Please note that the copy function is not enabled for this field.
If you wish to
modify
existing outcomes, please copy and paste the current outcome text into the Update field.
LOGIN
CREATE ACCOUNT
LOGIN
CREATE ACCOUNT
MY TRIALS
REGISTER TRIAL
FAQs
HINTS AND TIPS
DEFINITIONS
Trial Review
The ANZCTR website will be unavailable from 1pm until 3pm (AEDT) on Wednesday the 30th of October for website maintenance. Please be sure to log out of the system in order to avoid any loss of data.
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this
information for consumers
Download to PDF
Trial registered on ANZCTR
Registration number
ACTRN12606000090516
Ethics application status
Approved
Date submitted
25/02/2006
Date registered
6/03/2006
Date last updated
13/11/2015
Type of registration
Prospectively registered
Titles & IDs
Public title
PROphylaxis of ThromboEmbolism in Critical Care Trial (PROTECT)
Query!
Scientific title
A randomized phase III study to compare the effects of low-molecular weight heparin and unfractionated heparin in the prevention of proximal deep vein thrombosis in a critically ill population
Query!
Secondary ID [1]
245
0
NCT00182143
Query!
Secondary ID [2]
246
0
ISRCTN94385648
Query!
Universal Trial Number (UTN)
Query!
Trial acronym
PROTECT
Query!
Linked study record
Query!
Health condition
Health condition(s) or problem(s) studied:
Thromboembolism
1054
0
Query!
Condition category
Condition code
Cardiovascular
1135
1135
0
0
Query!
Diseases of the vasculature and circulation including the lymphatic system
Query!
Intervention/exposure
Study type
Interventional
Query!
Description of intervention(s) / exposure
Patients will undergo concealed random allocation to LMWH (dalteparin 5,000 IU once daily, the experimental intervention) subcutaneously. The control intervention represents standard thromboprophylaxis in Canada and Australia for these ICU patients, as we have documented in surveys [Cook 2001, Cooper 2005], cross-sectional studies [Cook 2001, Lacherade] and a longitudinal study [Cook 2003]. We will prepare LMWH syringes that contain 5,000 IU of dalteparin. UFH syringes will contain 5,000 IU of UFH. Syringes of LMWH and UFH will appear identical. Patients allocated to LMWH will also receive one placebo injection daily to maintain blinding. For patients allocated to LMWH, the first dose, or the morning dose in each study kit will always be placebo and nurses will administer the numbered doses sequentially. This is to optimize the likelihood that the patients enrolled later in the day into the LMWH arm will receive active drug on study day 1. Nurses will administer study drug at approximately 1100h (+1 hour) (placebo or UFH) and 2300h (+1 hour) (dalteparin or UFH). Study drug will be administered for the duration of the ICU stay.
Bilateral proximal leg compression ultrasounds will be performed within 48hours of enrolment, twice weekly, and on suspicion of DVT.
Query!
Intervention code [1]
916
0
Prevention
Query!
Comparator / control treatment
Patients will undergo concealed random allocation to UFH (5,000 IU bid, the control intervention) subcutaneously.
Query!
Control group
Active
Query!
Outcomes
Primary outcome [1]
1520
0
Proximal DVT (symptomatic or asymptomatic DVT) diagnosed by bilateral lower extremity compression ultrasound.
Query!
Assessment method [1]
1520
0
Query!
Timepoint [1]
1520
0
Outcome measured: 48 hours of enrolment, twice weekly during ICU stay and upon suspicion of VTE.
Query!
Secondary outcome [1]
2749
0
1) pulmonary embolism (PE)
Query!
Assessment method [1]
2749
0
Query!
Timepoint [1]
2749
0
Measured during the ICU and hospital duration.
Query!
Secondary outcome [2]
2750
0
2) bleeding
Query!
Assessment method [2]
2750
0
Query!
Timepoint [2]
2750
0
Measured during the ICU and hospital duration.
Query!
Secondary outcome [3]
2751
0
3) Heparin Induced Thrombocytopenia (HIT)
Query!
Assessment method [3]
2751
0
Query!
Timepoint [3]
2751
0
Measured during the ICU and hospital duration.
Query!
Secondary outcome [4]
2752
0
4) other clinically suspected, objectively confirmed venous thrombosis.
Query!
Assessment method [4]
2752
0
Query!
Timepoint [4]
2752
0
Measured during the ICU and hospital duration.
Query!
Secondary outcome [5]
2753
0
As always in ICU studies, we will record ICU length of stay, ICU mortality, hospital length of stay and hospital mortality.
Query!
Assessment method [5]
2753
0
Query!
Timepoint [5]
2753
0
Measured during the ICU and hospital duration.
Query!
Eligibility
Key inclusion criteria
Actual body weight >45 kgAdmission to ICU expected to be >72 hours durationEligible for either UFH or LWMH thromboprophylaxis.
Query!
Minimum age
18
Years
Query!
Query!
Maximum age
Not stated
Query!
Query!
Sex
Both males and females
Query!
Can healthy volunteers participate?
No
Query!
Key exclusion criteria
Contraindication to prophylactic heparinNeurosurgery within last 3 monthsIschemic or hemorrhagic stroke within last 3 monthsIntracranial hemorrhage, within last 3 monthsSystolic blood pressure (SBP) > 180 mmHg, diastolic blood pressure > 110 mmHg for > 12 hours requiring vasoactive drug infusionMajor hemorrhage within the last week unless definitively treated (e.g., AAA repair)Coagulopathy (INR > 2 x ULN, or PTT > 2 x ULN)Thrombocytopenia (platelet count < 75 x 109/L)Other heparin contraindications (e.g., HIT, pregnancy)Contraindications to blood products (e.g., Jehovah’s Witness)Unable to perform lower limb ultrasound (e.g., severe distal extremity burns)Limitation of life support (life expectancy < 7 days, or palliative care Contamination (e.g., > 3 days of any UFH or LMWH prophylaxis during this ICU admission).
Query!
Study design
Purpose of the study
Prevention
Query!
Allocation to intervention
Randomised controlled trial
Query!
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
A centralized computerized web based or phone-in randomization system will ensure concealed randomization, through either method used, as per the preference of each center.
Query!
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
The McMaster Methods Center will prepare a computer generated randomization schedule.Patients will be randomized 1:1 (LMWH:UFH) using randomly variable block sizes. We will stratify patients by center and medical versus surgical admission status for 2 main reasons. First, surgical ICU patients may have a higher risk of VTE than medical patients. Second, our Canadian cross-sectional study showed differences in UFH prophylaxis prescribing between medical and surgical patients; 1-2 doses were often deferred or omitted immediately post-operatively when patients were still mechanically ventilated, and sometimes when patients had an epidural catheter [Cook 2001].
Query!
Masking / blinding
Blinded (masking used)
Query!
Who is / are masked / blinded?
Query!
Query!
Query!
Query!
Intervention assignment
Parallel
Query!
Other design features
Query!
Phase
Phase 3 / Phase 4
Query!
Type of endpoint/s
Safety/efficacy
Query!
Statistical methods / analysis
Query!
Recruitment
Recruitment status
Completed
Query!
Date of first participant enrolment
Anticipated
1/04/2006
Query!
Actual
16/05/2006
Query!
Date of last participant enrolment
Anticipated
Query!
Actual
30/06/2010
Query!
Date of last data collection
Anticipated
Query!
Actual
Query!
Sample size
Target
3650
Query!
Accrual to date
Query!
Final
3764
Query!
Recruitment in Australia
Recruitment state(s)
Query!
Recruitment outside Australia
Country [1]
287
0
Canada
Query!
State/province [1]
287
0
Query!
Country [2]
288
0
Brazil
Query!
State/province [2]
288
0
Query!
Country [3]
289
0
United States of America
Query!
State/province [3]
289
0
Query!
Country [4]
290
0
Saudi Arabia
Query!
State/province [4]
290
0
Query!
Funding & Sponsors
Funding source category [1]
1236
0
Government body
Query!
Name [1]
1236
0
Canadian Institute of Health Research
Query!
Address [1]
1236
0
160 Elgin Street AL 4809A, Ottawa Ontario, Canada
Query!
Country [1]
1236
0
Canada
Query!
Primary sponsor type
University
Query!
Name
McMaster University
Query!
Address
1200 Main Stree West, Hamilton ON
Query!
Country
Canada
Query!
Secondary sponsor category [1]
1094
0
None
Query!
Name [1]
1094
0
none
Query!
Address [1]
1094
0
Query!
Country [1]
1094
0
Query!
Ethics approval
Ethics application status
Approved
Query!
Ethics committee name [1]
2566
0
St Joseph's Hospital
Query!
Ethics committee address [1]
2566
0
Hamilton
Query!
Ethics committee country [1]
2566
0
Canada
Query!
Date submitted for ethics approval [1]
2566
0
Query!
Approval date [1]
2566
0
28/12/2005
Query!
Ethics approval number [1]
2566
0
Query!
Ethics committee name [2]
2567
0
QEII Halifax
Query!
Ethics committee address [2]
2567
0
NS
Query!
Ethics committee country [2]
2567
0
Canada
Query!
Date submitted for ethics approval [2]
2567
0
Query!
Approval date [2]
2567
0
19/12/2005
Query!
Ethics approval number [2]
2567
0
Query!
Ethics committee name [3]
2568
0
Maisonneuve Rosemont
Query!
Ethics committee address [3]
2568
0
Montreal, PQ
Query!
Ethics committee country [3]
2568
0
Canada
Query!
Date submitted for ethics approval [3]
2568
0
Query!
Approval date [3]
2568
0
12/01/2006
Query!
Ethics approval number [3]
2568
0
Query!
Ethics committee name [4]
2569
0
Westminster General Hospital
Query!
Ethics committee address [4]
2569
0
Vancouver, BC
Query!
Ethics committee country [4]
2569
0
Canada
Query!
Date submitted for ethics approval [4]
2569
0
Query!
Approval date [4]
2569
0
10/01/2006
Query!
Ethics approval number [4]
2569
0
Query!
Ethics committee name [5]
2570
0
The Alfred Hosptial
Query!
Ethics committee address [5]
2570
0
Melbourne
Query!
Ethics committee country [5]
2570
0
Australia
Query!
Date submitted for ethics approval [5]
2570
0
Query!
Approval date [5]
2570
0
09/01/2006
Query!
Ethics approval number [5]
2570
0
Query!
Ethics committee name [6]
2571
0
Surry Memorial Hospital
Query!
Ethics committee address [6]
2571
0
Vancouver
Query!
Ethics committee country [6]
2571
0
Canada
Query!
Date submitted for ethics approval [6]
2571
0
Query!
Approval date [6]
2571
0
10/01/2006
Query!
Ethics approval number [6]
2571
0
Query!
Ethics committee name [7]
2572
0
University of Alberta
Query!
Ethics committee address [7]
2572
0
Alberta
Query!
Ethics committee country [7]
2572
0
Canada
Query!
Date submitted for ethics approval [7]
2572
0
Query!
Approval date [7]
2572
0
23/12/2006
Query!
Ethics approval number [7]
2572
0
Query!
Summary
Brief summary
Patients will undergo concealed random allocation to either LMWH (dalteparin 5,000 IU once daily, the experimental intervention) or UFH (5,000 IU bid, the control intervention) subcutaneously. The control intervention represents standard thromboprophylaxis in Canada and Australia for these ICU patients, as we have documented in surveys [Cook 2001, Cooper 2005], cross-sectional studies [Cook 2001, Lacherade] and a longitudinal study [Cook 2003]. We will prepare LMWH syringes that contain 5,000 IU of dalteparin. UFH syringes will contain 5,000 IU of UFH. Syringes of LMWH and UFH will appear identical. Patients allocated to LMWH will also receive one placebo injection daily to maintain blinding. For patients allocated to LMWH, the first dose, or the morning dose in each study kit will always be placebo and nurses will administer the numbered doses sequentially. This is to optimize the likelihood that the patients enrolled later in the day into the LMWH arm will receive active drug on study day 1. Nurses will administer study drug at approximately 1100h (+1 hour) (placebo or UFH) and 2300h (+1 hour) (dalteparin or UFH). Study drug will be administered for the duration of the ICU stay. Bilateral proximal leg compression ultrasounds will be performed within 48hours of enrolment, twice weekly, and on suspicion of DVT.
Query!
Trial website
Query!
Trial related presentations / publications
PROTECT Manuscript Publications 1. Cook D, Meade M, Guyatt G, Walter SD, Heels-Ansdell D, Geerts W, Warkentin T, Cooper DJ, Zytaruk N, Vallance S, Berwanger O, Rocha M, Qushmaq I, Crowther MA for the PROTECT Investigators, the Canadian Critical Care Trials Group and the Australian and New Zealand Intensive Care Society Clinical Trials Group. PROTECT (Prophylaxis for ThromboEmbolism in Critical Care Trial) Protocol and Analysis Plan. J Crit Care 2011;26(2);223.e1-223.e9 2. The PROTECT (Prophylaxis for ThromboEmbolism in Critical Care Trial) Investigators for the Canadian Critical Care Trials Group & the Australian and New Zealand Intensive Care Society Clinical Trials Group. Writing Committee: Cook DJ, Meade M, Guyatt G, Walter SD, Heels-Ansdell D, Warkentin T, Zytaruk N, Crowther MA, Geerts W, Cooper DJ, Vallance S, Qushmaq I, Rocha M, Berwanger O, Vlahakis N). A randomized trial of dalteparin versus unfractionated heparin in critically ill Patients. N Engl J Med 2011;364(14):1305-1314. 3. Lutz K, Wilton K, Zytaruk N, Julien L, Hall R, Harvey J, Skrobik Y, Vlahakis N, Meade L, Matte A, Meade M, Burns K, Albert M, Barlow Cash B, Vallance S, Klinger J, Heels-Ansdell D, Cook D for the PROTECT Investigators in collaboration with the CCCTG and ANZICS-CTG. Research ethics board approval for an international thromboprophylaxis trial. J Crit Care 2012;27:225–231. 4. Arnold DM, Lauzier M, Rabbat C, Zytaruk N, Barlow-Cash B, Clarke F, Heels-Ansdell D, Guyatt G, Walter S, Davies A, Cook D, for the PROTECT Investigators, on behalf of the Canadian Critical Care Trials Group and the Australian and New Zealand Intensive Care Society Clinical Trials Group. Adjudication of bleeding outcomes in an international thromboprophylaxis trial in critical illness. Thrombosis Research 2013;131: 204–209. 5. Smith O, McDonald E, Zytaruk N, Foster D, Matte A, Clarke F, Meade L, Godfrey N, Vallance S, Galt P, Rajbhandari D, Rocha MG, Mehta S, Ferguson ND, Hall R, Fowler R, Burns KEA, Qushmaq I, Ostermann M, Heels-Ansdell D, Cook D, for the PROTECT Research Coordinators, PROTECT Investigators, Canadian Critical Care Trials Group and the Australian and New Zealand Intensive Care Society Clinical Trials Group. Rates and determinants of informed consent: A case study of an international thromboprophylaxis trial. J Crit Care 2013;28:28-39. 6. Cook DJ, McDonald E, Smith O, Zytaruk N, Heels-Ansdell D, Watpool I, McArdle T, Matte A, Clarke F, Vallance S, Finfer S, Galt P, Crozier T, Fowler R, Arabi Y, Woolfe C, Orford N, Hall R, Adhikari N, Ferland MC, Marshall JD, Meade M for the PROTECT Investigators, CCCTG and ANZICS-CTG. Coenrolment of critically ill patients into multiple studies: Patterns, predictors and consequences. Crit Care 2013;17:R1-R8 7. Warkentin TE, Sheppard JI, Heels-Ansdell D, Marshall JC, McIntyre L, Rocha MG, Mehta S, Davies AR, Bersten AD, Crozier TM, Ernest D, Vlahakis NE, Hall RI, Wood GG, Poirier G, Crowther MA, Cook DJ for the PROTECT Investigators, the Canadian Critical Care Trials Group and the Australian and New Zealand Intensive Care Society Trials Group. Heparin-induced thrombocytopenia in medical surgical critical illness. Chest 2013 [doi: 10.1378/chest.13-0057. [Epub ahead of print] [PMID: 23722881] 8. Smith O, McDonald E, Zytaruk N, Foster D, Matte A, Clarke F, Fleury S, Krause K, McArdle T, Skrobik Y, Cook D for the North American PROTECT Research Coordinators and the Canadian Critical Care Trials Group. Enhancing the informed consent process for critical care Research: Strategies from a Thromboprophylaxis Trial. Intensive and Critical Care Nursing 2013 doi.org/10.1016/j.iccn.2013.04.006 [Epub ahead of print]. 9. Williamson D, Albert M, Heels-Ansdell A, Arnold D, Lauzier F, Zarychanski W, Crowther M, Warkentin T, Dodek P, Cade J, Lesur O, Lim W, Fowler R, Lamontagne F, Langevin S, Freitag A, Muscedere J, Friedrich J, Geerts W, Burry L, Alhashemi J, Cook D for the PROTECT Investigators, the Canadian Critical Care Trials Group and the Australian and New Zealand Intensive Care Society Trials Group. Thrombocytopenia in critically ill: Incidence, risk factors and impact on transfusions, bleeding, mortality. Chest 2013 (in press). 10. Lauzier F, Arnold D, Rabbat C, Heels-Ansdell D, Zarychanski R, Dodek P, Ashley BJ, Albert M, Khwaja K, Ostermann M, Skrobik Y, Fowler R, McIntyre L, Nates J, Karachi T, Lopes R, Zytaruk N, Finfer S, Crowther M, Cook D For the PROTECT Investigators, the Canadian Critical Care Trials Group and the Australian and New Zealand Intensive Care Society Clinical Trials Group. Risk factors and consequences of major bleeding in medical-surgical critically ill patients: A cohort study. Intensive Care Med 2013 DOI 10.1007/s00134-013-3044-3. 11. Katsios C, Donadini M, Meade M, Mehta S, Hall R,Granton J, Kutsiogiannis J, Dodek PE, Heels-Ansdell D, McIntyre L, Vlahakis N, Muscedere J, Friedrich J, Fowler R, Skrobik Y, Albert M, Cox M, Klinger J, Nates J, Bersten A, Doig C, Zytaruk N, Crowther M, Cook D,. For the PROTECT Investigators, Canadian Critical Care Trials Group and the Australian and New Zealand Intensive Care Society Clinical Trials Group. Prediction scores do not correlate with clinically adjudicated categories of pulmonary embolism in critically ill patients. Can Respiratory Journal 2013 (in press). 12. Cook D, Arabi Y, Ferguson ND, Heels-Ansdell D, Freitag A, McDonald E, Clarke F, Keenan S, Pagliarello G, Plaxton W, Herridge M, Karachi T, Vallance S, Cade J, Crozier T, Alves da Silva S, Costa Filho R, Brandao N, Watpool I, McArdle T, Hollinger G, Mandourah Y, Al-Hazmi M, Zytaruk N, Adhikari NKJ for the PROTECT Investigators, the Canadian Critical Care Trials Group and the Australian and New Zealand Intensive Care Society Trials Group. Physicians declining patient enrolment in a critical care randomized trial. Intensive Care Med 2013 (in press). 13. Lamontagne F, McIntyre L, Dodek PE, Heels-Ansdell D, Pemberton J, Meade M, Walsh M, Skrobik Y, LeBlanc M, Seppalt I, Reece G, Ostermann M, Muscedere J, Alhashemi J, Vlahakis N, Lewis B, Schiff D, Moody A, Padayachee S, Zytaruk N, and Cook D for the PROTECT Investigators, the Canadian Critical Care Trials Group and the Australian and New Zealand Intensive Care Society Trials Group. Non-leg venous thrombosis in critically ill adults: A nested prospective cohort study. (submitted) PROTECT Abstract Publications 1. McDonald E, Tkaczyk AJ, Zytaruk N, Julien L, Steinberg L, Sivanantham V, Hammond S, Myers M, Sirois C, Smith O, Wen V, Smith L, Logie S, Morrissey J, Knox L, Masur J, Weatherburn C, Vallance S, Clarke FJ, Wei X, Cooper DJ, Cook DJ on behalf of the PROTECT Investigators, CCCTG and ANZICS-CTG. PROTECT-TIMES (Time-in-Motion Evaluation Study). Am Rev Crit Care Med 2007;175:A594a. 2. Yeo C, Zytaruk N, Burns K, Wen V, McDonald E, Harvey J, Hammond S, Julien L, Sirois C, Matte A, McGrath-Chong M, Weatherburn C, Autio R, Auld F, Tkaczyk A, Duffett M, Bojilov B, Hand L, Blais M, Laberge N, Mehta S, Muscedere J, Meade M, Skrobik Y, Cooper J, Cook DJ on behalf of the PROTECT Investigators, CCCTG and ANZICS-CTG. Enrolment of medical-surgical ICU patients in a thromboprophylaxis trial. Proc Am Thor Soc 2008; 177:A41a 3. Zytaruk N, Yeo C, McDonald E, Hand L, Sonnema L, Harvey J, Smith O, Hammond S, Julien L, Sirois C, Ganz P, Matte A, Auld F, Tkaczyk A, Vallance S, Wynne C, Bojilov B, Neas I, Foxall J, Lewis MJ, Watpool I, McArdle T, Heels-Ansdell D, Heyland D, Cook DJ on behalf of the PROTECT Investigators, CCCTG and ANZICS-CTG. Informed consent to randomize patients in a thromboprophylaxis trial. Proc Am Thor Soc 2008; 177:A40c 4. Lamontagne F, L McIntyre, P Dodek, J Southon, N Zytaruk, D Heels-Ansdell, M Meade, D Cook on behalf of the PROTECT Investigators, CCCTG and ANZICS-CTG. Calibration & adjudication of thrombotic events in a thromboprophylaxis trial. Canadian Critical Care Forum Abstract Book 2008. 5. Southon J, Zytaruk N, Lim WP, Zarychanski R, Rocha M, D Heels-Ansdell, G Guyatt, Cook D, S Walter, on behalf of the PROTECT Investigators, CCCTG and ANZICS-CTG. Venous thrombosis adjudication for a thromboprophylaxis trial. Hamilton Research Day Abstract Book 2009 6. Rocha MG, Cavalcanti M, Teixeira C, Ghiot AM, Rodrigues A, Pagliosa L, Frosi F, Zeni J, Morandi P, Brandao da Silva N, Oliveira JB, Buelher AM, Berwanger O, Zytaruk N, Cook D on behalf of the PROTECT Investigators, CCCTG and ANZICS-CTG. Consent for an international thromboprophylaxis trial: The Brazil experience. Am J Resp Crit Care Med 2009; 179:A1583 7. Zytaruk N, Meade M, Mehta S, Hall R, Southon J, Heels-Ansdell D, Cook DJ on behalf of the PROTECT Investigators, CCCTG and ANZICS-CTG. Adjudication calibration for pulmonary embolism in a thromboprophylaxis trial. Am J Resp Crit Care Med 2009; 179:A1582 8. Galt P, Vallance S, Rajbhandari D, Weisbrodt L, Vuat J, Caf T,O Bree B, Shepherd K, Boschert C, Ankers S, Bird S, on behalf of the PROTECT Investigators, CCCTG and ANZICS-CTG. Prospective informed consent substudy: PROTECT in Australia. ANZICS/ACCCN Intensive Care 2009 Annual Scientific Meeting, 29-31 October 2009, Perth, Australia. Anaesthesia and Intensive Care 2009. Abstract book. 9. Crozier T, Ernest E, Botha J, Seppelt I, Durham D, Evans D, Woolfe C, Edington J, Orford N, Reece G, Ramadoss R, Arora S on behalf of the PROTECT Investigators, CCCTG and ANZICS-CTG. Coenrolment in ICU studies: The PROTECT Experience. ANZICS/ACCCN Intensive Care 2009 Annual Scientific Meeting, 29-31 October 2009, Perth, Australia. Anaesthesia and Intensive Care 2009. Abstract book. 10. Arnold D, Rabbat C, Lauzier F, Zytaruk N, Heels-Ansdell D, Cook DJ, on behalf of the PROTECT Investigators, CCCTG and ANZICS-CTG. Adjudicating bleeding outcomes in a large thromboprophylaxis trial in critical illness. Blood (ASH Annual Meeting Abstracts) 2009; 114: 2471 11. Crowther MA, Zytaruk N, Krolicki K,Duchesne S, Heels-Ansdell D, Sheppard J, Warkentin T, Walter S, Guyatt G, Cook DJ for the PROTECT Investigators, the CCCTG and the ANZICSCTG. Inter-rater reliability of the 4Ts scoring system in critically ill patients being evaluated for heparin induced thrombocytopenia. Blood (ASH Annual Meeting Abstracts) 2009;114:3995. 12. Heels-Ansdell D, Walter S, Guyatt G, Warkentin T, Crowther Mark, Geerts W, Berwanger O, Rocha M, Freitag A, Cooper J, Qushmaq I, Zytaruk N, Cook DJ for the PROTECT Investigators, CCCTG and ANZICS-CTG. Central statistical monitoring in an international thromboprophylaxis trial. Am J Respir Crit Care Med 181;2010:A6041 13. Lutz K, Wilton K, Hall R, Skrobik Y, Vlahakis N, Meade L, Matte A, Meade M, Albert M, Burns K, Barlow Cash B, Cooper DJ, Klinger JR, Heels-Ansdell D, Cook DJ for the PROTECT Investigators, CCCTG and ANZICS. Research Ethics Board approval for an international thromboprophylaxis trial. Am J Respir Crit Care Med 2010;181:A6048 14. Vallance S, Potter J, O’Connor A, O’Bree B, Rajbhandari D, McDonald E, Tkaczyk A, Finfer S, Barrett J, Woolfe C, Karachi T, Zytaruk N, Cooper JD, Davies A, Cook DJ for the PROTECT Investigators, CCCTG and ANZICS-CTG. Informed consent for an international thromboprophylaxis trial. Am J Respir Crit Care Med 2010:181:A6046 15. Zytaruk N, Heels-Ansdell D, Vallance S, Marshall S, Skrobik Y, Cooper DJ, Finfer S, Seppelt I, Ostermann M, Qushmaq I, Alsultan M, Arabi Y, Alhashemi J, Al-Hazmi M, Alzem A, Shaikh N, Mandourah Y, Cook DJ For the PROTECT Investigators, CCCTG and ANZICS-CTG. Antiembolic stockings and pneumatic compression devices in a medical-surgical thromboprophylaxis trial. Crit Care 2011, Abstract P21. 16. Heels-Ansdell D, Zytaruk N, Meade M, Mehta S, Hall R, Zarychanski R, Rocha M, Lim L, Lamontagne F, McIntyre L, Dodek P, Vallance S, Davies A, Cooper DJ, Cook DJ, For the PROTECT Investigators, CCCTG and ANZICS-CTG. Pulmonary embolism in medical-surgical ICU patients. Crit Care 2011, Abstract P19. 17. Zytaruk N, Lamontagne F, McIntyre L, Dodek D, Vlahakis N, Lewis B, Schiff D, Moody A, Ostermann M, Padayachee S, Heels-Ansdell D, Vallance S, Davies A, Cooper DJ, Cook DJ. On behalf of the PROTECT Investigators, CCCTG and ANZICS-CTG. Upper extremity thromboses in medical-surgical critically ill patients. Crit Care 2011 Abstract P22. 18. Saunders L, Heels-Ansdell D, Zytaruk N, Southon J, Barlow-Cash B, Lutz K, Clarke F, Duchesne S, Krolicki K, Meade MO, Walter S, Crowther M, Cook D for the PROTECT Investigators, CCCTG and ANZICS-CTG. Methods center personnel costs for adjudication of 5 morbidity outcomes in a thromboprophylaxis trial. Am Rev Resp Crit Care Med 2011;183:A1678. 19. Zytaruk N, Heels-Ansdell D, McDonald J, Wills J, Schiff D, Moody A, Vlahakis N, Lewis B, Ostermann M, Padayachee S, Cooper DJ, Cook DJ, for the PROTECT Investigators, the CCCTG and ANZICS-CTG. Proximal leg venous segments affected by thromboses in critically ill patients undergoing twice weekly compression ultrasound. Am J Resp Crit Care Med 2011;183:A2382. 20. Katsios C, Donadini M, Crowther M, Cook D. Diagnostic and outcome prediction models for pulmonary embolism in critically ill patients: A pilot study. Am J Resp Crit Care Med 2011; 183:A4743 21. Crowther M, Heels-Ansdell D, Williamson D, Granton J, Burry L, Lamontagne F, Finfer S, McDonald E, Vallance S, Klinger J, Freidrich J, Paunovic B, Walter S, Zytaruk N, Cook DJ, Warkentin TE for the PROTECT Investigators, CCCTG and ANZICS-CTG. 4T’s HIT Scoring in the medical-surgical ICU. Blood (ASH Annual Meeting Abstracts) 2011 118: Abstract 4669 22. Crowther M, Langevin S, Cooper JD, Dodek P, Muscedere J, Albert M, Khwaja K, Kutsiogiannis J, Mehta G, Klinger J, Freidrich J, McIntyre L, Ostermann M, Guyatt G, Zytaruk N, Heels-Ansdell D, Sheppard J, Cook DJ, Warkentin TE for the PROTECT Investigators, CCCTG and ANZICS-CTG. Laboratory HIT testing in critically ill patients. Blood (ASH Annual Meeting Abstracts) 2011; 118: Abstract 198 23. Zarchanski R, Lim W, Rocha M, McIntyre L, Lamontagne F, Dodek P, Pai M, Cooper DJ, Alhashemi J, Zytaruk N for the PROTECT Investigators, CCCTG and ANZICS-CTG. Do statins influence DVT risk in critically ill patients? Crit Care Med 2012 2011;39(12):suppl:A112 24. Smith O, Zytaruk N, McDonald E, Foster D, Clarke F, Matte A, Meade L, Godfrey N, Vallance S, Weisbrodt L for the PROTECT Investigators, CCCTG and ANZICS-CTG. Rates and determinants of informed consent in an international thromboprophylaxis trial. Crit Care Med 2011;39(12):suppl.A133 25. Zarychanski R, Lauzier F, Turgeon A, Marshall J, Nates J, Cox M, Arabi Y, Qushmaq I, Zytaruk N, Cook DJ for the PROTECT Investigators, CCCTG and ANZICS-CTG. VTE risk factors in medical-surgical ICU patients. Crit Care Med 2011;39(12):suppl:A672 26. Zytaruk N, Meade M, Mehta S, Hall R, Granton J, Ferguson ND, Freitag A, Muscedere J, Fowler R, Skrobik Y, Jacka M, Marshall J, Lauzier F, Lamontagne F, Turgeon A, Vlahakis N, Klinger JR, Devereaux P, Ostermann M, Berwanger O, Khwaja K, Burry L, Freidrich J, Burns K, Herridge M, Cooper DJ, Bersten A, Heels-Ansdell D, Cook D for the PROTECT Investigators, the CCCTG and the ANZICS-CTG. Risk factors for pulmonary embolism in medical-surgical ICU patients. Am J Resp Crit Care Med 2012, volume 185, p.A2359 27. Katsios C, Donadini M, Meade M, Mehta S, Hall R, McIntyre L, Guyatt G, Dodek P, Muscedere J, Granton J, Friedrich J, Fowler R, Skrobik Y, Kutsiogiannis J, Albert M, Doig C, Cox M, Vlahakis N, Klinger J, Nates J, Bersten A, Heels-Ansdell D, Zytaruk N, Crowther M, Cook DJ for the PROTECT Investigators, CCCTG and ANZICS-CTG. Published prediction models do not discriminate among critically ill patients in clinically suspected pulmonary embolism in ICU. Am J Resp Crit Care Med 2012, volume 185 p.A2360 28. Granton J, Friedrich J, Fergusson N, Finfer S, Kutsogiannis J, Lesur O, Lamontagne F, Jacka M, Guyatt G, Lellouche F, Qushmaq I, Alhashemi J, Alsultan M, Sharpe M, Davies A, Sheppard J, Zytaruk N, Crowther M, Warkentin TE, Cook D for the PROTECT Investigators, CCCTG and ANZICS-CTG. Heparin-Induced Thrombocytopenia in the ICU: ELISA versus SRA testing. Am J Resp Crit Care Med 2012, volume 185 p.A1669 29. Clarke F, McDonald E, Smith O, Zytaruk N, Heels-Ansdell D, Watpool I, McArdle T, Matte A, Vallance S, Finfer S, Galt P, Crozier T, Fowler R, Arabi Y, Woolfe C, Orford N, Hall R, Adhikari N, Ferland M, Marshall J, Foster D, Farias P, Cook, D, Meade M for the PROTECT Investigators, CCCTG and ANZICS-CTG. Enrolling critically ill patients into multiple studies: A case study of a thromboprophylaxis trial. Am J Resp Crit Care Med 2012, volume 185 p.A2458 30. Clarke F, Zytaruk N, Fowler R, Heels-Ansdell D, Crowther M, Freitag A, Karachi T, Pagliarello G, Cade J, Bellomo R, Keenan S, Reynolds S, Wood G, Paunovic B, Plaxton W, Hollinger G, Chittock D, Poirier G, Lopes R, Mandourah Y, Shaikh N, Al-Hazmi M, Al-Azem A, Ostermann M, Brandao N, Costa Filho R, Alves da Silva S, Teixeira C, Rocha M, Guimaraes H, Cook D for the PROTECT Investigators, CCCTG and ANZICS-CTG. Physicians declining patient enrolment into clinical trials: Incidence and insights. Am J Resp Crit Care Med 2012, volume 185 p. A2543 31. Arnold D, Lauzier F, Rabbat C, Heels-Ansdell D, Dodek P, Ashley B, Albert M, Khwaja K, Ostermann M, Skrobik Y, Fowler R, McIntyre L, Nates J, Karachi T, Lopes R, Zytaruk N, Crowther M and Cook D for the PROTECT Investigators, CCCTG and ANZICS-CTG. In Medical-Surgical ICU Patients, Major bleeding is common, but independent of heparin prophylaxis. Critical Care 2012, 16 (Suppl 1):P435 32. Douketis J, Pai M, Rabbat C, Ostermann O, Skrobik Y, Leblanc M, Heels-Ansdell D, Qushmaq I, Meade M, Guyatt G, Walter S, Geerts W, Cooper DJ, Crowther M, Berwanger O, Rocha M, Khwaja K, Burry L, Friedrich K, Bellomo R, Brandão da Silva N, Teixeira C, Alves da Silva S, Costa Filho R, Cox M, Adhikari N, Walsh M, Ribic C, Gangi A, Cook D, for the PROTECT Investigators, CCCTG and ANZICS-CTG. Can low-molecular-weight heparin be safely used as prophylaxis against venous thromboembolism in critically-ill patients with end stage renal disease? An a priori sub-group analysis of the PROTECT trial. North American Thrombosis and Hemostasis Summit. Am J Hematol Abstract Book 2012. 33. Lauzier F, Arnold D, Rabbat C, Heels-Ansdell D, Dodek P, Ashley B, Albert M, Khwaja K, Ostermann M, Skrobik Y, Fowler R, McIntyre L, Nates JL, Karachi T, Lopes RD, Zytaruk N, Crowther M, Cook D for the PROTECT Investigators, on behalf of the CCCTG and the ANZICS-CTG. Major bleeding in medical-surgical critically ill patients is associated with increased use of blood products, length of stay and mortality. Crit Care Med 2013;40(12):1-328;118. 34. Ostermann M, McIntyre L, Lauzier F, Alhashemi J, Qushmaq I, Langevin S, Dodek P, Albert M, Khwaja K, Kutsiogiannis J, Burry L, Granton J, Friedrich J, Ferguson N, Marshall J, Finfer S, Heels-Ansdell D, Zytaruk N, Cook D, Sheppard J, WarkentinTE and Crowther M for the PROTECT Investigators, CCCTG and ANZICS-CTG. The consequences of suspected HIT in the ICU. Critical Care 2012, 16 (Suppl 1):P423 35. Williamson D, Albert M, Heels-Ansdell A, Arnold D, Lauzier F, Lim W, Zarychanski W, Crowther M, Cook D for the PROTECT Investigators, on behalf of the CCCTG and the ANZICS-CTG. Thrombocytopenia in critically ill: Incidence, risk factors and impact on transfusions, bleeding, mortality. Crit Care Med 2013;40(12):1-328;337. 36. Lamontagne F, Heels-Ansdell D, McIntyre L, Dodek P, Meade M, Skrobik Y, McDonald E, Vallance S, Zytaruk N, Cook D for the PROTECT Investigators, on behalf of the CCCTG and the ANZICS-CTG. non-leg venous thrombi during critical illness: A nested prospective cohort study. Crit Care Med 2013;40(12):1-328;758.
Query!
Public notes
Query!
Contacts
Principal investigator
Name
36091
0
Dr Deborah Cook
Query!
Address
36091
0
St Joseph's Healthcare Hamilton
50 Charlton Ave E, Martha Building H327
Hamilton ON, L8N 4A6
Query!
Country
36091
0
Canada
Query!
Phone
36091
0
1-905-522-1155
Query!
Fax
36091
0
Query!
Email
36091
0
[email protected]
Query!
Contact person for public queries
Name
10105
0
Dr Deborah Cook
Query!
Address
10105
0
St Josephs Hospital
50 Charlton Avenue E, Rm H327-1
Hamilton ON
L8N 4A6
Query!
Country
10105
0
Canada
Query!
Phone
10105
0
1-905-522-1155 ext.35325
Query!
Fax
10105
0
1-905-308-7223
Query!
Email
10105
0
[email protected]
Query!
Contact person for scientific queries
Name
1033
0
Dr Deborah Cook
Query!
Address
1033
0
St Josephs Hospital
50 Charlton Avenue E, Rm H327-1
Hamilton ON
L8N 4A6
Query!
Country
1033
0
Canada
Query!
Phone
1033
0
1-905-522-1155 ext 35325
Query!
Fax
1033
0
1-905-308-7223
Query!
Email
1033
0
[email protected]
Query!
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF