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Trial registered on ANZCTR
Registration number
ACTRN12618000565246
Ethics application status
Approved
Date submitted
9/04/2018
Date registered
13/04/2018
Date last updated
25/07/2019
Date data sharing statement initially provided
25/07/2019
Date results provided
25/07/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
VALidation of a tool to score veIn AssessmeNTs (VALIANT) in adult whole blood donors
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Scientific title
Protocol to validate the Australian Red Cross Blood Service vein score assessment tool (VSAT) in adult whole blood donors by measurement of the inter-rater reliability of the tool
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Secondary ID [1]
294534
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None
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Universal Trial Number (UTN)
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Trial acronym
VALIANT
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Blood Donation
307313
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Condition category
Condition code
Other
306423
306423
0
0
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Research that is not of generic health relevance and not applicable to specific health categories listed above
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Intervention/exposure
Study type
Observational
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Patient registry
False
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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 VSAT is comprised of 3 questions that use a 5 point Likert-type scale to measure a blood donors vein for suitability for phlebotomy. The 3 questions assess Vein visibility, palpation and size and give it a score between 0 and 4. The scores from each question are then tallied to calculate the donor’s overall vein score out of 12. The vein assessment will be completed by qualified Australian Blood Donor Centre staff a 4 locations in NSW. Assessment will be completed on both the left and right arms (cubital fossa) of eligible blood donors who have provided verbal consent. Two different staff members will assess the one donor separately to determine interrater reliability. Staff members will be blinded to their paired assessors results. The first assessment will be conducted in the pre donation interview room approximately 5-10 min prior to donation and the second assessment will be conducted immediately before donation when the donor is sitting on the donor couch
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Intervention code [1]
300833
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Early Detection / Screening
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
305438
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Inter-rater reliability of the vein score assessment tool
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Assessment method [1]
305438
0
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Timepoint [1]
305438
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5-10 minutes before blood donation
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Secondary outcome [1]
345229
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Association between vein scores and failed phlebotomy. Failed phlebotomy is assessed by direct observation by donor centre phlebotomists immediately before and after needle insertion
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Assessment method [1]
345229
0
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Timepoint [1]
345229
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At the time of needle insertion on blood donor couch
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Secondary outcome [2]
345230
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Association between vein scores and needle dislodgement. Needle dislodgement is assessed by direct observation by donor centre phlebotomists after needle insertion for the duration of the donation
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Assessment method [2]
345230
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Timepoint [2]
345230
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After needle insertion on blood donor couch
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Secondary outcome [3]
345231
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Association between vein scores and underweight donations (< 200ml). The weight of collections are measured at the end of the donation by the automated blood collection system and recorded by the phlebotomists in the donors electronic record
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Assessment method [3]
345231
0
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Timepoint [3]
345231
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Immediately after blood donation
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Secondary outcome [4]
345232
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Association between vein scores and incomplete donations (200-428ml). The weight of collections are measured at the end of the donation by the automated blood collection system and recorded by the phlebotomists in the donors electronic record
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Assessment method [4]
345232
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Timepoint [4]
345232
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Immediately after blood donation
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Secondary outcome [5]
345233
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Association between vein scores and prolonged donation duration (>12 min). The length of a donation or how long a donation takes is measured at the end of the donation by the automated blood collection system and recorded by the phlebotomists in the donors electronic record
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Assessment method [5]
345233
0
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Timepoint [5]
345233
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Immediately after blood donation
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Secondary outcome [6]
345234
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Association between vein scores and donor adverse events. Known adverse events include phlebotomy injures (e.g.: haematoma), and vasovagal reactions (e.g.: Fainting). DAEs will be recorded either directly by donor centre staff present during the donation or reported directly by the donor post donation to our national call centre.
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Assessment method [6]
345234
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Timepoint [6]
345234
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less than 90 days from blood donation or before the date of the donors next blood donation if that date is sooner
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Eligibility
Key inclusion criteria
Participant (Staff)
1. Qualified (successfully completed all Blood Service competencies) donor centre phlebotomist
2. Able and willing to provide written informed consent to participate
Participant (Donor)
1. Adults, greater than 18 years of age
2. New or experienced whole blood donor
3. Eligible for blood donation as per the current Guidelines for Selection of Blood Donors
4. Written consent for general donation and oral consent for having their vein scored twice by participating staff.
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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?
Yes
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Key exclusion criteria
Participant (Staff)
1. Non-phlebotomy donor centre staff member
2. Currently participating in another Blood Service research study
Participant (Donor)
1. Donors eligible for sample only collections (sample only appointments or identified as sample only candidate during interview e.g: Low Hb donors for ferritin testing)
2. Donors undergoing apheresis collections
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Study design
Purpose
Screening
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Duration
Longitudinal
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Selection
Convenience sample
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
16/04/2018
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Actual
16/04/2018
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Date of last participant enrolment
Anticipated
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Actual
12/05/2018
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Date of last data collection
Anticipated
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Actual
12/05/2018
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Sample size
Target
540
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Accrual to date
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Final
553
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Recruitment in Australia
Recruitment state(s)
NSW
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Funding & Sponsors
Funding source category [1]
299161
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Charities/Societies/Foundations
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Name [1]
299161
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Australian Red Cross Blood Service
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Address [1]
299161
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National Office
Level 3, 417 St Kilda Rd
Melbourne VIC 3004
Australia
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Country [1]
299161
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Australia
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Primary sponsor type
Charities/Societies/Foundations
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Name
Australian Red Cross Blood Service
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Address
National Office
Level 3, 417 St Kilda Rd
Melbourne VIC 3004
Australia
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Country
Australia
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Secondary sponsor category [1]
298418
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None
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Name [1]
298418
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Address [1]
298418
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Country [1]
298418
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
300085
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Australian Red Cross Blood Service Ethics Committee
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Ethics committee address [1]
300085
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C/- Sydney Processing Centre 17 O'Riordan St Alexandria NSW 2015
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Ethics committee country [1]
300085
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Australia
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Date submitted for ethics approval [1]
300085
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06/11/2017
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Approval date [1]
300085
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19/12/2017
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Ethics approval number [1]
300085
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2017#32
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Summary
Brief summary
Phlebotomy is a central task performed by the Blood Service for the collection of whole blood, plasma and platelets from its voluntary blood donors. Currently there are no publications regarding how to routinely and systematically assess donor veins and the impact vein quality has on the success of blood donation. In the last 12 months up to 4% of phlebotomies attempted were unsuccessful. In addition, inadequate venous access resulted in needle dislodgement, underweight collections, protracted bleed times, component discard and substantial wastage of blood collected. The purpose of this study is to formally validate an internally developed vein score assessment tool to assess a donor's vein suitability for phlebotomy. The study will examine the extent of inter-rater variability in vein assessment between phlebotomist's and determine whether a score at or below a certain level is predictive of failed phlebotomy, needle dislodgement, underweight donation and prolonged donation duration.
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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
82518
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Dr Phillip Mondy
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Address
82518
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Australian Red Cross Blood Service
Sydney Processing Centre
17 O'Riordan St
Alexandria NSW 2015
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Country
82518
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Australia
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Phone
82518
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+61 (2) 9234 2444
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Fax
82518
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Email
82518
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[email protected]
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Contact person for public queries
Name
82519
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Justine O'Donovan
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Address
82519
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Australian Red Cross Blood Service
Sydney Processing Centre
17 O'Riordan St
Alexandria NSW 2015
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Country
82519
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Australia
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Phone
82519
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+61 (0)2 9234 2444
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Fax
82519
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Email
82519
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[email protected]
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Contact person for scientific queries
Name
82520
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Phillip Mondy
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Address
82520
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Australian Red Cross Blood Service
Sydney Processing Centre
17 O'Riordan St
Alexandria NSW 2015
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Country
82520
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Australia
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Phone
82520
0
+61 (0)2 9234 2444
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Fax
82520
0
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Email
82520
0
[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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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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