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Trial registered on ANZCTR
Registration number
ACTRN12612000525886
Ethics application status
Approved
Date submitted
16/05/2012
Date registered
17/05/2012
Date last updated
11/07/2013
Type of registration
Prospectively registered
Titles & IDs
Public title
Measurement of vein size using ultrasound in patients prior to Peripherally Inserted Central Catheter insertion.
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Scientific title
Vein size and rates of symptomatic deep vein thrombosis (DVT) in patients who have a Peripherally Inserted Central Catheter (PICC).
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Secondary ID [1]
280492
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Symptomatic deep vein thrombosis
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Risk of thrombus for patients recieving a PICC insertion
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Condition category
Condition code
Blood
286732
286732
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0
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Other blood disorders
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
The diameter of the basilic, brachial and cephalic veins of both arms will be measured using ultrasound prior to PICC insertion.
After vein measurement is complete the researcher will ask the participant to indicate their dominant arm. At this point the PICC inserter will chose the largest vein identified on ultrasound to insert the device and the vein used will be measured at the insertion site. PICC diameter will be obtained from manufacturer information to determine the vein occupation ratio.
At approximately nine weeks post insertion, the unit record number of each patient will be used to gain access to medical records to gather treatment management information as well as be matched to DVT reports generated by the Radiology Department.
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Intervention code [1]
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Not applicable
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Comparator / control treatment
nil
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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To test for an association between catheter/vein occupation ratio and rates of symptomatic DVT. Vein diameter will be determined using ultrasound, catheter diameter will be obtained from manufacturer information. Cases of DVT will be collected from Radiology reports.
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Assessment method [1]
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Timepoint [1]
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Medical records and Radiology reports will be accessed at nine weeks post-insertion
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Secondary outcome [1]
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To determine whether the diameter of the basilic, brachial and cephalic veins is larger in the dominant arm compared to the non-dominant arm of patients booked for PICC insertion in a public teaching hospital population. The diameter of veins will be measured using ultrasound.
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Assessment method [1]
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Timepoint [1]
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The measurement of both arms with ultrasound will be prior insertion of a PICC
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Eligibility
Key inclusion criteria
All adult patients who are to have a single, double or triple lumen PICC inserted above the ante-cubital fossa region (as per normal practice) by the PICC nurse inserter in the Radiology Department
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Inability to provide informed consent due to neurological or language barriers (diagnosis of dementia; uncontrolled mental illness or deficits; inability to read, write or understand English).
Participants with factors that prevent the consideration of one arm for PICC insertion (lymphoedema, amputation, thrombosis, neck surgery, lymph clearance).
Participants who are ambidextrous.
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Study design
Purpose
Natural history
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
15/06/2013
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
200
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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The Royal Adelaide Hospital - Adelaide
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Ms. Rebecca Sharp
PhD candidate
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Address [1]
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c/o - School of Nursing and Midwifery
Division of Health Sciences
University of South Australia
GPO Box 2471
Adelaide SA 5001
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Country [1]
285251
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Australia
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Primary sponsor type
Individual
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Name
Ms. rebecca Sharp
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Address
c/o - School of Nursing and Midwifery
Division of Health Sciences
University of South Australia
GPO Box 2471
Adelaide SA 5001
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
284113
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Other collaborator category [1]
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Individual
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Name [1]
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Ms. Melita Cummings
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Address [1]
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C/- Radiology Department
Royal Adelaide Hospital,
North Terrace,
Adelaide, SA, 5000.
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Country [1]
277521
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Royal Adelaide Hospital Ethics Committee
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Ethics committee address [1]
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Level 3 Hanson Institute Royal Adelaide Hospital North Terrace Adelaide SA 5000
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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21/01/2013
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Approval date [1]
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26/03/2013
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Ethics approval number [1]
287261
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Summary
Brief summary
This research will explore the effect of arm dominance on vein diameter and whether vein occupation ratio is predictive of DVT. This will inform current practice and assist in the development of an evidence based protocol for vein assessment and choice to enhance patient safety.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Ms Rebecca Sharp
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Address
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School of Nursing and Midwifery,
Division of Health Sciences,
University of South Australia,
GPO Box 2471 Adelaide SA 5001
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Country
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Australia
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Phone
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+61 8 830 21378
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Rebecca Sharp
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Address
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School of Nursing and Midwifery,
Division of Health Sciences,
University of South Australia,
GPO Box 2471 Adelaide SA 5001
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Country
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Australia
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Phone
17428
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+61 8 830 21378
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Adrian Esterman
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Address
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Biostatics, division of Health Sciences,
City East Campus of University of South Australia
North Terrace Adelaide,
South Australia, 5000
Australia
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Country
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Australia
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Phone
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+61 8 830 22163
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Fax
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Email
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[email protected]
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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.
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