13 research outputs found
Photovoltaics merging with the active integrated grid:Grid integration white paper of the EU PV technology platform, working group on grid integration.
- Author
- Publication venue
- European Technology and Innovation Platform Photovoltaics
- Publication date
- 01/01/2017
- Field of study
Quantification, challenges and outlook of PV integration in the power system: a review by the European PV Technology Platform
- Author
- Publication venue
- Publication date
- 01/01/2015
- Field of study
Surgical site infection after caesarean section. Space for post-discharge surveillance improvements and reliable comparisons
- Author
- Agresta A.
- Allocca A.
- Ascenzi M. P.
- Ascenzi M. P.
- Baccaro G.
- Barboni P.
- Beggiato S.
- Belvisi V.
- Bianchi U.
- Bianchini C.
- Cammarota M.
- Carbone A.
- Caterini A.
- Cava M. C.
- Celiberti A.
- Ciavarella M.
- Ciccotosto N.
- Cicogna V. A.
- Cimaglia Claudia
- Clerici Bagozzi F.
- Colantuono G.
- Colazingari G.
- Conti E.
- Curzi M.
- Dalla Vecchia D.
- Del Borgo C.
- Ferraro Federica
- Fiore R.
- Fioriello C.
- Forino F.
- Grilli E.
- Ippolito Giuseppe
- La Mura A.
- Lanini S.
- Lucarelli B.
- Manzi P.
- Marrone R.
- MARZUILLO CAROLINA
- Masala P.
- MASTROIANNI Claudio Maria
- Mondillo V.
- Montesano P.
- Morgante A. S.
- Moscardini M. L.
- Moscatelli M. M.
- Natalini Raponi G.
- Orazi D.
- Pallozzi L.
- Panepuccia L.
- Parrocchia S.
- Pignataro R.
- Piscioneri C.
- Piselli Pierluca
- Pitorri A.
- Pittalis Silvia
- Pizziconi G.
- Primavera A.
- Puro Vincenzo
- Quintavalle G.
- Raponi R.
- Rendo V.
- Riccioni C.
- Ruscitti Luca E.
- Saccoccio O.
- Salera E.
- Salvati O.
- Saviano R.
- Serafini G.
- Sguazzini G.
- Silvestri A.
- Soscia F.
- Spaziani C.
- Squarcione S.
- Tana M.
- Ullucci M.
- Vagni V.
- Verginelli F.
- VILLARI Paolo
- VULLO Vincenzo
- Zaino P.
- Zarelli L.
- Publication venue
- Luigi Ponzio e figlio Editori
- Publication date
- 01/01/2016
- Field of study
Surgical site infections (SSI) after caesarean section (CS) represent a substantial health system concern. Surveying SSI has been associated with a reduction in SSI incidence. We report the findings of three (2008, 2011 and 2013) regional active SSI surveillances after CS in community hospital of the Latium region determining the incidence of SSI. Each CS was surveyed for SSI occurrence by trained staff up to 30 post-operative days, and association of SSI with relevant characteristics was assessed using binomial logistic regression. A total of 3,685 CS were included in the study. A complete 30 day post-operation follow-up was achieved in over 94% of procedures. Overall 145 SSI were observed (3.9% cumulative incidence) of which 131 (90.3%) were superficial and 14 (9.7%) complex (deep or organ/space) SSI; overall 129 SSI (of which 89.9% superficial) were diagnosed post-discharge. Only higher NNIS score was significantly associated with SSI occurrence in the regression analysis. Our work provides the first regional data on CS-associated SSI incidence, highlighting the need for a post-discharge surveillance which should assure 30 days post-operation to not miss data on complex SSI, as well as being less labour intensive
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Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study
- Author
- Abdala Antonio
- Abidi Khalid
- Abillama Fayez François
- Abos Francisco Javier Saenz
- Aboufray Ahmed Ali
- Abregal Giancarlo
- Abroug Fekri
- Achilleos Eleni
- Acosta Ysica
- Adam Višnja Nesek
- Adamina Ileana
- Adams John
- Adamuz Jordi
- Adejumo Prisca Olabisi
- Adekola Oyebola
- Ademokun Jane
- Adenekan Anthony
- Adib Nik Azman Nik
- Adipa Faustina Excel
- Afonso Elsa
- Aganon Ferdinand
- Agarwal Sonika
- Aguirre Joaquin
- Aguirre Lydia Gallego
- Aguirre-Bermeo Hernan
- Ahmad Fatima Kasem El
- Ahmad Meraj
- Ahmed Hazem
- Ahn Jong-Joon
- Ahtiala Maarit
- Akbas Turkay
- Akdağ Devrim
- Akker Mustafa
- Akselsen Gro Ringstad
- Al-Alawi Maram Milud Said
- Alabuzidi Aya
- Alampi Daniela
- Albaiceta Guillermo Muñiz
- Albert Patricia
- Albrecht Lea
- Albrett Jonathan
- Alexandropoulou Paraskevi
- Alexandrou Anna
- Ali Ashwaq
- Ali Mohd Nazri
- Alias Anita
- Alkhumsi Soad Imhmed R.
- Allaert Silvie
- Allison Nicola
- Almekhlafi Ghaleb
- Alonso Helena Fernandez
- Alsheikhly Ahmed Subhy
- Alshrif Abdualhamid I
- Alvarenga Gloria
- Alvarez Diana
- Alvarez Gonzalo Martín
- Alvarez Gustavo Andres
- Alvarez Jorge Duerto
- Alvarez Josep Trenado
- Alvarez Raquel Garcia
- Alves Paulo
- Andersen Marit Hildegunn
- Andersen Yvonne
- Andresen Hanne
- Anisoglou Souzana
- Antonio Maria Gracia San
- Antunes Nelson
- Anvelt Eneli
- Aperocho Cristal April Jane
- Aponte Cesar
- Araya Paola
- Arcas María Luisa Bravo
- Arikan Huseyin
- Arntsen Wenche
- Arteta Arteta Donaldo S.
- Ashour Firas
- Assiri Amer
- Atchade Enora
- Ateya Zainab
- Attwood Ben
- Aucapina Alejandra
- Avalos Fernando
- Aves Emma
- Avogadro Prune
- Avramopoulou Lamprini
- Ay Mustafa
- Ay Serap Avcı
- Aya Umeda
- Ayala Maria
- Aydemir Semih
- Aydin Demet Tok
- Azencot Mazal
- Azoia Joao
- Baasanjav Battsetseg
- Babych Volodymyr
- Baccaro Fernando
- Badariotti Gustavo
- Bae Jung-Min
- Baek Jonghyun
- Baftiu Nehat
- Bagshaw Sean
- Bahrin Laila Kamaliah Kamalul
- Bai Dongmei
- Bai Xiaowu
- Baini Matías
- Bakas Apostolos
- Baker Helen
- Baker Nerilee
- Balasubramanian Madhu
- Balbay Abidin Oner
- Balon Sandrine
- Bantar Ana
- Banwarie Preveen
- Bao Guijun
- Baptiste-Savoie Jacqueline
- Barakat-Johnson Michelle
- Barefield Cindy
- Barkas Diane
- Barnes Christopher
- Barone Antonio
- Baronia Arvind
- Barr Louise
- Barreiro Emma Moreno
- Barros Elaine
- Barrowcliffe Suzanne
- Barrueco-Francioni Jesus Emilio
- Bartoli Julio Ricardo
- Baruah Rosaleen
- Bascary Carlos Alejandro
- Baskakov Danil
- Baskoro Windu
- Bastani Styliani
- Baumber Rachel
- Baxter Karen
- Bayraktar Yesim Serife
- Bealer Cheryl
- Bean Sarah
- Becker Cathy
- Becker Delmiro
- Behan Helena
- Beker Tatjana
- Bekos Vasileios
- Belii Adrian
- Belkhair Wesal Ali
- Belskiy Vladislav
- Ben-Hamouda Nawfel
- Ben-Jacob Talia
- Benbenishty Julie
- Bench Suzanne
- Bendelari Valentina
- Benlamin Mohamed
- Berry Gillian
- Bertoletti Fernando Pablo
- Besbes Lamia
- Besbes Lamia Ouanes
- Besch Guillaume
- Bestle Morten
- Beuret Pascal
- Bhakhtiani Lakshay
- Bhargava Vaibhav
- Bi AiPing
- Bianchini Suzana
- Bielskute Egidija
- Bilawicz Jan
- Binda Filipo
- Birgisdottir Hrönn
- Birgisdóttir Hrönn
- Bispo Bruno Miguel
- Biston Patrick
- Bjorgen Hege
- Blackwood Bronagh
- Blanc Agnès
- Blanco Daniel
- Blanco Maria Pilar Sogues
- Blasco Maria Luisa
- Bliksted Inger Abildgaard
- Blondal Asbjorn
- Bloos Frank
- Blot Stijn I.
- Bo Qi
- Bocui Nie
- Boedjawan Naraindath N.
- Bogarin Javier
- Bogoevska-Miteva Zaneta
- Bonaccorso Luciano
- Bongiorno Benjamin
- Bonsignore Pablo Julio Maldonaldo
- Borgognoni Cinzia
- Borin Christophe
- Borkowska Marta
- Bormans Laura
- Boroli Filippo
- Borys Michal
- Boschetto Margherita
- Bossolasco Matteo
- Bota Marc
- Boulanger Carole
- Boulton Karen
- Bowes Bonnie
- Boyer Laetitia
- Bozbay Suha
- Bozena Armanda
- Bratsberg Bjorn
- Bravo Silvina
- Brett Carole
- Brett Stephen
- Brett Stephen J.
- Briva Arturo
- Brizio Elisabetta
- Brizuela Patricia
- Broadhurst Phil
- Brown Wendy
- Browne Troy
- Bruel Cédric
- Bruhn Louise
- Brumwell Sarah
- Bruni Andrea
- Bruno Anna Vita
- Buckley Sarah
- Bull Rhian
- Bumbasirevic Vesna
- Buregeya Egide
- Burns Karen
- Butcher Rand
- Byers Heather
- Bösl Kathrin
- Cabral Dolly Mabel Bordon
- Cabral João
- Cabrita Paula
- Caddell Paul
- Caicedo Nestor
- Calamai Italo
- Calili Duygu Kayar
- Caliskan Gulbahar
- Calleja Pablo Lopez-Arcas
- Calpe Neus
- Calvino-Gunther Silvia
- Campanili Ticiane
- Campbell Elizabeth
- Campos Pierina Arias
- Campos-Perez Margarita
- Camputaro Luis
- Camsooksai Julie
- Canales Julieta
- Canete Fidelina
- Cani Alma
- Cano Anastasio Espejo
- Cao Deyan
- Cao Wenzhen
- Cao Ying
- Cao Zu Qing
- Capuzzi Fabio
- Cardenas Yenny
- Carey Annette
- Carney Dominic
- Carter Charlotte
- Casaioli Simona
- Castelain Vincent
- Castiglione Giacomo
- Cata Juan
- Cavaco Raquel
- Cengiz Melike
- Cerezo Franklin Dean
- Cesar Helena
- Cespedes Laura
- Chaboyer Wendy
- Chadwick Llesley
- Chang Shu Chuan
- Chang Youjin
- Chantziara Vasiliki
- Chao Yu
- Chaparro Javiera
- Chaparro Silvia
- Chapeta Edwin
- Chapman Carmel
- Charalabous Iwy
- Chatzis Marinos
- Chee Hyun Keun
- Chen Feifei
- Chen Haiyan
- Chen Hongjuan
- Chen Jingfang
- Chen Lei
- Chen Meili
- Chen Tianfei
- Chen Wenmin
- Chen Xiaoyan
- Chen Zhihong
- Cheng
- Cheng Jiyin
- Chime Christiana
- Chimunda Tim
- Chinardet Benoît
- Chovas Achilleas
- Christ Martin
- Christofis Christos
- Chueca Ramon Molina
- Chunhua Gao
- Cinel İsmail
- Ciorba Paolo
- Clark Michele
- Clement Ana Isabel
- Clesi Tara
- Cody Caitriona
- Collet Marie
- Collins Amy
- Coman Mary
- Conde Belen Burgos
- Conejo Isabel
- Constantinou Constantina
- Corcoran Ailesh
- Coremans Stefano
- Correia Malcolm C.
- Corso Amalia
- Cortegiani Andrea
- Cortellazi Paolo
- Cosano Rosario
- Cossu Maria
- Costa Humberto
- Cotoia Antonella
- Coyer Fiona
- Craig Geraldine
- Craig Jayne
- Cranmer Karen
- Cranshaw Julius
- Creber Peter
- Crone Petra
- Cui Xia
- Cummings Donna
- Cupitt Jason
- Curilen Veronica
- Czuczwar Miroslaw
- Dagooc Rica
- Dai Zhaoxing
- Dal Hayriye Cankar
- Dallaire Julie
- Das Sasidharan Nair Vishnu
- Daubin Cédric
- Davidow Jon
- Davidson Cheryl
- Dawn Frances
- Dayan Meneses
- de Almeida Angelica Olivetto
- de Anda Gilberto Felipe Vazquez
- De Bels David
- de Ceballos José Peral Gutierrez
- De Decker Koen
- De Haan Marina
- de Jesús Ortiz Alberto
- de la Ventana Ana Belén Sánchez
- De lange Dylan
- De Lange Dylan
- de Molina Serrano José Ivan Rodriguez
- De Montmollin Etienne
- De Pablo Ana María
- De Rosa Silvia
- De Sanctis Francesca
- De Schryver Nicolas
- De Wit Irene
- Dean Emiliano
- Debue Anne-Sophie
- Del Bosque Diez Rosa
- del Cotillo Mercedes
- del Mar Diaz Salcedo Maria
- Del Moral Armengol Mario
- Del Rio Cabajo Lorena
- del Rosario Villar Redondo M.
- del Valle Gimenez Graciela
- Delgado Carlos Castro
- Delgado Patricia
- Dellafiore Federica
- Delossantos Shella
- Delve Peter
- Demarré Liesbet
- Demirkiran Oktay
- Dendane Tarek
- Deng Xiaoqiong
- Depuydt Tanja
- Derbyshire Claire
- Derrick Helen
- Deschepper Mieke
- Deva Shanti Rudra
- Dhaliwal Jasdeep
- Di Gravio Valentina
- Di Risio Alessandro
- Di Yanhong
- Diakaki Chrisi
- Dias Sofia
- Diaz Ana
- Diaz Anna
- Diaz Monica Garcia
- Dieperink Willem
- Diers Anja
- Dikmen Yalım
- Dikmen Yalim
- Dilek Ozcengiz
- Dimoula Aikaterini
- Dimski Thomas
- Ding Min
- Ding Xinran
- Ding Yajun
- Ding Yanming
- Dlamini-Sserumaga Lomangisi
- Dobric Milena
- Dolenc Simon
- Dolgusevs Mihails
- Domenech Laura Claramunt
- Dong Jingwen
- Dong Yunchun
- Donvito Maria
- Dormans Tom
- Douschan Philipp
- Doyle Deirdre
- Dragoumanis Christos
- Du Guifang
- Duan Huan
- Dugernier Thierry
- Duggal Abhijit
- Dullenkopf Alexander
- Dungca Adonis
- Dunne Lisa
- Duran Karely
- Déserts Marc Danguy des
- D’Ambrosio Francesco
- D’Ambrosio Paolo
- Ebaid Maie
- Ebaid Maie Salem
- Efe Serdar
- Efthimiou Aikaterini
- Efthymiou Anna
- Egi Moritoki
- Egorova Natalya
- Ei Poe Poe
- Elatrous Souheil
- Elay Gülseren
- Elgammudi Mala
- Elhadi Ahmed
- Elhadi Muhammed
- Elhechmi Youssef Zied
- Elkhayari Mina
- Ellazar Chris Gerome
- Eller Philipp
- Eltorai Ashley Szabo
- Enamorado Judy
- Enamorado Judy Enamorado
- Eneas Antony
- Eng Timothy
- Erdivanli Başar
- Erdogan Elif
- Eroglu Ahmet
- Ershova Olga
- Escalante Rosana Gabriela
- Espinosa Cristina Paños
- Esposito Romina
- Essardy Fatiha
- Etourneau Fabienne
- Evers Mirjam
- Fadeeva Liudmila
- Fan Limei
- Fang Xiuhua
- Farkas Jean-christophe
- Farmakis Epaminontas
- Farnell-Ward Sarah
- Farre Olga
- Fartoukh Muriel
- Favre René
- Feghaly Michel El
- Fei Qin
- Feng ZhangXia
- Feng Zhaoxia
- Feranandes Ana Margarida
- Fernadez Inmaculada Lorenzo
- Fernandes Fatima
- Fernandez Alejandra Azahara Marguello
- Fernandez Maria Alejandra
- Fernandez Maria Cristina Iglesias
- Fernandez Oscar
- Fernandez Ruben
- Fernandez Silvia
- Fernández Ana Wensell
- Ferreira Amelia
- Ferreira Fatima
- Ferreira Hilaryano
- Ferreira Susana
- Ferretti Christian
- Ffarcsi Madiha Hashmi
- Fiedler Christine
- Fielding Clare
- Fielding Mark
- Figaro-Barclay Dianne
- Figueiredo Margarida Ferreira
- Fijen Jan-Willem
- Filipescu Daniela Carmen
- Filipović-Grčić Ina
- Finn Damien O’Connell Rosemary
- Finnstrom Inger Johanne
- Fioretti Audrey
- Firment Peter
- Fischer Susanne
- Fishman Anne
- Fister Misa
- Fitzpatrick Gerry
- Fivecoat Pauline
- Flessel Nadine
- Fletcher Kelly
- Fleury Yvan
- Flevari Aikaterini
- Flores Leah
- Foka Maria
- Fonseca Imelda Perdomo
- Foong Kit Weng
- Fores Meritxell Tapia
- Fox Natalie
- Fox Nathalie
- Fraipont Vincent
- Franco Natalia
- Frandsen Tine Melgaard
- François Guy
- Frey Christian
- From Mette
- Fu Jing
- Fujimoto Koji
- Galaaen Britt
- Galazzi Alessandro
- Galiana Maria
- Galishevskiy Dmitriy
- Gallart Elisabet
- Gallegos-Perez Humberto
- Gallion Marc
- Gama Luz Marina Silva
- Ganeshalingam Vaarisan
- Gao Guangyuan
- Gao Jie
- Gao Li
- Gao Yan
- Garcia Amilcar
- Garcia Barbara
- Garcia Paulo Carlos
- Garcia Rosa
- García Maria Fernanda
- Garofalo Eugenio
- Garzón-Tovar Carolina
- Gatti Chiara
- Gautam Prabha
- Gautheret Nathalie
- Gavrilovic Srđan
- Gawda Ryszard
- Ge Liuyan
- Geijer Sebastian
- Georgakas Ioannis
- George Shaly
- Georgiev Carmel
- Georgiou Marios
- Gerretsen Benjamin
- Gerritsen Rik T.
- Gharios Elie
- Ghioldi Davide Massimo
- Ghosh Rishi
- Ghula Mohamed Abdurazzag Ali
- Giacardi Christophe
- Giampaoletti Andrea
- Gievski Vanja
- Gilder Eileen
- Gill Sirley
- Gils Fränk
- Girianni Salvatore
- Girona Mercè
- Giusti Gian Domenico
- Gkiokas Georgios
- Glinka Lidia
- Goksu Senay
- Goller Stefan
- Gomes Vitor
- Gomez Monica
- Gomez Saira
- Gong Yue Ying
- Gonzalez Ana Laura
- Gonzalez Daira
- Gonzalez Jeniffer
- Gonzalez Juan Ignacio Torres
- Gonzalez Rafael
- Gonzalez Roberto
- Gonzalez Victor
- González Iván Areán
- Goodson Jennifer
- Goranovic Tanja
- Gordo Federico
- Gordon Patricia
- Gorgolas Maria Carmen
- Gorokhovatsky Uri
- Gorordo-Delsol Luis
- Graeser Stephan
- Greca Alban
- Gregorio Ricardo
- Grigoras Ioana
- Grishina Liudmila
- Groba Casiano Barrera
- Grotheer Sarah
- Groznik Matjaž
- Gu Yanmei
- Guadi-Gosh Belinda
- Guarracino Fabio
- Guenther Ulf
- Guereschi Matias
- Guerrero Alvaro Ortega
- Guerrero Fausto
- Guillén Carmen Velasco
- Guixiang Jia
- Gunter Una
- Guo Hailing
- Guo Jiye
- Guo Yinhua
- Gupta Amit
- Gupta Manish
- Guran Catalin Traian
- Gurevich Vladimir
- Gurjar Mohan
- Gusarev Vitaly
- Gusarov V.
- Gusarov Vitaly
- Gutierrez Pedro
- Gutysz-Wojnicka Aleksandra
- Gül Fethi
- Gümüş Ayça
- Günther Silvia Calvino
- Haas Lenneke
- Habgood Karen
- Hachimi Abdelhamid
- Hacking Danielle
- Hadri Burhan
- Hadzibegovic Adi
- Hagan Samantha
- Hagau Natalia
- Hajjej Zied
- Han Ting
- Han Yu
- Hannes Francis
- Hansen Anja
- Hansen Siri
- Hansen Tina Charlotte Bitsch
- Hao Junping
- Hao Yanhua
- Harding-Goldson Hyacinth
- Hargott Rita Foss
- Haringman Jasper
- Harris Stephanie
- Hashemian Seyed Mohammadreza
- Hashimoto Satoru
- Hashmi Madiha
- Hassan W. Nazaruddin W.
- Hastings Jennifer
- Hatton Kevin
- Haugom Hanne
- Hawchar Fatime
- Hayashi Yoshiro
- Hayden Paul
- He Guoxue
- He Yin
- Heidari Farshad
- Heinicke Tobias
- Heitzler Nathalie
- Hellkvist Viveca Hamback
- Henning Grit
- Hentchoya Romuald
- Herceg Ivana
- Hernandez Aaron Mark
- Hernandez Juan Sebastian
- Hernandez-Ponce Lucia
- Hernandez-Romero Marcos
- Hernandez-Sanchez Nancy
- Herrera Jorge Guerra
- Herrera María Ocotlan Gonzalez
- Higgins David
- Hilario Badiola
- Hirao Akemi
- Ho Sung Wai
- Hoegenhaven Anisette
- Hojden Susanna
- Holmquist Dagmar
- Hong Li
- Hong Liu
- Hong Ma
- Honore Patrick M.
- Honoré Patrick M.
- Horner Daniel
- Horrigan Nicola
- Hoste Pieter
- Houghton Victoria
- Howcroft Clare
- Hsu Mei Yu
- Hu Li Ping
- Hu Lili
- Hu Rongjun Ling
- Hu XiaoChun
- Hua Ngu Pei
- Huang LiPing
- Huang Qingping
- Huang Rong Fen
- Huang Xia
- Hughes Jennifer
- Hughes Mandy
- Huh Jin Won
- Hui Caihong
- Huo Yuxia
- Hurtado Cintia Valencia
- Hurtado Clara
- Husted Birthe
- Hylen Mia
- Hyska Genci
- Høgvall Lisa
- Ibao Jowena
- Ibarra Alejandro
- Iburrigarro Sergio Reyes
- Idowu Olakunle
- Iglesias Federico
- Ignatenko Olga
- Ilesanmi Rose
- Ilesanmi Rose Ekama
- Inal Volkan
- InSu Lin
- Ioannides Panagiotis
- Iovenko Ihor
- Iozzo Pasquale
- Isanan Michael
- Isasi Maria Aranzazu
- Ismail Nahla
- Ismail Wan Nasrudin Wan
- İzdes Seval
- Jackson Matthew
- Jacob Reni
- Jacquet Luc-Marie
- Jafaraghaee Fateme
- Jali Phumele
- Jankovic Radmilo
- Jans Anita
- Jansson Erika Backlund
- Jarman Rachel
- Jaschinski Ulrich
- Jasiewicz Przemyslaw
- Jaundoo Helen
- Jensen Hanne Irene
- Jensen Karianne Dale
- Jeon Kyeongman
- Jepsen Britta
- Jha Simant
- Ji Hua
- Jia Na
- Jian Yanman
- Jiang Jing Hua
- Jiang Mei
- Jiang Qun Xia
- Jiang Shumin
- Jiang Youru
- Jiang Zhixia
- Jiang ZhiXia
- Jianhong Mu
- Jiao Qing Feng
- Jiao Xueping
- Jibrin Deborah
- Jimenez Raquel
- Jin Wangyan
- Jochmans Sébastien
- Joelsson-Alm Eva
- Joffe Aaron
- Johansen Birgitte Fosser
- Johansen Edda
- Johansson Lotta
- John Sini
- Jonasdottir Rannveig J.
- Jones Jo
- Jones Sarah
- Jong Margaret Lynn
- Jorge Silvia Angelica
- Jovaisa Tomas
- Jovanovic Bojan
- Ju Wenjie
- Judd Harriet
- Kaasby Karin
- Kakaras Nikolaos
- Kamal Manoj
- Kamenshchikov Nikolaj
- Kamoun Salma
- Kampayana Betty Star
- Kanakaki Sofia
- Kanda Fumiya
- Kang Byung Ju
- Kannan Santhana
- Kapoor Ritoo
- Kara Iskender
- Karabacak Pınar
- Karakurt Sait
- Karamchandani Kunal
- Karaoren Gulsah
- Karathanou Antigoni
- Karjula Elina
- Kartalov Andrijan
- Kataoka Jun
- Katerina Kounougeri
- Katsenos Chrysostomos
- Kauppi Outi
- Kaushik Shuchi
- Kazakos Nikolaos
- Kağnıcı Ali
- Kehoe Jennifer
- Kerslake Ian
- Kesti Ulla
- Khaled Ala
- Khaled Taha
- Khanna Ashish
- Khanna Ashish K.
- Khoo Tien Meng
- Khoronenko Victoria
- Khwannimit Bodin
- Kilapong Bram
- Kim Je Hyeong
- Kim Junghyun
- Kim Kyung Chan
- Kim Seok Chan
- Kindgen-Milles Detlef
- Kiselev Alexander
- Kjærgård Inger Ebbesen
- Kleanthous Pavlina
- Knafelj Rihard
- Kodal Anne Marie
- Kolbe Nina
- Kolussi Uta
- Kondili Eumorfia
- Koopmans Matty
- Kotanidi Veronika
- Kotze Michelle
- Koulouras Vasilios
- Kourelea Styliani
- Koutsodimitropoulos Ioannis
- Kovaleva Julia
- Krastins Ivasr
- Kristoffersen Elin
- Kubisz-Pudelko Agnieszka
- Kuijpers Paul
- Kulakov Vladimir
- Kuscu Ozlem Ozkan
- Kushare Vilas
- Kusi-Appiah Anita-Chrysolyte
- Kuzmanovska Biljana
- Kyriakoudi Anna
- Kütimets Martin
- Labeau Sonia O.
- Lacaden Grace
- Lafuente Estevão
- Lagerhäll Caroline
- Laizner Andréa Maria
- Lajara Miguel Angel Gimenez
- Lajeunesse Jennifer
- Lakshmanan Ramanathan
- Lalor Jennifer
- Landaverde Antonio
- Lang Martin
- Langvad Anne
- Lančaričová Danca
- Larina Eugeniya
- Larsson Ing-Marie
- Lausch Martina
- Lavrentieva Athena
- Lavy Alinoy
- Le Guen Yann
- Lebon Richard
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- Wahab Sherliza
- Wahlbom Ewa
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- White Joanne
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- Xiao Lina
- Xiao Min
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- Xiaoyan Yang
- Xie Yan
- Xing Cynthia
- Xiong Yunfeng
- Xixi Li
- Xu Lina
- Xu Xiao
- Xu Xuelian
- Xu Yan
- Xue Xiujuan
- Yaghi Aktham
- Yakubu Yakubu H.
- Yamamoto Ryohey
- Yan Howe
- Yan Xiaoli
- Yan Yan
- Yang Fan
- Yang Fengling
- Yang Huai
- Yang Jing
- Yang Lei
- Yang Qiao
- Yang Shunzhu
- Yang Yanping
- Yang YongXia
- Yao Xiuying
- Yao Yanlan
- Yao Zhiru
- Ye Man
- Ye Mei
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- Yeon-Joo Lee
- Yildiz İsmail
- Yilmaz Hakan
- Yin Hai
- Yin Li
- Young Charlotte
- Young-Jae Cho
- Yu Jing
- Yu Min
- Yu Tingting
- Yu Zhu Jun
- Yuan Cui
- Yuan Weilian
- Yuan Yuxia
- Yuchen Wu
- Yuemen Ly
- Yumei Chen
- Zahra Hajer Ben
- Zainudin Asmah
- Zakalik Graciela
- Zaki Ahmed
- Zalba-Etayo Begoña
- Zamora Purificacion Sanchez
- Zamorano Matias Jesús Flamm
- Zan Tao
- Zand Farid
- Zarei Fatemeh
- Zeng Jing Mei
- Zeng Qi
- Zepoy Sofia
- Zerman Avşar
- Zermeno Jorge Macias
- Zgrzheblovska Lesia
- Zhang Aizhi
- Zhang Baoke
- Zhang Feifei
- Zhang Guiping
- Zhang Hong
- Zhang Hongsu
- Zhang Hui
- Zhang Jing
- Zhang Jundi
- Zhang Libing
- Zhang Ling
- Zhang Na
- Zhang Wei
- Zhang Yali
- Zhang Ying
- Zhang Zhenxia
- Zhao Hui Min
- Zhao Lijuan
- Zhao Lina
- Zhao Qian
- Zhao Qingli
- Zhao Rong Hua
- Zhao Ronghua
- Zhao Wenwen
- Zhao Yingjuan
- Zhedaeva Marina
- Zheng Hong
- Zheng Jing
- Zheng Xianhong
- Zhigang Zhang
- Zhijuan Wang
- Zhiping Sun
- Zhivotneva Trina
- Zhou Yuming
- Zhu Guoyan
- Zhu JiFen
- Zhu Jin Yu
- Zivanovic-Posilovic Gordana
- Zorko Nika
- Zubareva Nadezhda
- Zuev Evgeniy
- Zueva Oksana
- Zulkifli Zulkifli
- Ágoston Zsuzsann
- Åkerman Eva
- Çelik Jale Bengi
- Ñamendys-Silva Silvio A.
- Özcan Beysim
- Özserezli Boğaç
- Ünlü Nurdan
- Čuljak Hemena
- Şentürk Evren
- Šuput Aleksandar
- Publication venue
- 'Organisation for Economic Co-Operation and Development (OECD)'
- Publication date
- 26/02/2021
- Field of study
Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat
Recommended from our members
Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study
- Author
- Abdala Antonio
- Abidi Khalid
- Abillama Fayez François
- Abos Francisco Javier Saenz
- Aboufray Ahmed Ali
- Abregal Giancarlo
- Abroug Fekri
- Achilleos Eleni
- Acosta Ysica
- Adam Višnja Nesek
- Adamina Ileana
- Adams John
- Adamuz Jordi
- Adejumo Prisca Olabisi
- Adekola Oyebola
- Ademokun Jane
- Adenekan Anthony
- Adib Nik Azman Nik
- Adipa Faustina Excel
- Afonso Elsa
- Aganon Ferdinand
- Agarwal Sonika
- Aguirre Joaquin
- Aguirre Lydia Gallego
- Aguirre-Bermeo Hernan
- Ahmad Fatima Kasem El
- Ahmad Meraj
- Ahmed Hazem
- Ahn Jong-Joon
- Ahtiala Maarit
- Akbas Turkay
- Akdağ Devrim
- Akker Mustafa
- Akselsen Gro Ringstad
- Al-Alawi Maram Milud Said
- Alabuzidi Aya
- Alampi Daniela
- Albaiceta Guillermo Muñiz
- Albert Patricia
- Albrecht Lea
- Albrett Jonathan
- Alexandropoulou Paraskevi
- Alexandrou Anna
- Ali Ashwaq
- Ali Mohd Nazri
- Alias Anita
- Alkhumsi Soad Imhmed R.
- Allaert Silvie
- Allison Nicola
- Almekhlafi Ghaleb
- Alonso Helena Fernandez
- Alsheikhly Ahmed Subhy
- Alshrif Abdualhamid I
- Alvarenga Gloria
- Alvarez Diana
- Alvarez Gonzalo Martín
- Alvarez Gustavo Andres
- Alvarez Jorge Duerto
- Alvarez Josep Trenado
- Alvarez Raquel Garcia
- Alves Paulo
- Andersen Marit Hildegunn
- Andersen Yvonne
- Andresen Hanne
- Anisoglou Souzana
- Antonio Maria Gracia San
- Antunes Nelson
- Anvelt Eneli
- Aperocho Cristal April Jane
- Aponte Cesar
- Araya Paola
- Arcas María Luisa Bravo
- Arikan Huseyin
- Arntsen Wenche
- Arteta Arteta Donaldo S.
- Ashour Firas
- Assiri Amer
- Atchade Enora
- Ateya Zainab
- Attwood Ben
- Aucapina Alejandra
- Avalos Fernando
- Aves Emma
- Avogadro Prune
- Avramopoulou Lamprini
- Ay Mustafa
- Ay Serap Avcı
- Aya Umeda
- Ayala Maria
- Aydemir Semih
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- Nikolaou Charikleia
- Nishime Yoshimasa
- Noblezada-Uy Debbie
- Nocheretti Mariangeles Gabriela
- Noguchi Ayako
- Nogueira Paula Cristina
- Nor Basri Mat
- Nor Mohd Basri Mat
- North Samantha
- Nshimyumuremyi Isaac
- Nunes Catarina
- Nuñez Cesar Rodriguez
- Nyhus Marit
- Nzarora Josue
- Ochoa Maria-Elena
- Odenthal Tobias
- Ogbeide Vongayi
- Ohuchi Akira
- Oikonomou Mrina
- Oiting Oscar
- Olanipekun Simeon
- Olivares Pablo Garcia
- Oliveira Evellyn
- Olsen Brita Fosser
- Onelli Adriana
- Onrust Marisa
- Onyeka Tonia
- Orozco Estefania
- Orvelius Lotti
- Ory Solenne
- Osei Irene Pearl
- Ostenjo Hege
- Ouyang Fei
- Owens Daniel
- Owojuyigbe Afolabi
- Ozgultekin Asu
- O’Brien Catherine
- O’Donnell Caroline
- O’Nuallain Siobhan
- O’Shea Aidan
- O’Shea Fiona
- Pacturanan Michelle
- Paddle Jonathan
- Padilla Nayeli Rocio Cañas
- Pagella Gonzalo
- Pagioulas Konstantinos
- Paillet Caroline
- Palaez Carolina
- Palfreeman Christopher
- Palfrey Ruth
- Palmu Auli
- Palo Jose Emmanuel
- Pan Fuqun
- Pang Xuelian
- Panka Bernardo
- Pantaleao Taís
- Pantelas Nikolaos
- Pantiora Eirini
- Papadopoulos Dimitrios
- Papageorgiou Eirini
- Papanikolaou Metaxia
- Papathanakos Georgios
- Papavasilopoulou Theonymfi
- Parag Nivisha
- Parente Isabel
- Park Jisoo
- Park Seung Yong
- Park So Young
- Park Sunghoon
- Park Tai Sun
- Parke Rachael
- Parkin Emma
- Parsons Leanne
- Parsons Penny
- Pascual-Bielsa Ana
- Pastore Beatrice
- Pastores Stephen M.
- Pathak Sabina Dhakal
- Patrichi Tatiana
- Patsalos Artemis
- Patsiou Eirini-Chysovalanto
- Pavlisa Gordana
- Pedersen Anne Sofie Bomholt
- Pedersen Karin Rehnholt
- Pederzani Marcelo
- Pedro Laura
- Peipei Xu
- Peker Nebia
- Peltomaa Minna
- Pelz Sabrina
- Pena José Manuel Garcia
- Peratoner Alberto
- Pereira Jorge
- Perez Hugo
- Perez-Torres David
- Perez-Vacas Jonathan
- Perme Janja
- Peterson Jessica
- Petosic Antonija
- Petrisor Cristina
- Petrushin Maxim
- Pečenković Suzana
- Philippart François
- Piergentili Federica
- Pili-Floury Sébastien
- Pillard Cindy
- Pineda Ana Alícia Velarde
- Pinheiro Cristiana Mota
- Pinto Susana
- Pinto Vitor Manuel Vaz
- Piradov Michael
- Pires Filpe
- Pivkina Alexandra
- Piza Petr
- Piñan Isabel Santín
- Plantefève Gaëtan
- Pleitinckx Vincianne
- Polgarova Petra
- Polo Ana Belén Curto
- Popescu Mihai
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- Potestio Christopher
- Powell Madeleine
- Preda Gabriel
- Prol-Silva Estefanía
- Prowle John
- Psarulis Konstantinos
- Pulak Paul
- Pulletz Mark
- Putruele Sofia
- Qawasmeh Khaled Al
- Qiao Hongmei
- Quagliotto Catia
- Quaini Attilio
- Quintard Hervé
- Quiroga Cristian
- Rabarova Daria
- Radavidson Anthony
- Radivojevic Renata Curic
- Rahim Azmin Huda Abdul
- Raimondo Arena
- Raitsiou Bogdan
- Raizman Rose
- Raj Ashok Sundai
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- Ramaker Bart
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- Ramirez Mario
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- Ran Qiong
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- Rapley Jackie
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- Ratnam Shanthi
- Ratnam Shanti
- Ravani Ifigenia
- Reece-Anthony Rosie
- Reidinga Auke
- Reijntjens Jennifer
- Remor Natalie
- Ren Aiua
- Reyes Amylkar Garay
- Reyes Amylkar José Garay
- Reyes Laura Martinez
- Reyes Paul Eric
- Reynolds Claire
- Ribas Antoni Margarit
- Ribas Antonio Margarit
- Riera Alba
- Riessen Reimer
- Ringdal Mona
- Rinket Martin
- Ripolles-Melchor Javier
- Rita Clara Santa
- Rivas Juan Carlos
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- Riveiro Marilyn
- Rizzo Antonino
- Rocco Monica
- Rocha Pamela
- Rodriguez Gabriel Enrique
- Rojas-Suarez José
- Rokosh Ella
- Roller Martin
- Roman-Pognuz Erik
- Romero-Gonzalez Juan P.
- Ronchini Ana Lucia Vitti
- Rooney Glenda
- Rosado Ines
- Rosalia Rodney
- Rosati Moris
- Rose Bernd Oliver
- Rose Louise
- Rostello Oscar Fernández
- Rothenfusser Monika
- Rubulotta Francesca
- Rubulotta Giorgia
- Rygvadottir Brynja
- Saager Leif
- Sabbag Ignacio
- Saha Rajnish
- Sakki Jenni-Katarina
- Sakuramoto Hideaki
- Salazar Janel
- Salberg Armorel
- Salman Fatema
- Salo Swagotika
- Salvà-Costa Vicent
- Samat Noryani Mohd
- Sanchez Losune Cano
- Sanchez Maria Angeles Hurtado
- Sanchez-Hurtado Luis Alejandro
- Sandberg Ulla
- Sandesc Dorel
- Sankar-Maharaj Sasha
- Sankey Babangida John
- Santiago Eleanor
- Santos Jacinta
- Santos Rayanne
- Sanz Luz Coronado
- Sanz Miquel
- Sarkar Nikki
- Saul Pablo
- Sawawiboon Chaiwut
- Schaller Stefan
- Schallom Marilyn
- Schefold Joerg C.
- Schmidt Raysa Cristina
- Schmollgruber Shelley
- Schmukler Armando
- Schmutz René
- Schulze Tobias
- Schüppel Sebastian
- Scire Giovanni
- Scutariu Monica Adriana
- Sellami Walid
- Sepulveda Maria Idalia
- Sergeev Dmitry
- Serin Sibel Ocak
- Seromenho Vanda
- Serpa Leticia
- Sertznig Claude
- Setten Mariano
- Shah Bhagyesh
- Shao Hongyan
- Shaw David
- Shawish Sabah Abu
- Shayamano Rosina
- Sheehan Christine
- Shen Yanling
- Sherwin James
- Shi Guanxiu
- Shi Zeya
- Shime Nobuaki
- Shimizu Masako
- Short Jack
- Shosholcheva Mirjana
- Shosolcheva Mirjana
- Sierra Rafael
- Sills Martin
- Silva Pedro
- Sim Yun Su
- Simi Marcelo
- Simon Philipp
- Singh Keevan
- Singh Mukta
- Sjobo Britt
- Skorstad Elin Mari
- Slobodianiuk Gari
- Slobodianiuk Garri
- Smajic Jasmina
- Smiley Kathleen Ann
- Smith Catherine
- Smith Chris
- Smith Julie
- Smith Neil
- Smith Orla
- Smith Samantha
- Soledad Javiera
- Somerville Justine
- Sona Carrie
- Song Bing
- Song Caiju
- Song JinHui
- Song Min
- Song Rima
- Sosa Miguel Ángel
- Sosnowski Kellie
- Sostaric Maja
- Soula Enas
- Soulisse Léa
- Soundoulounaki Stella
- Souppart Virginie
- Sourla Evdokia
- Sousa Bruno
- Spadaro Savino
- Spina Rosario
- Spyropoulou Anastasia
- Spångfors Martin
- Stafylaraki Maria
- Staikos Ioannis
- Stalika Kristina Mariana Matei
- Stanojević Maja
- Starchenko Irina
- Stefanovic Branislava
- Steffenak Elin
- Stehr Sebastian
- Stenset Ane
- Stiban Sonia
- Stivanello Lucia
- Stojanovic Milena
- Stones Elizabeth
- Straede Esben
- Stübner Andeas
- Subedi Nisha Bhandari
- Suen Gabriel
- Sulaiman Siti Rohayah
- Sun Chengxia
- Sun Wei
- Sun Yue
- Susanti Ade
- Sustic Alan
- Swinnen Walter
- Syed Muhommed Ridwaan
- Sykehus Drammen
- Szakmany Tamas
- Sánchez-Hurtado Luis
- Tababa Osama Wanees Emhemid
- Tabah Alexis
- Tabib Majd
- Taghavi Noushin
- Taibi Maria Rosa
- Taito Shunsuke
- Tak Poon Shing
- Takahashi Kenji
- Talik Imen
- Tallot Mandy
- Tamayo Luis Mario
- Tamme Kadri
- Tan Lei
- Tao Jing
- Tapia Fernando
- Tavares Ana
- Taşdemir Banu
- Teig Magnus
- Tejeda-Huezo Brigitte
- Telleria Vanesa Mercado
- Templeton Mae
- Terry Dorothy
- Tervo-Heikkinen Tarja
- Thankamma Bindu
- Theisen Christian
- Thix Cyril
- Tholioti Thomai
- Thoma Giannoula
- Thomas Beverley
- Thompson Amy
- Thompson Lorraine
- Thomsen Tina Damgaar
- Thorpe Elaine
- Tian Eryun
- Tian Xiao Fang
- Tian Yani
- Tian Zhixia
- Timsit Jean-Francois
- Tingsvik Catarina
- Tirado Celia
- Toellefsen Annette
- Tokareva Ekaterina
- Tokur Murat Emre
- Tole Eunice
- Tomescu Dana
- Tong Jenny May Geok
- Tonkovic Dinko
- Toppin Patrick
- Torlinski Tomasz
- Traina Lidia
- Tranello Francesca Paola
- Tribulev Maksim
- Tridente Ascanio
- Triki Ahmed Ramadan
- Tripathy Swagata
- Trongtrakul Konlawij
- Trongtratul Konlawij
- Trposak Angela
- Trudvang Siw
- Trueman-Dawkins Treiza
- Tsarev Alexander
- Tsikriki Syragoula
- Tsikritsaki Kyriaki
- Tsujimoto Mayumi
- Tubacka Marta
- Tuinstra Binny
- Tuo Lili
- Turan Can
- Turan Sema
- Turc Jean
- Turner Sarah Jane
- Turčan Anton
- Tutillo Diego Rolando Morocho
- Twagirumugabe Theogene
- Twiggs Hilary
- Uba Stella
- Uccelli Francesco
- Udiljak Nikolina
- Ugwu Innocent
- Umek Nejc
- Undar Hasan Nabi
- Vakalos Aristeidis
- Valerio Idália
- Valgolio Emanuel
- Valta Maija
- Valta Maija Anniina
- van Axel Alisha
- Van Cotthem Ilse
- Van de Velde Stijn
- Van Den Berg Lettie
- Van Den Brink Mark
- Van Den Elst Arlette
- van der Kuil Mark
- Van Gulik Laura
- Van Regenmortel Niels
- Van Vliet Peter
- Vanroest Margijske
- Varela Maria
- Vaschetto Rosanna
- Vasquez Alexandra
- Vaughan-Jones Nicola
- Velickovic Jelena
- Veličković Dejan
- Ventour Dale
- Vermeijden Jan Wytze
- Vieira João
- Villa Robert
- Villafuerte Missael Vladimir Espinoza
- Villanueva Ximena
- Villegas Paula
- Viveiros Abel
- Vizcaychipi Marcela
- Vlaovic Janko
- Vochin Ana
- Volta Carlo Alberto
- von der Osten Ingrid
- Von Der Osten Ingrid
- von Lewinski Dirk
- Vosylius Saulius
- Vuković Anita
- Vullum Sylvi
- Vymazal Tamas
- Vymazal Tomas
- Wahab Sherliza
- Wahlbom Ewa
- Waibel Hansjoerg
- Wallin Ewa
- Walsh Amy
- Wan Jianhong
- Wan Yan
- Wang Damei
- Wang Fanglan
- Wang GuoXian
- Wang Hai Yun
- Wang Haiyan
- Wang Jing
- Wang Kefang
- Wang LingLing
- Wang RuiXia
- Wang Shuhui
- Wang Shuo
- Wang Wei
- Wang Wenmei
- Wang Xiaomin
- Wang Yan
- Wang Ying
- Wang Yingli
- Wang Yuping
- Wang Yuxia
- Watts Stacey
- Waweru-Siika Wangari
- Wei Dongfang
- Wei Wei
- Wei Xiyan
- Wei Ying
- Welters Ingeborg D.
- White Joanne
- White Nigel
- Whiteley Simon
- Whitticase Richard
- Wiborg Elisabeth
- Wijnands Patricia
- Wilby Liz
- Williams Anne
- Williams Ged
- Williams Helen
- Williams Karen
- Williams Lynne
- Wilting Rob
- Wise Robert
- Woods Justin
- Wright Kerry
- Wu Juan
- Wu ShiFen
- Wu Xiaojun
- Wu Xiaoying
- Wu Yang
- Wu Yun
- Wu Zijing
- Xhindi Nordian
- Xia Chun Jie
- Xia Xinhua
- Xiao Lina
- Xiao Min
- Xiao Yan
- Xiaoyan Yang
- Xie Yan
- Xing Cynthia
- Xiong Yunfeng
- Xixi Li
- Xu Lina
- Xu Xiao
- Xu Xuelian
- Xu Yan
- Xue Xiujuan
- Yaghi Aktham
- Yakubu Yakubu H.
- Yamamoto Ryohey
- Yan Howe
- Yan Xiaoli
- Yan Yan
- Yang Fan
- Yang Fengling
- Yang Huai
- Yang Jing
- Yang Lei
- Yang Qiao
- Yang Shunzhu
- Yang Yanping
- Yang YongXia
- Yao Xiuying
- Yao Yanlan
- Yao Zhiru
- Ye Man
- Ye Mei
- Yeni Nomhle Princess
- Yeon-Joo Lee
- Yildiz İsmail
- Yilmaz Hakan
- Yin Hai
- Yin Li
- Young Charlotte
- Young-Jae Cho
- Yu Jing
- Yu Min
- Yu Tingting
- Yu Zhu Jun
- Yuan Cui
- Yuan Weilian
- Yuan Yuxia
- Yuchen Wu
- Yuemen Ly
- Yumei Chen
- Zahra Hajer Ben
- Zainudin Asmah
- Zakalik Graciela
- Zaki Ahmed
- Zalba-Etayo Begoña
- Zamora Purificacion Sanchez
- Zamorano Matias Jesús Flamm
- Zan Tao
- Zand Farid
- Zarei Fatemeh
- Zeng Jing Mei
- Zeng Qi
- Zepoy Sofia
- Zerman Avşar
- Zermeno Jorge Macias
- Zgrzheblovska Lesia
- Zhang Aizhi
- Zhang Baoke
- Zhang Feifei
- Zhang Guiping
- Zhang Hong
- Zhang Hongsu
- Zhang Hui
- Zhang Jing
- Zhang Jundi
- Zhang Libing
- Zhang Ling
- Zhang Na
- Zhang Wei
- Zhang Yali
- Zhang Ying
- Zhang Zhenxia
- Zhao Hui Min
- Zhao Lijuan
- Zhao Lina
- Zhao Qian
- Zhao Qingli
- Zhao Rong Hua
- Zhao Ronghua
- Zhao Wenwen
- Zhao Yingjuan
- Zhedaeva Marina
- Zheng Hong
- Zheng Jing
- Zheng Xianhong
- Zhigang Zhang
- Zhijuan Wang
- Zhiping Sun
- Zhivotneva Trina
- Zhou Yuming
- Zhu Guoyan
- Zhu JiFen
- Zhu Jin Yu
- Zivanovic-Posilovic Gordana
- Zorko Nika
- Zubareva Nadezhda
- Zuev Evgeniy
- Zueva Oksana
- Zulkifli Zulkifli
- Ágoston Zsuzsann
- Åkerman Eva
- Çelik Jale Bengi
- Ñamendys-Silva Silvio A.
- Özcan Beysim
- Özserezli Boğaç
- Ünlü Nurdan
- Čuljak Hemena
- Şentürk Evren
- Šuput Aleksandar
- Publication venue
- Intensive Care Medicine
- Publication date
- 09/04/2021
- Field of study
The original version of this article unfortunately contained a mistake
Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study
- Author
- Aaron Joffe
- Aaron Mark Hernandez
- Aaron Mark Hernandez
- Abby Lewis
- Abdelhamid Hachimi
- Abdualhamid I Alshrif
- Abel Viveiros
- Abhijit Duggal
- Abidin Oner Balbay
- Achilleas Chovas
- Ade Susanti
- Adi Hadzibegovic
- Adonis Dungca
- Adrian Belii
- Adrian Belii
- Adriana Onelli
- Afolabi Owojuyigbe
- Agnieszka Kubisz-Pudelko
- Agnès Blanc
- Ahmed Ali Aboufray
- Ahmed Elhadi
- Ahmed Ramadan Triki
- Ahmed Subhy Alsheikhly
- Ahmed Zaki
- Ahmet Eroglu
- Aidan O'Shea
- Aikaterini Dimoula
- Aikaterini Efthimiou
- Aikaterini Flevari
- Ailesh Corcoran
- AiPing Bi
- Aiua Ren
- Aizhi Zhang
- Ajitha Rajendran
- Akemi Hirao
- Akira Ohuchi
- Aktham Yaghi
- Ala Khaled
- Alan Sustic
- Alan Sustic
- Alba Riera
- Alban Greca
- Alberto de Jesús Ortiz
- Alberto Peratoner
- Alejandra Aucapina
- Alejandra Azahara Marguello Fernandez
- Alejandro Ibarra
- Aleksandar Šuput
- Aleksandra Gutysz-Wojnicka
- Alessandra Negro
- Alessandro Di Risio
- Alessandro Galazzi
- Alexander Dullenkopf
- Alexander Kiselev
- Alexander Tsarev
- Alexandra Pivkina
- Alexandra Vasquez
- Alexis Tabah
- Ali Kağnıcı
- Alida Moise
- Aline Ramalho
- Alinoy Lavy
- Alisha van Axel
- Alma Cani
- Alvaro Ortega Guerrero
- Amalia Corso
- Amber Markham
- Amelia Ferreira
- Amer Assiri
- Amilcar Garcia
- Amilcar Garcia
- Amit Gupta
- Amit Gupta
- Amy Collins
- Amy Thompson
- Amy Walsh
- Amylkar Garay Reyes
- Amylkar José Garay Reyes
- Ana Alabart Llinas
- Ana Alícia Velarde Pineda
- Ana Bantar
- Ana Belén Curto Polo
- Ana Belén Sánchez de la Ventana
- Ana Diaz
- Ana Diaz
- Ana Isabel Clement
- Ana Laura Gonzalez
- Ana Lucia Vitti Ronchini
- Ana Margarida Feranandes
- Ana María De Pablo
- Ana Pascual-Bielsa
- Ana Tavares
- Ana Vochin
- Ana Wensell Fernández
- Anastasia Spyropoulou
- Anastasio Espejo Cano
- Andeas Stübner
- Andrea Bruni
- Andrea Cortegiani
- Andrea Cortegiani
- Andrea Cortegiani
- Andrea Giampaoletti
- Andrea Martonova
- Andrea Martonova
- Andrea McDonnell
- Andrea McLucas
- Andrej Markota
- Andrijan Kartalov
- Andréa Maria Laizner
- Andréa Maria Laizner
- Andréa Maria Laizner
- Ane Stenset
- Angela Trposak
- Angelica Olivetto de Almeida
- Anisette Hoegenhaven
- Anita Alias
- Anita Jans
- Anita Vuković
- Anita-Chrysolyte Kusi-Appiah
- Anja Diers
- Anja Hansen
- Ann-Sofie Malvemyr
- Anna Alexandrou
- Anna Diaz
- Anna Efthymiou
- Anna Kyriakoudi
- Anna Leonova
- Anna Vita Bruno
- Anne Fishman
- Anne Langvad
- Anne Marie Kodal
- Anne Sofie Bomholt Pedersen
- Anne Williams
- Anne-Sophie Debue
- Annette Carey
- Annette Toellefsen
- Anthony Adenekan
- Anthony Radavidson
- Antigoni Karathanou
- Anton Turčan
- Antonella Cotoia
- Antonella Mo
- Antoni Margarit Ribas
- Antonia Liarmakopoulou
- Antonija Petosic
- Antonino Rizzo
- Antonio Abdala
- Antonio Barone
- Antonio Landaverde
- Antonio Manzo
- Antonio Margarit Ribas
- Antony Eneas
- Apostolos Bakas
- Arena Raimondo
- Arif Moghal
- Aristeidis Vakalos
- Arlette Van Den Elst
- Armanda Bozena
- Armando Schmukler
- Armorel Salberg
- Artemis Patsalos
- Arturo Briva
- Arvind Baronia
- Asbjorn Blondal
- Ascanio Tridente
- Ashish K Khanna
- Ashish K Khanna
- Ashish Khanna
- Ashley Szabo Eltorai
- Ashok Sundai Raj
- Ashwaq Ali
- Asmah Zainudin
- Asu Ozgultekin
- Ata Mahmoodpoor
- Athena Lavrentieva
- Attilio Quaini
- Audrey Fioretti
- Audrey Massard
- Auke Reidinga
- Auli Palmu
- Avşar Zerman
- Aya Alabuzidi
- Ayako Noguchi
- Ayça Gümüş
- Azmin Huda Abdul Rahim
- Babangida John Sankey
- Badiola Hilario
- Banu Taşdemir
- Baoke Zhang
- Barbara Garcia
- Barbro Meland
- Bart Ramaker
- Basri Mat Nor
- Battsetseg Baasanjav
- Başar Erdivanli
- Başar Erdivanli
- Beatrice Pastore
- Begoña Zalba-Etayo
- Belen Burgos Conde
- Belinda Guadi-Gosh
- Ben Attwood
- Benjamin Bongiorno
- Benjamin Gerretsen
- Benoît Chinardet
- Berenice Navarro
- Bernardo Panka
- Bernardo Panka
- Bernd Oliver Rose
- Bert Loef
- Betty Star Kampayana
- Beverley Thomas
- Beysim Özcan
- Beysim Özcan
- Bhagyesh Shah
- Biljana Kuzmanovska
- Bindu Thankamma
- Bing Song
- Binny Tuinstra
- Birgitte Fosser Johansen
- Birthe Husted
- Biyan Li
- Bjoern Monsen
- Bjorn Bratsberg
- Bodin Khwannimit
- Bogdan Raitsiou
- Bojan Jovanovic
- Bonnie Bowes
- Boğaç Özserezli
- Bram Kilapong
- Bram Kilapong
- Branislava Stefanovic
- Brian Marsh
- Brigitte Tejeda-Huezo
- Brita Fosser Olsen
- Britt Galaaen
- Britt Sjobo
- Britta Jepsen
- Bronagh Blackwood
- Bruno Miguel Bispo
- Bruno Sousa
- Bruno Sousa
- Brynja Rygvadottir
- Burhan Hadri
- Burhan Hadri
- Byung Ju Kang
- Caihong Hui
- Caiju Song
- Caitriona Cody
- Can Turan
- Carita Löfqvist
- Carlo Alberto Volta
- Carlos Alejandro Bascary
- Carlos Castro Delgado
- Carmel Chapman
- Carmel Georgiev
- Carmen Partera Luque
- Carmen Velasco Guillén
- Carole Boulanger
- Carole Boulanger
- Carole Brett
- Carolina Garzón-Tovar
- Carolina Palaez
- Caroline Lagerhäll
- Caroline O'Donnell
- Caroline Paillet
- Carrie Sona
- Casiano Barrera Groba
- Catalin Traian Guran
- Catarina Nunes
- Catarina Tingsvik
- Catherine Motherway
- Catherine O'Brien
- Catherine Smith
- Cathy Becker
- Catia Quagliotto
- Cecilia Inés Loudet
- Cecilia Loudet
- Celia Tirado
- Ceri Lynch
- Cesar Aponte
- Cesar Rodriguez Nuñez
- Chaiwut Sawawiboon
- Chaoqun Ma
- Charalampos Martinos
- Charalice Ramiro
- Charikleia Nikolaou
- Charlotte Carter
- Charlotte Young
- Charlotte Young
- Chen Yumei
- Cheng
- Chenghau Mu
- Chengxia Sun
- Cheryl Bealer
- Cheryl Davidson
- Chiara Gatti
- Chiara Megna
- Chiara Megna
- Cho Young-Jae
- Chris Gerome Ellazar
- Chris Smith
- Chrisi Diakaki
- Christian Ferretti
- Christian Frey
- Christian Theisen
- Christiana Chime
- Christine Fiedler
- Christine Sheehan
- Christophe Borin
- Christophe Giacardi
- Christopher Barnes
- Christopher Barnes
- Christopher Palfreeman
- Christopher Potestio
- Christos Christofis
- Christos Dragoumanis
- Chrysanthos Markoulias
- Chrysostomos Katsenos
- Chun Jie Xia
- Chunxia Li
- Cindy Barefield
- Cindy Pillard
- Cintia Valencia Hurtado
- Cinzia Borgognoni
- Claire Derbyshire
- Claire Randell
- Claire Reynolds
- Clara Hurtado
- Clara Santa Rita
- Clare Fielding
- Clare Howcroft
- Claude Sertznig
- Claudia Lizbeth Lopez Nava
- Claudia Martins
- Congcong Liu
- Constantina Constantinou
- Cristal April Jane Aperocho
- Cristian Quiroga
- Cristiana Mota Pinheiro
- Cristina Paños Espinosa
- Cristina Petrisor
- Cui Yuan
- Cynthia Xing
- Cyril Thix
- Cyril Thix
- Cédric Bruel
- Cédric Daubin
- Dagmar Holmquist
- Daira Gonzalez
- Daisy Mehay
- Dale Ventour
- Damei Wang
- Damien O'Connell Rosemary Finn
- Dana Tomescu
- Dana Tomescu
- Danca Lančaričová
- Daniel Blanco
- Daniel Horner
- Daniel Owens
- Daniel Sancho Muriel
- Daniela Alampi
- Daniela Carmen Filipescu
- Danielle Hacking
- Danil Baskakov
- Daria Rabarova
- Dassy Levy
- David De Bels
- David Higgins
- David Perez-Torres
- David Shaw
- Davide Massimo Ghioldi
- Dea Mahanes
- Debbie Noblezada-Uy
- Deborah Jibrin
- DeHong Lei
- Deirdre Doyle
- Dejan Veličković
- Delmiro Becker
- Delphine Ngo
- Demet Tok Aydin
- Detlef Kindgen-Milles
- Devrim Akdağ
- Deyan Cao
- Diana Alvarez
- Diane Barkas
- Dianne Figaro-Barclay
- Dick Nahar
- Diego Rolando Morocho Tutillo
- Dimitra Lepida
- Dimitrios Papadopoulos
- Dinko Tonkovic
- Dirk von Lewinski
- Dmitriy Galishevskiy
- Dmitry Sergeev
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- Rosanna Vaschetto
- Rosario Cosano
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- Rosina Shayamano
- Ruben Fernandez
- RuiXia Wang
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- Ryszard Gawda
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- Saeed Mahmood
- Saira Gomez
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- Sandra McPherson
- Sandrine Balon
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- ShiFen Wu
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- Shuhui Wang
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- Weilian Yuan
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- Wenjie Ju
- Wenmei Wang
- Wenmin Chen
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- Willem Dieperink
- Windu Baskoro
- Won-Yeon Lee
- Wu Yuchen
- Xia Cui
- Xia Huang
- Xianhong Zheng
- Xianping Luo
- Xiao Fang Tian
- Xiao Xu
- XiaoChun Hu
- Xiaodi Liu
- Xiaofang Luo
- Xiaohan Li
- Xiaohan Li
- Xiaojun Wu
- Xiaoli Yan
- Xiaomin Wang
- Xiaoqiong Deng
- Xiaowu Bai
- Xiaoyan Chen
- Xiaoyan Chen
- Xiaoying Wu
- XiaoZhe Liu
- Ximena Villanueva
- Xingguo Li
- Xinhua Xia
- Xinhua Xia
- Xinjian Li
- Xinran Ding
- Xinxia Li
- Xinxia Li
- Xiuhua Fang
- Xiuhua Fang
- Xiujuan Xue
- XiuMei Liu
- Xiuying Yao
- Xiyan Wei
- Xu Peipei
- Xue Lin
- Xue Qin Li
- Xuejuan Liang
- XueLian Liu
- Xuelian Pang
- Xuelian Xu
- Xueping Jiao
- Yajun Ding
- Yakubu H Yakubu
- Yali Zhang
- Yalım Dikmen
- Yalım Dikmen
- Yalim Dikmen
- Yan Gao
- Yan Li
- Yan Liu
- Yan Liu
- Yan Long
- Yan Wan
- Yan Wang
- Yan Xiao
- Yan Xie
- Yan Xu
- Yan Yan
- Yanfei Long
- Yang Lei
- Yang Liu
- Yang Wu
- Yang Xiaoyan
- Yanhong Di
- Yanhua Hao
- Yani Tian
- Yanlan Yao
- Yanling Shen
- Yanman Jian
- Yanmei Gu
- Yanming Ding
- Yann Le Guen
- Yanping Yang
- Yasser Mandourah
- Yenny Cardenas
- Yenny Cardenas
- Yesim Serife Bayraktar
- Yin He
- Ying Cao
- Ying Li
- Ying Liu
- Ying Wang
- Ying Wei
- Ying Zhang
- Yingjuan Zhao
- Yingli Wang
- Yinhua Guo
- Yolanda Mendiara
- YongXia Yang
- Yoshimasa Nishime
- Yoshiro Hayashi
- Youjin Chang
- Youru Jiang
- Youssef Zied Elhechmi
- Ysica Acosta
- Yu Chao
- Yu Han
- Yu Liu
- Yu Liu
- Yue Sun
- Yue Ying Gong
- Yuming Zhou
- Yun Su Sim
- Yun Wu
- Yunchun Dong
- Yunfeng Xiong
- Yupeng Liu
- Yuping Wang
- Yuxia Huo
- Yuxia Wang
- Yuxia Yuan
- Yvan Fleury
- Yvonne Andersen
- Zainab Ateya
- Zaneta Bogoevska-Miteva
- Zeya Shi
- Zhang Zhigang
- ZhangShuangzi Li
- ZhangXia Feng
- Zhaoxia Feng
- Zhaoxing Dai
- Zhenxia Zhang
- Zhihong Chen
- Zhiru Yao
- Zhixia Jiang
- ZhiXia Jiang
- Zhixia Tian
- Zhu Jun Yu
- Zhuqing Li
- Zied Hajjej
- Zijing Wu
- Zsuzsann Ágoston
- Zu Qing Cao
- Zulkifli Zulkifli
- Ângela Lima
- Publication venue
- Intensive Care Medicine
- Publication date
- 29/08/2020
- Field of study
Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat
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- Abbasciano Isabella
- Abrantes Catarina
- Accarino Simone
- Adler Sharon
- Adoberg Annika
- Afsari Rouzbeh
- Ahmad Syeda
- Ahmed Jafar
- Ahn Wooin
- Ajayi Bamidele
- Aksamit Dariusz
- Al Chalabi Saif
- Alamartine Eric
- Alchi Bassam
- Ali Mohammad
- Aliotta Roberta
- Almaani Salem
- Almeida Catarina
- Almeida Edgar
- Alpers Charles E
- Alvarez Francisco de la Prada
- Alves Patricia
- Annese Francesca
- Appel Gerald
- Arduan Alberto Ortiz
- Arena Maria
- Arevalo Marta Calvo
- Arfaania Dariush
- Arias Carlos
- Aristoy Emma Calatayud
- Asakiene Egle
- Ashley Sarah
- Assefi Ali
- Atenza Alba
- Auerbach Asta
- Augustyniak-Bartosik Hanna
- Avella Monroy
- Ayling-Smith Jonathan
- Ayoub Isabelle
- Ayvazyan Christine
- Baccaro Rocco
- Bailey Asha
- Baker Bruce
- Balamuthusamy Saravanan
- Ballarin Jose
- Barata Rui
- Barbic Jerko
- Barisic Dunja
- Barratt Jonathan
- Barreto Jose Carlos de Jesus
- Barrios Clara
- Belingheri Mirco
- Benesova Anna
- Bernabeu Ana Avila
- Bernhardt Wanja
- Bhadra Shamik
- Biancone Luigi
- Bieler Stewart
- Blanchard Anne
- Boaglio Elena
- Bolignano Davide
- Bomback Andrew
- Bonilla Gustavo Andres Useche
- Bordoli Monica
- Bose Bhadran
- Boudville Neil
- Brandon Donald
- Brown Karen
- Broyet Christian
- Bucknall Thomas
- Buffet Alexandre
- Bumblyte' Inga Arune
- Burdese Manuel
- Burgos Natalia Allende
- Burguet Laure
- Burtey Stephane
- Busch Martin
- Cakiroglu Figen
- Campbell Victoria
- Canetta Pietro
- Capaccio Flavia
- Carbonell Juan
- Cardoso Filipa
- Carro Clara Garcia
- Carroll Robert
- Carron Pierre-Louis
- Carullo Nazareno
- Cassia Matthias
- Caster Dawn
- Castillo Belen Vizcaino
- Catucci Davide
- Cavalli Andrea
- Chae Dong-Wan
- Chakera Aron
- Chan Anthony Ting Pong
- Chan Doris
- Chan Gary Chi Wang
- Chan Lai Wan
- Chang Jae Hyun
- Chang Ming-Shan
- Chapman Fiona
- Charytan Chaim
- Chaudhry Asghar
- Cheetham Melissa
- Chen Cheng-Hsu
- Chen Chien-Liang
- Chen Hsin-Yu
- Chen Hung-Chun
- Chen Hung-Yuan
- Chenine Leila
- Cheung Chee Kay
- Cheung Siu Fai
- Chiche-Jourde Noemie
- Chiu Hsien-Fu
- Chiu Ian
- Chiu Yen-Ling
- Chiu Yi-Wen
- Choi Hoon Young
- Chou Kang-Ju
- Chowdhury Paramit
- Chowdhury Pradip
- Chrysochou Constantina
- Chukwu Chukwuma
- Chun Ka Yeong
- Chung Wookyung
- Cieniawski Dominik
- Claisse Guillaume
- Clayton Philip
- Cleary Catalina Martín
- Clement Nisha
- Coates Toby
- Cogno Chiara
- Colla Loredana
- Collins Michael
- Colucci Marco
- Combe Christian
- Comi Nicolino
- Comunale Roderick
- Contreras Gabriel
- Cooper Bruce
- Coppock Gaia
- Costa Ana Cortesão
- Costanzi Stefano
- Cozzolino Mario
- Crail Susan
- Cunha Liliana
- Curry Elizabeth
- Dai Tiane
- Daina Erica
- Daneshvari Sam
- Dasgupta Indranil
- DaSilva Louise
- Davidson Robert
- De Bhailis Aine Maire
- de Précigout Valérie
- Decupere Marc
- Delmas Yahsou
- Deodato Francesca
- Dhaun Neeraj
- Dhaygude Ajay
- Dhelaria Ranjit
- Di Maio Federica
- Diezhandino Maria Angeles Goicoechea
- Dika Zivka
- Dinic Miriana
- Dittmer Ian
- Diva Ulysses A
- Dobre Mirela
- Doctor Gabriel
- Donati Gabriele
- Doubel Peter
- Douthit Nicole
- Draganova Diliana
- Drexler Yelena
- Drinkovic Martin
- Drinovska Klara
- Dudreuilh Caroline
- Dumond Clement
- Durlen Ivan
- Dussol Bertrand
- Encarnacion Montserrat Diaz
- Endre Zoltan
- Enrique Jorge
- Eqbal Yusuf
- Erlich Jonathan
- Esposito Ciro
- Esposito Vittoria
- Fakih Faisal
- Fang Hua-Chang
- Farinha Ana
- Fearday Aaron
- Felgueiras Joana de Sousa Soares
- Felicjanczuk Elzbieta
- Fernandes Adriana
- Fernandes João Carlos
- Fernandes Sara
- Fernandez Jose Luño
- Fernandez Victor
- Fernando Mangalee
- Figueiredo Ana Carolina
- Firre Eric
- Floege Jürgen
- Flossmann Oliver
- Floyd Lauren
- Fonseca Jose Nuno de Almeida Agapito
- Fonseca Nuno
- Foote Celine
- Forbes Suzanne
- Forcen Angel
- Fornoni Alessia
- Fouassier David
- Fraser Ian
- Fung Ka Shun Samuel
- Furlano Monica
- Furtado Teresa
- Gadh Rajdeep
- Gaisset Roxane
- Gallagher Martin
- Gameiro Joana
- Gangadharan Muralikrishna
- Garcia Fabiola Alonso
- Garcia Olga Gracia
- Garg Gunjan
- Garrouste Cyril
- Gautam Archana
- Geara Abdallah
- Geddes Colin
- Gellineo Lana
- Germain Michael
- Gesualdo Loreto
- Ghalli Farid
- Giaroni Francesco
- Giles Harold
- Gillies Alastair
- Gimeno Ana Vilar
- Girardet Annette
- Glaze Jeffrey
- Goh Tze
- Gois Mario
- Goldsmith Christopher
- Goma Elena
- Gomes Ana Marta
- Goncalves Luis Pedro Falcao
- Goncalves Sara
- Gontarek-Kacprzak Julita
- Gonzalez Carlos
- Gopu Arun
- Gowda Nayan
- Gray Nicholas
- Greco Barbara
- Green Heather
- Greze Clarisse
- Griffin Sian
- Guldris Secundino Cigarran
- Guzman Ursula Verdalles
- Ha Jeffrey Tsun Kit
- Hall Amanda
- Hamilton Patrick
- Han Seung Hyeok
- Haws Robert
- Hayat Ashik
- Heath Lauren
- Heerspink Hiddo J L
- Heinrichs Sven
- Henderson Amy
- Henderson Andrew
- Hendren Elizabeth
- Heng Anne-Elisabeth
- Heres Salia Virxinia Pol
- Herfurth Johann Konstantin
- Herrero Evangelina Merida
- Ho Tzung-Yo
- Hogan Jonathan
- Hohenstein Bernd
- Hollett Peter
- Horvatic Ivica
- Hsu Bang-Gee
- Hsu Chia-Tien
- Hsu Chih-Yang
- Hsu Shih-Ping
- Huang Chien-Wei
- Hudson Amy
- Hung Chi-Chih
- Hwang Daw-Yang
- Hwang Shang-Jyh
- Hyun Young Youl
- Ilmoja Madis
- Inrig Jula K
- Irish Georgina
- Jacob Radu
- Jahan Sadia
- Jain Arunima
- Jamar Sofie
- Jander Anna
- Jang Hye Ryoun
- Janko Catherine
- Jardine Meg
- Jaskowski Piotr
- Jeantet Guillaume
- Jelakovic Bojan
- Jeon Junseok
- Jeong Jong Cheol
- Jesudason Shilpanjali
- Jittirat Arksarapuk
- Jo Sang-Kyung
- Jones Rachel
- Joo Narae
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- Julian Bruce
- Jung JiYong
- Jyothinagaram Praveena
- Kadakia Jigar
- Kamal Fahameedah
- Kanigicherla Durga
- Karanovic Sandra
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- Kasimatis Theodoros
- Kassem Mohamad
- Kattamanchi Siddhartha
- Keller Christopher
- Kentric Dubravka Trajbar
- Kettner Christiane
- Khalil Kassem
- Kim Aejin
- Kim Dana
- Kim Hyung Wook
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- Kim Myung-Gyu
- Kim Se Joong
- Kim Sunggyun
- Kim Yeong Hoon
- Kim Yunmi
- Kimber Cassandra
- Klamm Kathryn
- Koch Annegret
- Koester Eric
- Kohan Donald E
- Kolvald Kulli
- Komers Radko
- Kon Sui
- Kooienga Laura Ann
- Kotwal Sradha
- Krajewska Magdalena
- Kratka Karolina
- Krishnan Anoushka
- Krishnasamy Rathika
- Krueger Thilo
- Kruljac Ivan
- Kulka Simone
- Kunzendorf Ulrich
- Kuo Hung-Tien
- Kuo Mei-Chuan
- Kuo Sheng
- Kwan Lorraine Pui Yuen
- Kwella Bogna
- Kwella Norbert
- Kyaw Kay
- Labat Aurore
- Lafayette Richard
- Lagatta Mark
- Lam Chi Kwan Darwin
- Lambie Mark
- Lanaret Camille
- Latif Farah
- Laute Margo
- Law Wai Ping
- Lawman Sarah
- Lazo Mercedes Salgueira
- Lee Hajeong
- Lee Hyun Hee
- Lee Hyung-seok
- Lee JungEun
- Lee Kyu-Beck
- Lee Moon Hyoung
- Lee Po-Tsang
- Leis Liisi
- Lemahieu Wim
- Leung Janson
- Li Yan
- Lie Davina Ngoi Wah
- Lifland Howard
- Lilienthal Kadri
- Lim Wai
- Limardo Monica
- Livrozet Marine
- Longhi Selena
- Lopes Daniela
- Lopes Jose Antonio
- Lorde Nathan
- Luxton Grant
- Ma Mingyao
- Madhrira Machaiah
- Madonia Phillip
- Maes Bart
- Mahadevan Kumaradevan
- Mahdi Amar
- Mahdi Eamon
- Maillard Nicolas
- Maixnerova Dita
- Majstorovic Barac Karolina
- Malecki Robert
- Malfait Thomas
- Malvica Silvia
- Mandayam Sreedhar
- Manley Paul
- Mansfield Nick
- Marcantoni Carmelita
- Mariat Christophe
- Marin Lida Maria Rodas
- Marin Tamara Malek
- Mark Patrick
- Marques Joana
- Martinez Eduardo Gutierrez
- Martinez Stacy
- Masset Catherine
- Masson Ingrid
- Mather Amanda
- Maung Myint Thida Maung
- Mayet Valentin
- Małecki Robert
- McCafferty Kieran
- McCarthy Ellen
- McDonald Stephen
- McGreal Kerri
- McMahon Kellyn
- McNally Andrew
- McQuarrie Emily
- Medina Allyson
- Meeus Gert
- Mehta Kshama
- Mendoza Elder
- Menezes Maria
- Meng Jerry
- Mercer Alex
- Messa Piergiorgio
- Messias Ana
- Miarka Przemyslaw
- Miglinas Marius
- Mikacic Ivana
- Mikhail Ashraf
- Milicevic Martina
- Minasian Raffi
- Moeller Marcus
- Mohey Hesham
- Mojarrab Javad
- Mok Maggie Ming Yee
- Moncasi Eduardo Parra
- Moonen Martial
- Morales Wenceslao Adrian Aguilera
- Moreno Antolina
- Moreno Eduardo Verde
- Morris Adam
- Moutzouris Dimitrios
- Moya Mercedes Gonzalez
- Mucha Simon
- Musolino Michela
- Napodano Pietro
- Natario Ana
- Negrea Lavinia
- Nelson Bradley
- Neuen Brendon
- Newsome Britt
- Ng Kit Chung Jack
- Nguyen Thu
- Nguyen Viet
- Nicolo Clementine
- Nitschke Martin
- Noble Euan
- Nolasco Fernando
- Noronha Irene L
- O'Lone Emma
- O'Shaughnessy Michelle
- Ochoa Adriana Sierra
- Oh Kook-Hwan
- Oh Se Won
- Oh SeWon
- Okoh Pedro
- Ombelet Sara
- Ou Shih-Hsiang
- Packham David
- Padiyar Aparna
- Pai Mei-Fen
- Pamplona Irene Agraz
- Pan Szu-Yu
- Pandya Bhavna
- Papadia Federica
- Pardinhas Clara
- Parikh Nishita
- Parikh Samir
- Park Hyeong Cheon
- Park Jung Tak
- Parreira Lucia
- Passerini Patrizia
- Patak Ramachandra
- Patecki Margret
- Patel Suthar Meera
- Patel Jusmin
- Patel Rajan
- Patella Gemma
- Patrikyan Artashes
- Pavlovic Drasko
- Paxton William
- Peh Chen
- Peh Chen Au
- Peleg Yonatan
- Pelicano Josep Miquel Blasco
- Peng Yu-Sen
- Pereira de Vicente Manuel
- Perez de Jose Ana
- Perez Lluna Leticia
- Perez Erika
- Perez Jonay Pantoja
- Peri Usha
- Perico Norberto
- Perkovic Vlado
- Philipponnet Carole
- Phua Elaine
- Piel Julia
- Pillai Unnikrishnan
- Pilmore Helen
- Plavljanic Djuro
- Plaza Mercedes Velo
- Pollock Carol
- Ponnusamy Arvind
- Ponti Serena
- Powell Thomas
- Pradhan Nishigandha
- Prado Raul Fernandez
- Praga Manuel
- Preciado Priscila
- Prkacin Ingrid
- Pruthi Rishi
- Pugh Dan
- Pérez Gómez María Vanessa
- Quinn Sarah
- Quintana Luis F
- Raakesh Lathika
- Rabindranath Kannaiyan
- Radermacher Luc
- Radhakrishnan Jai
- Ragy Omar Sherin Ibrahim
- Raichoudhury Ritesh
- Raimundo Mario
- Randone Paolo
- Razavian Mona
- Reichel Helmut
- Reis Marina
- Remuzzi Giuseppe
- Reynolds Annie
- Rheault Michelle N
- Ricchiuto Anna
- Rico Ivon Maritza Bobadilla
- Rigothier Claire
- Ritchie Angus
- Rivero Maria Antonieta Azancot
- Rizk Dana
- Ro Han
- Rodriguez Garcia Eva
- Rodriguez Alfred
- Roger Simon
- Rony Mohammad
- Rosenberg Mai
- Rote William E
- Roueff Stephane
- Rovin Brad
- Rovin Brad H
- Roxburgh Sarah
- Ruiz Mario
- Rusinol Helena Marco
- Rychlik Ivan
- Salehi Tania
- Sanden Silja
- Santockiene Lina
- Santos Iara Da Silva
- Santos Patricia Valerio
- Sargsyan Mari
- Sarnow Franziska
- Sat Sebahat
- Satora Ewa
- Savuk Ana
- Sayer Matthew
- Schlieper Georg
- Schlosser Mandy
- Schmidt-Guertler Hans
- Schockaert Olivier
- Schulte Kevin
- Schulz Lisa
- Selvaskandan Haresh
- Semple David
- Sen Shaundeep
- Seppet Elviira
- Serrano Antonio Galan
- Serre Jean-Emmanuel
- Sevillano Angel
- Shah Sapna
- Shen Yvonne
- Sheridan Brittany
- Shu Kai-Hsiang
- Sightler Ford
- Silva Arnold
- Silva Sónia
- Sinha Smeeta
- Siriwardana Amanda
- Sitas Zvonimir
- Sivo Carmen
- Sizeland Peter
- Sly Cathylee
- Smith Priscilla
- Snow Brian
- Soares Elsa Sofia Quadrado
- Solazzo Andrea
- Solis Elena Gutierrez
- Solomon Laurence
- Song Young Rim
- Sousa Helena
- Spinowitz Bruce
- Stallworthy Elizabeth
- Stamellou Eleni
- Stanczyk Malgorzata
- Stangenberg Stefanie
- Stankovic Marija
- Stankuviene Asta
- Stea Emma Diletta
- Stompor Tomasz
- Storrar Joshua
- Sullivan James
- Sulowicz Wladyslaw
- Suyumova Irina
- Szeto Cheuk Chun
- Sá Helena
- Sánchez de la Nieta Maria Dolores
- Tamarit Esther
- Tan Eddie
- Tan May
- Tang Hon
- Tang Sydney C W
- Tang Sydney Chi Wai
- Teixeira Catarina
- Telling Kadri
- Terrades Natalia Ramos
- Tesar Vladimir
- Tez Didem
- Thervet Eric
- Thibaudin Damien
- Thomas Mark
- Thyagarajan Nikhil
- Tkaczyk Marcin
- Torreggiani Massimo
- Trachtman Howard
- Trillini Matias
- Trimarchi Hernán
- Tsai Jer-Chia
- Tsai Shang-Feng
- Tsai Wan-Chuan
- Tseng Po-Yu
- Tumlin James
- Tumlin James A
- Tung Kuei-Ting
- Turnbull Angus
- Udani Suneel
- Uhlinova Jana
- Unt Kristin
- Urciuolo Federica
- Vanacker An
- Vandewiele Bert
- Vaz Alvaro
- Veermae Kristi
- Viaene Liesbeth
- Vickiene Alvita
- Vigano Sara
- Vila Maria Antonia Munar
- Vilayur Eswari
- Villanueva Caridad Martinez
- Villarroya Cristina Medrano
- Villen Alejandro Soria
- Viramontes Veronica
- Vita Caterina
- Vujcic Dunja
- Wahba Mona
- Wan Susan
- Wang Chih-Hsien
- Warling Xavier
- Waters Gerald
- Waugh Jane
- Weiland Lea
- Weiner Stefan
- Weinreich Thomas
- Werth Stephan Christian
- Wickens Olivia
- Wijeratne Vidu
- Wilder Karen
- Willcocks Lisa
- Williams Allister
- Winiarska Agata
- Wirtz Nikolaus
- Wolf Gunter
- Wolf Lothar
- Wong Muh Geot
- Wong Sze Ho Sunny
- Wong Yick Hei
- Workeneh Biruh
- Wu Hon-Yen
- Wu Ming-Ju
- Wyndham Roger
- Yang Jihyun
- Yang Ju-Yeh
- Yeap Chii
- Yim Ka Fai
- Yong Kenneth
- Yoo Tae-Hyun
- Yoon Songuk
- Yu Tung-Min
- Yue Tak Tai Andrew
- Zakari Michel
- Zakauskiene Urte
- Zaoui Philippe
- Zbrzezniak Justyna
- Zielinska Dorota
- Zizzi Carlotta Federica
- Publication venue
- Publication date
- 01/11/2023
- Field of study
BackgroundSparsentan, a novel, non-immunosuppressive, single-molecule, dual endothelin angiotensin receptor antagonist, significantly reduced proteinuria versus irbesartan, an angiotensin II receptor blocker, at 36 weeks (primary endpoint) in patients with immunoglobulin A nephropathy in the phase 3 PROTECT trial's previously reported interim analysis. Here, we report kidney function and outcomes over 110 weeks from the double-blind final analysis.MethodsPROTECT, a double-blind, randomised, active-controlled, phase 3 study, was done across 134 clinical practice sites in 18 countries throughout the Americas, Asia, and Europe. Patients aged 18 years or older with biopsy-proven primary IgA nephropathy and proteinuria of at least 1·0 g per day despite maximised renin–angiotensin system inhibition for at least 12 weeks were randomly assigned (1:1) to receive sparsentan (target dose 400 mg oral sparsentan once daily) or irbesartan (target dose 300 mg oral irbesartan once daily) based on a permuted-block randomisation method. The primary endpoint was proteinuria change between treatment groups at 36 weeks. Secondary endpoints included rate of change (slope) of the estimated glomerular filtration rate (eGFR), changes in proteinuria, a composite of kidney failure (confirmed 40% eGFR reduction, end-stage kidney disease, or all-cause mortality), and safety and tolerability up to 110 weeks from randomisation. Secondary efficacy outcomes were assessed in the full analysis set and safety was assessed in the safety set, both of which were defined as all patients who were randomly assigned and received at least one dose of randomly assigned study drug. This trial is registered with ClinicalTrials.gov, NCT03762850.FindingsBetween Dec 20, 2018, and May 26, 2021, 203 patients were randomly assigned to the sparsentan group and 203 to the irbesartan group. One patient from each group did not receive the study drug and was excluded from the efficacy and safety analyses (282 [70%] of 404 included patients were male and 272 [67%] were White) . Patients in the sparsentan group had a slower rate of eGFR decline than those in the irbesartan group. eGFR chronic 2-year slope (weeks 6–110) was −2·7 mL/min per 1·73 m2 per year versus −3·8 mL/min per 1·73 m2 per year (difference 1·1 mL/min per 1·73 m2 per year, 95% CI 0·1 to 2·1; p=0·037); total 2-year slope (day 1–week 110) was −2·9 mL/min per 1·73 m2 per year versus −3·9 mL/min per 1·73 m2 per year (difference 1·0 mL/min per 1·73 m2 per year, 95% CI −0·03 to 1·94; p=0·058). The significant reduction in proteinuria at 36 weeks with sparsentan was maintained throughout the study period; at 110 weeks, proteinuria, as determined by the change from baseline in urine protein-to-creatinine ratio, was 40% lower in the sparsentan group than in the irbesartan group (−42·8%, 95% CI −49·8 to −35·0, with sparsentan versus −4·4%, −15·8 to 8·7, with irbesartan; geometric least-squares mean ratio 0·60, 95% CI 0·50 to 0·72). The composite kidney failure endpoint was reached by 18 (9%) of 202 patients in the sparsentan group versus 26 (13%) of 202 patients in the irbesartan group (relative risk 0·7, 95% CI 0·4 to 1·2). Treatment-emergent adverse events were well balanced between sparsentan and irbesartan, with no new safety signals.InterpretationOver 110 weeks, treatment with sparsentan versus maximally titrated irbesartan in patients with IgA nephropathy resulted in significant reductions in proteinuria and preservation of kidney function
Sparsentan in patients with IgA nephropathy: a prespecified interim analysis from a randomised, double-blind, active-controlled clinical trial
- Author
- Aaron Fearday
- Abdallah Geara
- Adam Morris
- Adriana Fernandes
- Adriana Sierra Ochoa
- Aejin Kim
- Agata Winiarska
- Aine Maire De Bhailis
- Ajay Dhaygude
- Alastair Gillies
- Alba Atenza
- Alberto Ortiz Arduan
- Alejandro Soria Villen
- Alessia Fornoni
- Alex Mercer PhD g
- Alexandre Buffet
- Alexandre Karras
- Alfred Rodriguez
- Ali Assefi
- Allister Williams
- Allyson Medina
- Alvaro Vaz
- Alvita Vickiene
- Amanda Hall
- Amanda Mather
- Amanda Siriwardana
- Amar Mahdi
- Amy Henderson
- Amy Hudson
- An Vanacker
- Ana Avila Bernabeu
- Ana Carolina Figueiredo
- Ana Cortesão Costa
- Ana Farinha
- Ana Marta Gomes
- Ana Messias
- Ana Natario
- Ana Perez de Jose
- Ana Savuk
- Ana Vilar Gimeno
- Andrea Cavalli
- Andrea Solazzo
- Andrew Bomback
- Andrew Henderson
- Andrew McNally
- Angel Forcen
- Angel Sevillano
- Angus Ritchie
- Angus Turnbull
- Anna Benesova
- Anna Jander
- Anna Ricchiuto
- Anne Blanchard
- Anne-Elisabeth Heng
- Annegret Koch
- Annette Girardet
- Annie Reynolds
- Annika Adoberg
- Anoushka Krishnan
- Anthony Ting Pong Chan
- Antolina Moreno
- Antonio Galan Serrano
- Aparna Padiyar
- Archana Gautam
- Arksarapuk Jittirat
- Arnold Silva
- Aron Chakera
- Artashes Patrikyan
- Arun Gopu
- Arunima Jain
- Arvind Ponnusamy
- Asghar Chaudhry
- Asha Bailey
- Ashik Hayat
- Ashraf Mikhail
- Asta Auerbach
- Asta Stankuviene
- Aurore Labat
- Bamidele Ajayi
- Bang-Gee Hsu
- Barbara Greco
- Bart Maes
- Bassam Alchi
- Belen Vizcaino Castillo
- Bernd Hohenstein
- Bert Vandewiele
- Bertrand Dussol
- Bhadran Bose
- Bhavna Pandya
- Biruh Workeneh
- Bogna Kwella
- Bojan Jelakovic
- Brad Rovin
- Bradley Nelson
- Brendon Neuen
- Brian Snow
- Britt Newsome
- Brittany Sheridan
- Bruce Baker
- Bruce Cooper
- Bruce Julian
- Bruce Spinowitz
- Camille Lanaret
- Caridad Martinez Villanueva
- Carlos Arias
- Carlos Gonzalez
- Carlotta Federica Zizzi
- Carmelita Marcantoni
- Carmen Sivo
- Carol Pollock
- Carole Philipponnet
- Caroline Dudreuilh
- Cassandra Kimber
- Catalina Martín Cleary
- Catarina Abrantes
- Catarina Almeida
- Catarina Teixeira
- Caterina Vita
- Catherine Janko
- Catherine Masset
- Cathylee Sly
- Celine Foote
- Chaim Charytan
- Chee Kay Cheung
- Chen Peh
- Cheng-Hsu Chen
- Cheuk Chun Szeto
- Chi Kwan Darwin Lam
- Chi-Chih Hung
- Chia-Tien Hsu
- Chiara Cogno
- Chien-Liang Chen
- Chien-Wei Huang
- Chih-Hsien Wang
- Chih-Yang Hsu
- Chii Yeap
- Christian Broyet
- Christian Combe
- Christiane Kettner
- Christine Ayvazyan
- Christophe Mariat
- Christopher Goldsmith
- Christopher Keller
- Chukwuma Chukwu
- Ciro Esposito
- Claire Rigothier
- Clara Barrios
- Clara Garcia Carro
- Clara Pardinhas
- Clarisse Greze
- Clement Dumond
- Clementine Nicolo
- Colin Geddes
- Constantina Chrysochou
- Cristina Medrano Villarroya
- Cyril Garrouste
- Damien Thibaudin
- Dan Pugh
- Dana Kim
- Dana Rizk
- Daniela Lopes
- Dariush Arfaania
- Dariusz Aksamit
- David Fouassier
- David Packham
- David Semple
- Davide Bolignano
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- Daw-Yang Hwang
- Dawn Caster
- Didem Tez
- Diliana Draganova
- Dimitrios Moutzouris
- Dita Maixnerova
- Djuro Plavljanic
- Dominik Cieniawski
- Donald Brandon
- Donald Brandon
- Dong Wan Chae
- Doris Chan
- Dorota Zielinska
- Drasko Pavlovic
- Dubravka Trajbar Kentric
- Dunja Barisic
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- Eamon Mahdi
- Eddie Tan
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- Erika Perez
- Esther Tamarit
- Eswari Vilayur
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- Euan Noble
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- Ewa Satora
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- Fahameedah Kamal
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- Francisco de la Prada Alvarez
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- Gabriel Contreras
- Gabriel Doctor
- Gabriele Donati
- Gaia Coppock
- Gary Chi Wang Chan
- Gemma Patella
- Georg Schlieper
- Georgina Irish
- Gerald Appel
- Gerald Waters
- Gert Meeus
- Giuseppe Remuzzi
- Grant Luxton
- Guillaume Claisse
- Guillaume Jeantet
- Gunjan Garg
- Gunter Wolf
- Gustavo Andres Useche Bonilla
- Hajeong Lee
- Han Ro
- Hanna Augustyniak-Bartosik
- Hans Schmidt-Guertler
- Haresh Selvaskandan
- Harold Giles
- Heather Green
- Helen Pilmore
- Helena Marco Rusinol
- Helena Sousa
- Helena Sá
- Helmut Reichel
- Hernán Trimarchi MD b l
- Hesham Mohey
- Hon Tang
- Hon-Yen Wu
- Hoon Young Choi
- Howard Lifland
- Hsien-Fu Chiu
- Hsin-Yu Chen
- Hua-Chang Fang
- Hung-Chun Chen
- Hung-Tien Kuo
- Hung-Yuan Chen
- Hye Ryoun Jang
- Hyeong Cheon Park
- Hyung Wook Kim
- Hyung-seok Lee
- HyunHee Lee
- Ian Chiu
- Ian Dittmer
- Ian Fraser
- Iara Da Silva Santos
- Indranil Dasgupta
- Inga Arune Bumblyte'
- Ingrid Masson
- Ingrid Prkacin
- Irene Agraz Pamplona
- Irina Suyumova
- Isabella Abbasciano
- Isabelle Ayoub
- Ivan Durlen
- Ivan Kruljac
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- Ivana Mikacic
- Ivica Horvatic
- Ivon Maritza Bobadilla Rico
- Ivon Maritza Bobadilla Rico
- Jae Hyun Chang
- Jafar Ahmed
- Jai Radhakrishnan
- James Sullivan
- James Tumlin
- Jana Uhlinova
- Jane Waugh
- Jane Waugh
- Janson Leung
- Javad Mojarrab
- Jean-Emmanuel Serre
- Jeffrey Glaze
- Jeffrey Tsun Kit Ha
- Jer-Chia Tsai
- Jerko Barbic
- Jerry Meng
- Ji Yong Jung
- Jigar Kadakia
- Jihyun Yang
- Joana de Sousa Soares Felgueiras
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- Johann Konstantin Herfurth
- Jonathan Ayling-Smith
- Jonathan Barratt
- Jonathan Erlich
- Jonathan Hogan
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- Jong Cheol Jeong
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- Jose Antonio Lopes
- Jose Ballarin
- Jose Carlos de Jesus Barreto
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- Jose Nuno de Almeida Agapito Fonseca
- Josep Miquel Blasco Pelicano
- Joshua Storrar
- João Carlos Fernandes
- Ju-Yeh Yang
- Juan Carbonell
- Jula Inrig MD f
- Julia Piel
- Julita Gontarek-Kacprzak
- Jung Tak Park
- JungEun Lee
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- Justyna Zbrzezniak
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- Ka Fai Yim
- Ka Shun Samuel Fung
- Ka Yeong Chun
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- Kang-Ju Chou
- Kannaiyan Rabindranath
- Karen Brown
- Karen Wilder
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- Karolina Majstorovic Barac
- Kassem Khalil
- Kathryn Klamm
- Kay Kyaw
- Kellyn McMahon
- Kenneth Yong
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- Kevin Schulte
- Kieran McCafferty
- Kit Chung Jack Ng
- Klara Drinovska
- Kook-Hwan Oh
- Kristi Veermae
- Kristin Unt
- Kshama Mehta
- Kuei-Ting Tung
- Kulli Kolvald
- Kumaradevan Mahadevan
- Kumaradevan Mahadevan
- Kyu-Beck Lee
- Lai Wan Chan
- Lana Gellineo
- Lathika Raakesh
- Laura Ann Kooienga
- Laure Burguet
- Lauren Floyd
- Lauren Heath
- Laurence Solomon
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- Leticia Perez Lluna
- Lida Maria Rodas Marin
- Liesbeth Viaene
- Liisi Leis
- Liliana Cunha
- Lina Santockiene
- Lisa Schulz
- Lisa Willcocks
- Loredana Colla
- Loreto Gesualdo
- Lorraine Pui Yuen Kwan
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- Louise DaSilva
- Luc Radermacher
- Lucia Del Vecchio
- Lucia Parreira
- Luigi Biancone
- Luis F Quintana
- Luis Pedro Falcao Goncalves
- Machaiah Madhrira
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- Magdalena Krajewska
- Maggie Ming Yee Mok
- Mai Rosenberg
- Malgorzata Stanczyk
- Mandy Schlosser
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- Manual Praga
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- Marc Decupere
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- Maria Angeles Goicoechea Diezhandino
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- Maria Antonieta Azancot Rivero
- Maria Arena
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- Maria Menezes
- Marija Stankovic
- Marina Reis
- Marine Livrozet
- Mario Cozzolino
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- Mario Ruiz
- Marius Miglinas
- Mark Lagatta
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- Marta Calvo Arevalo
- Martial Moonen
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- Martin Nitschke
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- María Vanessa Pérez Gómez
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- Matthias Cassia
- May Tan
- Meera Patel Suthar
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- Mei-Chuan Kuo
- Mei-Fen Pai
- Melissa Cheetham
- Mercedes Gonzalez Moya
- Mercedes Salgueira Lazo
- Mercedes Velo Plaza
- Michael Collins
- Michael Germain
- Michel Zakari
- Michela Musolino
- Michelle N Rheault MD i
- Michelle O'Shaughnessy
- Ming-Ju Wu
- Ming-Shan Chang
- Mingyao Ma
- Mirco Belingheri
- Mirela Dobre
- Miriana Dinic
- Mohamad Kassem
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- Mohammad Rony
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- Mona Wahba
- Monica Bordoli
- Monica Furlano
- Monica Limardo
- Montserrat Diaz Encarnacion
- Moon Hyoung Lee
- Muh Geot Wong
- Muh Geot Wong PhD m n
- Muralikrishna Gangadharan
- Myung-Gyu Kim
- Narae Joo
- Natalia Allende Burgos
- Natalia Allende Burgos
- Natalia Ramos Terrades
- Nathan Lorde
- Nayan Gowda
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- Nick Mansfield
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- Nicolino Comi
- Nikhil Thyagarajan
- Nikolaus Wirtz
- Nisha Clement
- Nishigandha Pradhan
- Nishita Parikh
- Noemie Chiche-Jourde
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- Norberto Perico
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- Pedro Okoh
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- Peter Hollett
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- Philip Clayton
- Philippe Zaoui
- Phillip Madonia
- Piergiorgio Messa
- Pierre-Louis Carron
- Pietro Canetta
- Pietro Napodano
- Piotr Jaskowski
- Po-Tsang Lee
- Po-Yu Tseng
- Pradip Chowdhury
- Praveena Jyothinagaram
- Priscilla Smith
- Prof Brad Rovin MD j
- Prof Charles E Alpers MD d
- Prof Hiddo J L Heerspink PhD a b
- Prof Howard Trachtman MD k
- Prof Irene L Noronha MD h
- Prof Jai Radhakrishnan MD c
- Prof Jonathan Barratt PhD e
- Prof Vlado Perkovic MD b ofor the PROTECT Investigators† Author links open overlay panelEric Alarmartine
- Przemyslaw Miarka
- Rachel Jones
- Radko Komers MD f
- Radu Jacob
- Raffi Minasian
- Rajan Patel
- Rajdeep Gadh
- Ramachandra Patak
- Ranjit Dhelaria
- Rathika Krishnasamy
- Rathika Krishnasamy
- Raul Fernandez Prado
- Richard Lafayette
- Rishi Pruthi
- Ritesh Raichoudhury
- Robert Carroll
- Robert Davidson
- Robert Haws
- Robert Malecki
- Roberta Aliotta
- Rocco Baccaro
- Roderick Comunale
- Roderick Comunale
- Roger Wyndham
- Rouzbeh Afsari
- Roxane Gaisset
- Rui Barata
- Sadia Jahan
- Saif Al Chalabi
- Salem Almaani
- Salia Virxinia Pol Heres
- Sam Daneshvari
- Samir Parikh
- Sandra Karanovic
- Sang-Kyung Jo
- Sapna Shah
- Sara Fernandes
- Sara Goncalves
- Sara Ombelet
- Sara Vigano
- Sarah Ashley Ford Sightler
- Sarah Lawman
- Sarah Quinn
- Sarah Roxburgh
- Saravanan Balamuthusamy
- Se Joong Kim
- Sebahat Sat
- Secundino Cigarran Guldris
- Selena Longhi
- Serena Ponti
- Seung Hyeok Han
- SeWon Oh
- Shamik Bhadra
- Shang-Feng Tsai
- Shang-Jyh Hwang
- Sharon Adler
- Shaundeep Sen
- Sheng Kuo
- Shih-Hsiang Ou
- Shih-Ping Hsu
- Shilpanjali Jesudason
- Sian Griffin
- Siddhartha Kattamanchi
- Silja Sanden
- Silvia Malvica
- Simon Mucha
- Simon Roger
- Simone Accarino
- Simone Kulka
- Siu Fai Cheung
- Smeeta Sinha
- Sofia Jorge
- Sofie Jamar
- Songuk Yoon
- Sradha Kotwal
- Sreedhar Mandayam
- Stacy Martinez
- Stefan Weiner
- Stefanie Stangenberg
- Stefano Costanzi
- Stephan Christian Werth
- Stephane Burtey
- Stephane Roueff
- Stephen McDonald
- Stewart Bieler BA a
- Sui Kon
- Suneel Udani
- Sunggyun Kim
- Susan Crail
- Susan Wan
- Suzanne Forbes
- Sven Heinrichs
- Sydney Chi Wai Tang
- Syeda Ahmad
- Sze Ho Sunny Wong
- Szu-Yu Pan
- Sónia Silva
- Tae-Hyun Yoo
- Tak Tai Andrew Yue
- Tamara Malek Marin
- Tania Salehi
- Teresa Furtado
- Theodoros Kasimatis
- Thida Maung Maung Myint
- Thilo Krueger
- Thomas Bucknall
- Thomas Malfait
- Thomas Powell
- Thomas Weinreich
- Thu Nguyen
- Tiane Dai
- Toby Coates
- Tomasz Stompor
- Tung-Min Yu
- Tze Goh
- Tzung-Yo Ho
- Ulrich Kunzendorf
- Ulysses Diva PhD f
- Unnikrishnan Pillai
- Unnikrishnan Pillai
- Ursula Verdalles Guzman
- Urte Zakauskiene
- Usha Peri
- Valentin Mayet
- Valérie de Précigout
- Veronica Viramontes
- Victor Fernandez
- Victoria Campbell
- Victoria Campbell
- Vidu Wijeratne
- Viet Nguyen
- Viet Nguyen
- Vittoria Esposito
- Vladmir Tesar
- Wai Lim
- Wai Ping Law
- Wan-Chuan Tsai
- Wanja Bernhardt
- Wenceslao Adrian Aguilera Morales
- William Paxton
- William Rote PhD f
- Wim Lemahieu
- Wladyslaw Sulowicz
- Wooin Ahn
- Wookyung Chung
- Xavier Warling
- Yahsou Delmas
- Yan Li
- Yelena Drexler
- Yen-Ling Chiu
- Yeong Hoon Kim
- Yi-Wen Chiu
- Yick Hei Wong
- Yonatan Peleg
- Young Rim Song
- YoungYoul Hyun
- Yu-Sen Peng
- Yunmi Kim
- Yusuf Eqbal
- Yusuf Eqbal
- Yvonne Shen
- Zivka Dika
- Zoltan Endre
- Zvonimir Sitas
- Publication venue
- Publication date
- 01/01/2023
- Field of study
Background: Sparsentan is a novel, non-immunosuppressive, single-molecule, dual endothelin and angiotensin receptor antagonist being examined in an ongoing phase 3 trial in adults with IgA nephropathy. We report the prespecified interim analysis of the primary proteinuria efficacy endpoint, and safety. Methods: PROTECT is an international, randomised, double-blind, active-controlled study, being conducted in 134 clinical practice sites in 18 countries. The study examines sparsentan versus irbesartan in adults (aged ≥18 years) with biopsy-proven IgA nephropathy and proteinuria of 1·0 g/day or higher despite maximised renin-angiotensin system inhibitor treatment for at least 12 weeks. Participants were randomly assigned in a 1:1 ratio to receive sparsentan 400 mg once daily or irbesartan 300 mg once daily, stratified by estimated glomerular filtration rate at screening (30 to 1·75 g/day). The primary efficacy endpoint was change from baseline to week 36 in urine protein-creatinine ratio based on a 24-h urine sample, assessed using mixed model repeated measures. Treatment-emergent adverse events (TEAEs) were safety endpoints. All endpoints were examined in all participants who received at least one dose of randomised treatment. The study is ongoing and is registered with ClinicalTrials.gov, NCT03762850. Findings: Between Dec 20, 2018, and May 26, 2021, 404 participants were randomly assigned to sparsentan (n=202) or irbesartan (n=202) and received treatment. At week 36, the geometric least squares mean percent change from baseline in urine protein-creatinine ratio was statistically significantly greater in the sparsentan group (-49·8%) than the irbesartan group (-15·1%), resulting in a between-group relative reduction of 41% (least squares mean ratio=0·59; 95% CI 0·51-0·69; p<0·0001). TEAEs with sparsentan were similar to irbesartan. There were no cases of severe oedema, heart failure, hepatotoxicity, or oedema-related discontinuations. Bodyweight changes from baseline were not different between the sparsentan and irbesartan groups. Interpretation: Once-daily treatment with sparsentan produced meaningful reduction in proteinuria compared with irbesartan in adults with IgA nephropathy. Safety of sparsentan was similar to irbesartan. Future analyses after completion of the 2-year double-blind period will show whether these beneficial effects translate into a long-term nephroprotective potential of sparsentan. Funding: Travere Therapeutics
Efficacy and safety of sparsentan versus irbesartan in patients with IgA nephropathy (PROTECT): 2-year results from a randomised, active-controlled, phase 3 trial
- Author
- Aaron Fearday (17386231)
- Abdallah Geara (17386297)
- Adam Morris (2043517)
- Adriana Fernandes (8856416)
- Adriana Sierra Ochoa (17386699)
- Aejin Kim (2175798)
- Agata Winiarska (17387086)
- Aine Maire De Bhailis (17386168)
- Ajay Dhaygude (10682946)
- Alastair Gillies (17386309)
- Alba Atenza (17385991)
- Alberto Ortiz Arduan (17385973)
- Alejandro Soria Villen (17387041)
- Alessia Fornoni (519467)
- Alex Mercer (59669)
- Alexandre Buffet (14930766)
- Alexandre Karras (506611)
- Alfred Rodriguez (17386840)
- Ali Assefi (17385988)
- Allister Williams (17387083)
- Allyson Medina (17386612)
- Alvaro Vaz (17387023)
- Alvita Vickiene (6473255)
- Amanda Hall (210816)
- Amanda Mather (285324)
- Amanda Siriwardana (17386933)
- Amar Mahdi (10295868)
- Amy Henderson (17386369)
- Amy Hudson (8412594)
- An Vanacker (17387017)
- Ana Avila Bernabeu (17386036)
- Ana Carolina Figueiredo (17386246)
- Ana Cortesão Costa (5670833)
- Ana Farinha (17386228)
- Ana Marta Gomes (2851424)
- Ana Messias (17386621)
- Ana Natario (17386672)
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- Rocco Baccaro (17386009)
- Roderick Comunale (17386150)
- Roger Wyndham (17387101)
- Rouzbeh Afsari (17385934)
- Roxane Gaisset (17386282)
- Rui Barata (10873253)
- Sadia Jahan (12758567)
- Saif Al Chalabi (17385952)
- Salem Almaani (17385958)
- Salia Virxinia Pol Heres (17386375)
- Sam Daneshvari (17386162)
- Samir Parikh (5594378)
- Sandra Karanovic (17386441)
- Sang-Kyung Jo (442610)
- Sapna Shah (579169)
- Sara Fernandes (3121533)
- Sara Goncalves (17386336)
- Sara Ombelet (17386708)
- Sara Vigano (17387029)
- Sarah Ashley (14954712)
- Sarah Lawman (9758498)
- Sarah Quinn (17094908)
- Sarah Roxburgh (17386852)
- Saravanan Balamuthusamy (467385)
- Se Joong Kim (13205663)
- Se Won Oh (9338439)
- Sebahat Sat (17386885)
- Secundino Cigarran Guldris (17386354)
- Selena Longhi (412597)
- Serena Ponti (17386795)
- Seung Hyeok Han (8976257)
- SeWon Oh (17386702)
- Shamik Bhadra (17386039)
- Shang-Feng Tsai (8251905)
- Shang-Jyh Hwang (5312)
- Sharon Adler (3404507)
- Shaundeep Sen (121125)
- Sheng Kuo (17386492)
- Shih-Hsiang Ou (2832815)
- Shih-Ping Hsu (315722)
- Shilpanjali Jesudason (17386417)
- Sian Griffin (8401269)
- Siddhartha Kattamanchi (15358922)
- Silja Sanden (17386867)
- Silvia Malvica (17386573)
- Simon Mucha (6437372)
- Simon Roger (3661408)
- Simone Accarino (17385928)
- Simone Kulka (17386489)
- Siu Fai Cheung (17386114)
- Smeeta Sinha (4847929)
- Sofia Jorge (12731115)
- Sofie Jamar (5331284)
- Songuk Yoon (17387113)
- Sradha Kotwal (6759695)
- Sreedhar Mandayam (9623752)
- Stacy Martinez (8620377)
- Stefan Weiner (17387068)
- Stefanie Stangenberg (8991251)
- Stefano Costanzi (82273)
- Stephan Christian Werth (17387074)
- Stephane Burtey (12097979)
- Stephane Roueff (17386849)
- Stephen McDonald (3505724)
- Stewart Bieler (15277282)
- Sui Kon (17386477)
- Suneel Udani (17387005)
- Sunggyun Kim (17386459)
- Susan Crail (6164591)
- Susan Wan (10678399)
- Suzanne Forbes (11061558)
- Sven Heinrichs (17386366)
- Sydney Chi Wai Tang (9082208)
- Sydney CW Tang (17385922)
- Syeda Ahmad (17385937)
- Sze Ho Sunny Wong (17387095)
- Szu-Yu Pan (5948237)
- Sónia Silva (513990)
- Tae-Hyun Yoo (299877)
- Tak Tai Andrew Yue (17387116)
- Tamara Malek Marin (17386582)
- Tania Salehi (17386861)
- Teresa Furtado (17386276)
- Theodoros Kasimatis (17386444)
- Thida Maung Maung Myint (17386594)
- Thilo Krueger (309537)
- Thomas Bucknall (17386060)
- Thomas Malfait (17386570)
- Thomas Powell (297146)
- Thomas Weinreich (17387071)
- Thu Nguyen (2179258)
- Tiane Dai (13235834)
- Toby Coates (17386141)
- Tomasz Stompor (3433691)
- Tung-Min Yu (546163)
- Tze Goh (17386321)
- Tzung-Yo Ho (7337477)
- Ulrich Kunzendorf (5780207)
- Ulysses A Diva (17385901)
- Unnikrishnan Pillai (17386783)
- Ursula Verdalles Guzman (17386357)
- Urte Zakauskiene (17387122)
- Usha Peri (17386777)
- Valentin Mayet (17386597)
- Valérie de Précigout (17386171)
- Veronica Viramontes (17387044)
- Victor Fernandez (17386243)
- Victoria Campbell (239881)
- Vidu Wijeratne (17387077)
- Viet Nguyen (79713)
- Vittoria Esposito (5787344)
- Vladimir Tesar (156920)
- Vlado Perkovic (141532)
- Wai Lim (3583598)
- Wai Ping Law (12288571)
- Wan-Chuan Tsai (5476856)
- Wanja Bernhardt (245782)
- Wenceslao Adrian Aguilera Morales (17386651)
- William E Rote (17385919)
- William Paxton (17386750)
- Wim Lemahieu (3547811)
- Wladyslaw Sulowicz (17386969)
- Wooin Ahn (17385943)
- Wookyung Chung (610342)
- Xavier Warling (17387056)
- Yahsou Delmas (4034183)
- Yan Li (23143)
- Yelena Drexler (12365018)
- Yen-Ling Chiu (442530)
- Yeong Hoon Kim (8962688)
- Yi-Wen Chiu (106535)
- Yick Hei Wong (12288568)
- Yonatan Peleg (9922071)
- Young Rim Song (13242926)
- Young Youl Hyun (13016397)
- Yu-Sen Peng (315725)
- Yunmi Kim (3040866)
- Yusuf Eqbal (17386222)
- Yvonne Shen (17386921)
- Zivka Dika (10281479)
- Zoltan Endre (714028)
- Zvonimir Sitas (17386936)
- Publication venue
- Publication date
- 01/12/2023
- Field of study
Background
Sparsentan, a novel, non-immunosuppressive, single-molecule, dual endothelin angiotensin receptor antagonist, significantly reduced proteinuria versus irbesartan, an angiotensin II receptor blocker, at 36 weeks (primary endpoint) in patients with immunoglobulin A nephropathy in the phase 3 PROTECT trial's previously reported interim analysis. Here, we report kidney function and outcomes over 110 weeks from the double-blind final analysis.
Methods
PROTECT, a double-blind, randomised, active-controlled, phase 3 study, was done across 134 clinical practice sites in 18 countries throughout the Americas, Asia, and Europe. Patients aged 18 years or older with biopsy-proven primary IgA nephropathy and proteinuria of at least 1·0 g per day despite maximised renin–angiotensin system inhibition for at least 12 weeks were randomly assigned (1:1) to receive sparsentan (target dose 400 mg oral sparsentan once daily) or irbesartan (target dose 300 mg oral irbesartan once daily) based on a permuted-block randomisation method. The primary endpoint was proteinuria change between treatment groups at 36 weeks. Secondary endpoints included rate of change (slope) of the estimated glomerular filtration rate (eGFR), changes in proteinuria, a composite of kidney failure (confirmed 40% eGFR reduction, end-stage kidney disease, or all-cause mortality), and safety and tolerability up to 110 weeks from randomisation. Secondary efficacy outcomes were assessed in the full analysis set and safety was assessed in the safety set, both of which were defined as all patients who were randomly assigned and received at least one dose of randomly assigned study drug. This trial is registered with ClinicalTrials.gov, NCT03762850.
Findings
Between Dec 20, 2018, and May 26, 2021, 203 patients were randomly assigned to the sparsentan group and 203 to the irbesartan group. One patient from each group did not receive the study drug and was excluded from the efficacy and safety analyses (282 [70%] of 404 included patients were male and 272 [67%] were White) . Patients in the sparsentan group had a slower rate of eGFR decline than those in the irbesartan group. eGFR chronic 2-year slope (weeks 6–110) was −2·7 mL/min per 1·73 m2 per year versus −3·8 mL/min per 1·73 m2 per year (difference 1·1 mL/min per 1·73 m2 per year, 95% CI 0·1 to 2·1; p=0·037); total 2-year slope (day 1–week 110) was −2·9 mL/min per 1·73 m2 per year versus −3·9 mL/min per 1·73 m2 per year (difference 1·0 mL/min per 1·73 m2 per year, 95% CI −0·03 to 1·94; p=0·058). The significant reduction in proteinuria at 36 weeks with sparsentan was maintained throughout the study period; at 110 weeks, proteinuria, as determined by the change from baseline in urine protein-to-creatinine ratio, was 40% lower in the sparsentan group than in the irbesartan group (−42·8%, 95% CI −49·8 to −35·0, with sparsentan versus −4·4%, −15·8 to 8·7, with irbesartan; geometric least-squares mean ratio 0·60, 95% CI 0·50 to 0·72). The composite kidney failure endpoint was reached by 18 (9%) of 202 patients in the sparsentan group versus 26 (13%) of 202 patients in the irbesartan group (relative risk 0·7, 95% CI 0·4 to 1·2). Treatment-emergent adverse events were well balanced between sparsentan and irbesartan, with no new safety signals.
Interpretation
Over 110 weeks, treatment with sparsentan versus maximally titrated irbesartan in patients with IgA nephropathy resulted in significant reductions in proteinuria and preservation of kidney function.</p
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- Abdala Antonio
- Abidi Khalid
- Abillama Fayez François
- Abos Francisco Javier Saenz
- Aboufray Ahmed Ali
- Abregal Giancarlo
- Abroug Fekri
- Achilleos Eleni
- Acosta Ysica
- Adam Višnja Nesek
- Adamina Ileana
- Adams John
- Adamuz Jordi
- Adejumo Prisca Olabisi
- Adekola Oyebola
- Ademokun Jane
- Adenekan Anthony
- Adib Nik Azman Nik
- Adipa Faustina Excel
- Afonso Elsa
- Aganon Ferdinand
- Agarwal Sonika
- Aguirre Joaquin
- Aguirre Lydia Gallego
- Aguirre-Bermeo Hernan
- Ahmad Fatima Kasem El
- Ahmad Meraj
- Ahmed Hazem
- Ahn Jong-Joon
- Ahtiala Maarit
- Akbas Turkay
- Akdağ Devrim
- Akker Mustafa
- Akselsen Gro Ringstad
- Al-Alawi Maram Milud Said
- Alabuzidi Aya
- Alampi Daniela
- Albaiceta Guillermo Muñiz
- Albert Patricia
- Albrecht Lea
- Albrett Jonathan
- Alexandropoulou Paraskevi
- Alexandrou Anna
- Ali Ashwaq
- Ali Mohd Nazri
- Alias Anita
- Alkhumsi Soad Imhmed R.
- Allaert Silvie
- Allison Nicola
- Almekhlafi Ghaleb
- Alonso Helena Fernandez
- Alsheikhly Ahmed Subhy
- Alshrif Abdualhamid I
- Alvarenga Gloria
- Alvarez Diana
- Alvarez Gonzalo Martín
- Alvarez Gustavo Andres
- Alvarez Jorge Duerto
- Alvarez Josep Trenado
- Alvarez Raquel Garcia
- Alves Paulo
- Andersen Marit Hildegunn
- Andersen Yvonne
- Andresen Hanne
- Anisoglou Souzana
- Antonio Maria Gracia San
- Antunes Nelson
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- Aperocho Cristal April Jane
- Aponte Cesar
- Araya Paola
- Arcas María Luisa Bravo
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- Assiri Amer
- Atchade Enora
- Ateya Zainab
- Attwood Ben
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- Avalos Fernando
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- Zhang Jundi
- Zhang Libing
- Zhang Ling
- Zhang Na
- Zhang Wei
- Zhang Yali
- Zhang Ying
- Zhang Zhenxia
- Zhao Hui Min
- Zhao Lijuan
- Zhao Lina
- Zhao Qian
- Zhao Qingli
- Zhao Rong Hua
- Zhao Ronghua
- Zhao Wenwen
- Zhao Yingjuan
- Zhedaeva Marina
- Zheng Hong
- Zheng Jing
- Zheng Xianhong
- Zhigang Zhang
- Zhijuan Wang
- Zhiping Sun
- Zhivotneva Trina
- Zhou Yuming
- Zhu Guoyan
- Zhu JiFen
- Zhu Jin Yu
- Zivanovic-Posilovic Gordana
- Zorko Nika
- Zubareva Nadezhda
- Zuev Evgeniy
- Zueva Oksana
- Zulkifli Zulkifli
- Ágoston Zsuzsann
- Åkerman Eva
- Çelik Jale Bengi
- Ñamendys-Silva Silvio A.
- Özcan Beysim
- Özserezli Boğaç
- Ünlü Nurdan
- Čuljak Hemena
- Şentürk Evren
- Šuput Aleksandar
- Publication venue
- Intensive Care Medicine
- Publication date
- 20/05/2021
- Field of study
Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat