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Trial registered on ANZCTR
Registration number
ACTRN12624000072516
Ethics application status
Approved
Date submitted
19/12/2023
Date registered
29/01/2024
Date last updated
29/01/2024
Date data sharing statement initially provided
29/01/2024
Type of registration
Retrospectively registered
Titles & IDs
Public title
Australian IntraCranial Haemorrhage Registry - a registry study to assess the clinical management and adherence to national treatment guidelines for adults who have experienced bleeding in the brain.
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Scientific title
Australian IntraCranial Hemorrhage Registry - A study to assess current management, adherence to national guidelines and patient outcomes in adults who have suffered an intracranial hemorrhage, including spontaneous non-traumatic intracerebral hemorrhage, non-penetrative traumatic hemorrhage, and anticoagulant-associated intracranial hemorrhage.
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Secondary ID [1]
311213
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Nil Known
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Universal Trial Number (UTN)
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Trial acronym
AustrICH
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Intracranial Haemorrhage
332402
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Condition category
Condition code
Stroke
329101
329101
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0
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Haemorrhagic
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Intervention/exposure
Study type
Observational
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Patient registry
True
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Target follow-up duration
5
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Target follow-up type
Years
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Description of intervention(s) / exposure
The exposure of interest are adult patients with intracranial hemorrhage. We will assess current management, including adherence to national guidelines, and outcomes in patients with intracranial hemorrhage. Data is collected within the first 24 hours of hospital presentation, day 7 and day 30, including vital signs, medications, neurological assessments and radiological imaging. Patient outcomes will be monitored biannually over 5 years via phone call. They will be asked questions about daily activities and independence, as well as complete a verbal questionnaire to assess Quality of life.
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Intervention code [1]
327671
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Not applicable
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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]
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Established Blood Pressure Target
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Assessment method [1]
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Blood pressure is routinely collected within the hospital environment using a sphygmomanometer. Blood pressure information will be extracted from medical records in deidentified format and included in the registry. Treatment guidance will be provided consistent with current national guidelines (Systolic BP target of <140 mmHg). Any departure from this practice or failure to establish a target will be recorded as failure to deliver guideline-based care.
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Timepoint [1]
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The first time the blood pressure target is achieved will be recorded. Blood pressure at 60 minutes after diagnostic radiological imaging will be recorded. Blood pressure will be recorded hourly for 24 hours, then at day 7, day 30 and day 90.
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Primary outcome [2]
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Door to Time of Anticoagulant Reversal Agent Administration
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Assessment method [2]
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The time that anticoagulant reversal agents are first administered will be extracted from medical records and recorded in de-identifiable format. Treatment guidance will indicate a target of <60 minutes from triage.
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Timepoint [2]
336920
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Assessed within the first 24 hours of hospital presentation
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Primary outcome [3]
336921
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Proportion of participants with symptomatic haematoma expansion
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Assessment method [3]
336921
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Radiographic haematoma growth will be defined as greater than or equal to 33% relative increase in haematoma volume (in intracerebral haemorrhage), or greater than or equal to 33% increase in haematoma thickness (in subarachnoid and subdural haemorrhages), between the baseline and 24-hour CT scan.
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Timepoint [3]
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24 hours after enrolment
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Secondary outcome [1]
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Functional Outcomes after intracranial hemorrhage
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Assessment method [1]
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Modified Rankin Score and Montreal Cognitive Assessment will be used to evaluate the level of physical disability, independence in daily activities, and cognition.
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Timepoint [1]
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Day 30 & Day 90
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Secondary outcome [2]
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Quality of Life after intracranial hemorrhage
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Assessment method [2]
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Patient reported outcomes using the EuroQol 5-dimension 5-level (EQ-5D-5L)
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Timepoint [2]
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Day 90
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Secondary outcome [3]
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Primary Outcome: Door to time of antihypertensive agent administration
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Assessment method [3]
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The time that intravenous antihypertensive therapy is first administered will be extracted from medical records and recorded in de-identifiable format. Treatment guidance will indicate a target of <60 minutes from triage.
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Timepoint [3]
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Assessed within the first 24 hours
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Secondary outcome [4]
430612
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Cognitive Capacity after intracranial hemorrhage
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Assessment method [4]
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The Montreal Cognitive Assessment will evaluate cognition in different domains such as attention, memory, concentration, executive functions, language, visual-constructional skills, calculation, conceptual thinking and orientation.
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Timepoint [4]
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Day 90
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Eligibility
Key inclusion criteria
1. Age 18 years or older
2. Radiographically confirmed intracranial hemorrhage (intracerebral,
intraventricular, subarachnoid or subdural) either spontaneous or
secondary
3. If SDH or SAH, patients must also be currently treated with an OAC
(VKA, rivaroxaban, apixaban, dabigatran).
4. Time from symptom onset (or last known well) less than 24 hours prior to
the baseline imaging scan.
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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
1. Penetrating intracranial injury (other traumatic intracranial
haemorrhage is eligible).
2. Haemorrhagic transformation of an ischaemic infarct.
3. Haemorrhage secondary to cerebral venous sinus thrombosis.
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Study design
Purpose
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Duration
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Selection
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Timing
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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
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Actual
13/12/2023
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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
1500
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Accrual to date
11
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,VIC
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Recruitment outside Australia
Country [1]
26043
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Korea, Republic Of
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State/province [1]
26043
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Funding & Sponsors
Funding source category [1]
315472
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Government body
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Name [1]
315472
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National Health and Medical Research Council (NHMRC)
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Address [1]
315472
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16 Marcus Clarke St CANBERRA ACT 2601
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Country [1]
315472
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Australia
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Primary sponsor type
University
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Name
The University of New South Wales (UNSW)
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Address
High Street, Kensington NSW 2052
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Country
Australia
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Secondary sponsor category [1]
317545
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None
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Name [1]
317545
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Address [1]
317545
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Country [1]
317545
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
314382
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South Western Sydney Local Health District Human Research Ethics Committee
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Ethics committee address [1]
314382
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SWSLHD Executive Office, Liverpool Hospital Eastern Campus, Scrivener St, Liverpool NSW 2170
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Ethics committee country [1]
314382
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Australia
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Date submitted for ethics approval [1]
314382
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15/12/2022
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Approval date [1]
314382
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17/01/2023
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Ethics approval number [1]
314382
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2022/ETH02223
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Summary
Brief summary
To assess current management, including adherence to national guidelines, and outcomes in patients with intracranial haemorrhage. To also improve adherence to guidelines through the use of an integrated continuous Quality Improvement program assessing key performance indicators of blood pressure control and reversal of anticoagulant medications.
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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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Prof Ken Butcher
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Address
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Prince of Wales Hospital. 320-346 Barker Street, Randwick NSW 2031
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Country
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Australia
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Phone
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+612 9382 2291
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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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Ken Butcher
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Address
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Prince of Wales Hospital. 320-346 Barker Street, Randwick NSW 2031
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Country
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Australia
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Phone
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+612 9382 2291
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Fax
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Email
131379
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[email protected]
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Contact person for scientific queries
Name
131380
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Ken Butcher
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Address
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Prince of Wales Hospital. 320-346 Barker Street, Randwick NSW 2031
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Country
131380
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Australia
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Phone
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+61 2 9382 2291
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Fax
131380
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Email
131380
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[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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