[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100592393":3},{"organization":4,"outcomesModule":7,"designInfo":51,"detailedDescription":50,"studyPopulation":50,"armGroups":60,"interventions":71,"overallOfficials":50,"centralContacts":79,"locations":85,"responsibleParty":105,"collaborators":50,"id":109,"slug":50,"hasResults":110,"nctId":111,"briefTitle":112,"officialTitle":113,"acronym":114,"eligibilityCriteria":115,"healthyVolunteers":110,"sex":116,"minAge":117,"maxAge":118,"enrollmentInfo":119,"targetDuration":50,"studyType":122,"phases":123,"briefSummary":125,"conditions":126,"keywords":129,"overallStatus":88,"whyStopped":50,"lastUpdateSubmitDate":136,"lastUpdatePostDateStruct":137,"startDateStruct":140,"completionDateStruct":142,"leadSponsor":144,"locationsCount":145},{"fullName":5,"class":6},"Xiangya Hospital of Central South University","OTHER",{"primaryOutcomes":8,"secondaryOutcomes":13,"otherOutcomes":50},[9],{"measure":10,"description":11,"timeFrame":12},"Favorable neurological prognosis","Assessed using the CPC score, with a score of 1-2 being a favorable outcome.","90 days post cardiac arrest",[14,17,20,21,25,28,31,34,38,40,43,46],{"measure":15,"description":15,"timeFrame":16},"GCS score","7 days post cardiac arrest",{"measure":18,"description":18,"timeFrame":19},"CPC score","1 day (discharge date)",{"measure":15,"description":15,"timeFrame":19},{"measure":22,"description":23,"timeFrame":24},"Time to death","Number of days alive within 180 days from ROSC.","180 days",{"measure":26,"description":26,"timeFrame":27},"the length of ICU stay","The total length of IC-stay will be determined from the date of ICU admission until the patient is discharged from the Intensive Care Unit or the date of death from any cause, assessed up to 1 year after the first day of admission.",{"measure":29,"description":29,"timeFrame":30},"the length of hospital stay","The total length of hospital-stay will be determined from the date of ICU admission until the patient is discharged from the hospital or the date of death from any cause assessed up to 1 year after the first day of admission.",{"measure":32,"description":32,"timeFrame":33},"the length of mechanical ventilation","Total ventilation time during ICU stay will be determined when the patient is discharged from the ICU or when the patient past away from any cause, assessed up to 1 year after the first day of admission.",{"measure":35,"description":36,"timeFrame":37},"the incidence of adverse event","The incidence of adverse effects during ICU treatment","From the date of ICU admission until the patient is discharged from the Intensive Care Unit or the date of death from any cause, assessed up to 1 year after the first day of admission.",{"measure":39,"description":39,"timeFrame":30},"in-hospital mortality",{"measure":41,"description":41,"timeFrame":42},"28-day mortality","28 days post cardiac arrest",{"measure":44,"description":45,"timeFrame":12},"Quality of life assessment","Health-related Quality of Life - EQ-5D (Index value)",{"measure":47,"description":48,"timeFrame":49},"bundle compliance rate","referring to the proportion of patients whose management parameters are within the target ranges.","72 hours",null,{"allocation":52,"interventionModel":53,"interventionModelDescription":54,"primaryPurpose":55,"observationalModel":50,"timePerspective":50,"maskingInfo":56},"RANDOMIZED","SEQUENTIAL","Stepped-wedge Cluster Randomised Trial","TREATMENT",{"masking":57,"maskingDescription":50,"whoMasked":58},"SINGLE",[59],"OUTCOMES_ASSESSOR",[61,66],{"label":62,"type":6,"description":63,"interventionNames":64},"Goal-directed care bundle for neuroprotection","Management policy to receive a goal-directed care bundle that involves the rapid correction (\\\u003C24 hour) of physiological variables as soon as the abnormality is recognised and for the control to be maintained in patients for 72h or hospital discharge (or death, if sooner)",[65],"Other: Goal-directed care bundle for neuroprotection",{"label":67,"type":6,"description":68,"interventionNames":69},"Usual care group","Patients receive the usual management based on local guidelines and hospital's individual policy.",[70],"Other: Usual Care",[72,75],{"type":6,"name":62,"description":73,"armGroupLabels":74,"otherNames":50},"Reducing lactate (Lac) to \\\u003C2 mmol\u002FL within 24 hours.Maintaining systolic arterial pressure at 120-140 mmHg.\n\nElevating the head-of-bed to 30 degrees. Maintaining body temperature ≤37.7°C. Maintaining PaO₂ at 70-100 mmHg. Maintaining PaCO₂ at 35-45 mmHg. Maintaining blood glucose at 7.8-10.0 mmol\u002FL. Maintaining serum sodium level at 140-150 mmol\u002FL. If any management parameter falls outside the target range, immediate correction is required within 24 hours of enrollment and must be sustained for 72 hours. Given the dynamic nature of some targets (e.g., mean arterial pressure, body temperature), a degree of flexibility is permitted in achieving these goals. Patients are considered to have successfully implemented the neuroprotection bundle if the achievement rate of individual targets is ≥80% and all targets are met. The medications(antipyretics, vasopressor agents) is acceptable to achieve these targets.",[62],{"type":6,"name":76,"description":77,"armGroupLabels":78,"otherNames":50},"Usual Care","Usual care decisions about the location of care delivery, investigations, monitoring, and all treatments will be made by the treating clinical team.",[67],[80],{"name":81,"role":82,"phone":83,"phoneExt":50,"email":84},"Lina Zhang","CONTACT","86+15874875763","zln7095@163.com",[86],{"facility":87,"status":88,"city":89,"state":90,"zip":91,"country":92,"countryCode":93,"cosmosGeoPoint":94,"geoPoint":99,"contacts":100},"Xiangya hospital，Central South University","RECRUITING","Changsha","Hunan","410000","China","CN",{"type":95,"coordinates":96},"Point",[97,98],112.97087,28.19874,{"lat":98,"lon":97},[101],{"name":102,"role":82,"phone":103,"phoneExt":50,"email":104},"Zheren Tan, Phd","86+15616244605","tanzheren@126.com",{"type":106,"investigatorFullName":107,"investigatorTitle":108,"investigatorAffiliation":5,"oldNameTitle":50,"oldOrganization":50},"PRINCIPAL_INVESTIGATOR","icuzhanglina","Professor","100592393",false,"NCT06992843","Neuroprotection Bundles For Comatose Survivors Following Cardiac Arrest","A Multicenter, Prospective, Stepped Wedge Cluster Randomized Controlled Study on the Effect of Neuroprotection Bundles on the Improvement of Neurological Outcomes After Cardiopulmonary Resuscitation","LAPTOPS","Inclusion Criteria:\n\n* Age ≥ 18 years and \\\u003C 80 years\n* Patients of in-hospital or out-of-hospital cardiac arrest who have returned -spontaneous circulation (ROSC) after cardiopulmonary resuscitation and do not require CPR for more than 20 minutes;\n* Patients who are unconscious after ROSC, defined as FOUR motor response score \\\u003C 4 points or GSC ≤ 8 points;\n* Family members or legal representatives signed informed consent.\n\nExclusion Criteria:\n\n* Unwitnessed cardiac arrest, estimated time from cardiac arrest to start of CPR \\> 30 minutes;\n* Time from cardiac arrest to ROSC \\> 60 minutes;\n* Patients who woke up immediately after ROSC by CPR;\n* End-stage diseases;\n* Cardiac arrest considered to be caused by neurological diseases;\n* The patient was in a vegetative state before cardiac arrest;\n* The interval from the onset of cardiac arrest to enrollment is \\>72 hours .","ALL","18 Years","80 Years",{"count":120,"type":121},1008,"ESTIMATED","INTERVENTIONAL",[124],"NA","The investigators designed LAPTOPS to determine the effectiveness of a goal-directed neuroprotection bundles of active management including body temperature,PaCO2,PaO2,position,Blood glucose ,blood sodium,Blood pressure and Lactate vs. usual care in adult post-cardiac arrest care.\n\nLAPTOPS is a large-scale pragmatic clinical trial to provide reliable evidence over the effectiveness of a widely applicable goal-directed care bundle in acute phase of adult post-cardiac arrest care.",[127,128],"Cardiac Arrest","Post-cardiac Arrest Care",[130,131,132,133,134,135],"post-cardiac arrest care","neuroprotection","cardiac arrest","Care Bundle","Clinical Trial","Stepped-wedge Cluster","2025-11-14",{"date":138,"type":139},"2025-11-18","ACTUAL",{"date":141,"type":139},"2025-10-22",{"date":143,"type":121},"2027-08",{"name":5,"class":6},1]