Thomas Karen, Patel Akshay, Sadique M Zia, Grieve Richard D, Mason Alexina J, Moler Silvia, Gordon Anthony C, Rowan Kathryn M, Mouncey Paul R, Lamontagne Francois, Harrison David A
Clinical Trials Unit, Intensive Care National Audit & Research Centre (ICNARC), London, UK.
Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, UK.
J Intensive Care Soc. 2020 Aug;21(3):230-231. doi: 10.1177/1751143720938894. Epub 2020 Jul 29.
The 65 trial is a pragmatic, multicentre, parallel-group, open-label, randomised clinical trial of permissive hypotension (targeting a mean arterial pressure target of 60-65 mmHg during vasopressor therapy) versus usual care in critically ill patients aged 65 years or over with vasodilatory hypotension. The trial will recruit 2600 patients from 65 United Kingdom adult general critical care units. The primary outcome is all-cause mortality at 90 days. An economic evaluation is embedded. This paper describes the proposed statistical and health economic analysis for the 65 trial.
65岁及以上血管舒张性低血压危重症患者中,允许性低血压(血管升压药治疗期间平均动脉压目标为60 - 65 mmHg)与常规治疗对比的实用性、多中心、平行组、开放标签随机临床试验。该试验将从英国65个成人综合重症监护病房招募2600名患者。主要结局为90天全因死亡率。并进行了经济评估。本文描述了65岁及以上患者试验拟采用的统计和卫生经济分析方法。