friendship Hospital

Collaborator

West China Hospital

Collaborator

Beijing Chao Yang Hospital

Collaborator

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