The Impact and Effect of Traditional Chinese Medicine Treatment on Organ Failure in Critically Ill Patients

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age20+
SponsorChina Medical University Hospital

About this trial

Critically ill patients are at risk of or suffering from one or more key organs or organ system failure. This study will measure the effect of traditional Chinese medicine(TCM) interventions on critically ill patients admitted to the intensive care unit (ICU).

The goal of this clinical trial is to learn if traditional Chinese medicine(TCM) is effective for prevention and treatment of organ failure in ICU patients. Patients in this group will receive intervention for 2 weeks.

A multi-center non-randomized real word data study, will include 3 groups: intervention group (TCM)(n=70), control group and historical control group (admitted to the same ICU in the period of 01.2019 to 12.2023).

Main outcomes include sequential organ failure assessment (SOFA) score, ICU length of stay, hospital length of stay, number of days of respirator uses and western medicine medication used study follow up will be 2 weeks.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age 20 and above

Surgical ICU patients

The use of Chinese medicine must be approved by the attending physician in the surgical intensive care unit

Disqualifiers

Patients' family members refuse TCM intervention

Trial design

Design model

Parallel

Treatments tested in this trial

  • traditional Chinese medicine

    Other intervention

    patients in the group will receive one of or a combination of the following interventions: Oral Chinese medicine decoction: The Chinese medicine practitioner will personally examine the patient and judge the patient's condition through the four diagnostic methods of traditional Chinese medicine(TCM): sight, smell, inquiry, and incision. Based on the syndrome differentiation and treatment of the patient's condition, he or she will prescribe an oral Chinese herbal decoction, two to three times a day, for two weeks. Acupuncture or low level laser acupuncture treatment: Chinese medicine practitioners select acupuncture points for treatment based on the patient's condition and treat them twice a week for 20 minutes each time for a total of two weeks. the intervantion depents on the TCM doctor decision based on the patient's diagnosis and needs. in addition, the patients will recive ICU care and medication based on patient's needs.

  • Routine ICU care

    Other intervention

    Patients will receive ICU care

  • historical Routine ICU care

    Other intervention

    Patients had received ICU care

Treatment groups

350 Participants
are divided into 3 treatment groups
Group A: intervention groupExperimental treatment 1 intervention
Group B: control groupActive comparator 1 intervention
Group C: Historical controlOther 1 intervention

Trial outcomes

Primary outcomes

1

Intensive care unit length of stay

the number of days a patient stays in the Intensive care unit

Time frame
"through study completion, an average of 3 months".
2

hospital length of stay

The number of days a patient stays in the hospital

Time frame
"through study completion, an average of 3 months".
3

Mechanical ventilation time

The number of days a patient requires mechanical ventilation

Time frame
"through study completion, an average of 3 months".
4

Respiratory care center stay

The number of days a patient stays in the respiratory care center

Time frame
"through study completion, an average of 3 months".

Secondary outcomes

1

Kidney function

Measured by blood urea nitrogen (BUN)

Time frame
baseline, day 1-14 of the study
2

Creatinine (creatinine)

Creatinine (creatinine) levels in blood sample

Time frame
baseline, day 1-14 of the study
3

Daily urine output

Daily urine output in ml

Time frame
baseline, day 1-14 of the study
4

Number of days out of the first 14 days the patients reach 70% of their target energy expenditure.

Daily intake Number of days out of the first 14 days the patients reach 70% of their target energy expenditure.

Time frame
baseline, day 1-14 of the study

Other outcomes

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