Goal-directed Resuscitative Interventions During Pediatric Inter-facility Transport (The GRIPIT Trial)

Study Overview
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Brief Summary
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Recent advances in critical care medicine have dramatically improved morbidity and mortality of critical illness. Goal-directed therapy protocols have been instrumental in this change. Goal-directed therapy standardizes the rapid delivery of definitive care in illnesses such as SIRS (Systemic Inflammatory Response Syndrome) and head trauma. Although this treatment approach has been shown to improve clinical outcomes, it has not been widely adopted outside academic medical centers. Further improvement in outcomes of critical illness is likely if goal-directed therapy is utilized early in the course of care. To facilitate this early adoption, goal-directed therapeutic protocols should be developed and implemented by specialized pediatric transport teams. The investigators hypothesize that the institution of goal-directed therapy during pediatric interfacility transport will improve the outcomes of critically ill children. The GRIPIT Trial (Goal-directed Resuscitative Interventions during Pediatric Inter-facility Transport) will compare outcomes of pediatric SIRS patients before and after the implementation of a goal-directed therapeutic protocol during transport. This will be the first test of goal-directed therapy in the transport environment. Data will be collected on pediatric SIRS patients transported by the Angel One Transport Team at Arkansas Children's Hospital before and after protocol implementation. Outcome measures will include length of hospital stay, length of intensive care unit (ICU) stay, incidence of multiple organ dysfunction syndrome (MODS), and required therapeutic interventions during ICU stay (TISS-28 scores). In addition, NIRS (Near-Infrared Spectroscopy) monitoring will be used as a cerebral and somatic oxygenation trend monitor, to determine its effectiveness as a resuscitation guide for pediatric SIRS during transport. NIRS trends are useful as a surrogate marker for systemic venous saturations, known to decrease with severe SIRS.

Official Title
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Goal-directed Resuscitative Interventions During Pediatric Inter-facility Transport (The GRIPIT Trial)

Conditions
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SIRS (Systemic Inflammatory Response Syndrome(

Intervention / Treatment
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* Procedure: Goal-directed Therapeutic Protocol


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Pediatric patients transported to Arkansas Children's Hospital by the Angel One Transport Team Age Group: 1 month - 17 years Systemic Inflammatory Response Syndrome (Age-specific SIRS criteria) Exclusion Criteria: Known or suspected congenital heart disease Known or suspected cardiomyopathy or myocarditis Diabetic Ketoacidosis (DKA) as SIRS-inducing illness Traumatic Brain Injury (TBI) as SIRS-inducing illness Burn Injury as SIRS-inducing illness Patients with known or suspected active hemorrhage

Ages Eligible for Study
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Minimum Age: 1 Month
Maximum Age: 17 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Intervention/Treatment |
| --- |
|Procedure: Goal-directed Therapeutic Protocol|A 10 month period of data collection for transport patients with SIRS (Systemic Inflammatory Response Syndrome) will be followed by training and institution of a goal-directed resuscitation protocol. A second 10 month data collection period will then commence. Groups will be compared with respect to outcome measures at the end of the study. All subjects will be monitored with NIRS cerebral and somatic oximetry.|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Incidence of Multiple Organ Dysfunction | Computed utilizing PELOD scores. | ICU Admission to ICU Discharge | 
| Required ICU Interventions | Utilizing TISS-28 Scores | ICU Admission to ICU Discharge | 
| Hospital Length of Stay | Subjects will be followed from hospital admission to hospital discharge. | Hospital Admission to Hospital Discharge | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in cerebral and somatic oxygenation | Utilizing NIRS Technology | During Inter-facility Transport (Average) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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SIRS, shock, sepsis, pediatric, inter-facility transport, specialized transport, NIRS monitoring