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Trial registered on ANZCTR
Registration number
ACTRN12606000143527
Ethics application status
Approved
Date submitted
21/04/2006
Date registered
27/04/2006
Date last updated
5/08/2008
Type of registration
Retrospectively registered
Titles & IDs
Public title
MINIMI Study
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Scientific title
MINIMI Multi-centre study. Minimising blood loss during blood testing from intra-arterial catheters in intensive care patients
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Universal Trial Number (UTN)
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Trial acronym
MINIMI
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Intensive care patients requiring blood tests from an intra-arterial catheter
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Condition category
Condition code
Anaesthesiology
1192
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0
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Anaesthetics
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The study is a randomised crossover trial. Patients are randomised to a sequence of blood tests which are taken sequentially. The intervention is the size of discard volume (blood discarded to clear the line). This is calculated as a multiple of the deadspace in the system prior to blood sampling. Six discard volumes will be tested. Each patient acts as their own control and receives each of the experiemental discard volumes. Duration: The blood sampling for the study is done on one occasion with 48 sequential blood tests (6 each of full blood count, creatinine & electrolytes, liver functions, coagulation, magnesium, troponin, calcium, & phosphate. The process will be completed within 10 minutes. Timepoint: At some stage of the intensive care admission when the patient meets the study criteria and samples can be obtained without disrupting clinical care.
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Intervention code [1]
991
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Other interventions
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Comparator / control treatment
patient is own control, different discard volumes are used for each set of blood tests
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Control group
Active
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Outcomes
Primary outcome [1]
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Accuracy of full blood count
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Assessment method [1]
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Timepoint [1]
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immediately after blood sampling
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Primary outcome [2]
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Accuracy of creatine and electrolytes
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Assessment method [2]
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Timepoint [2]
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immediately after blood sampling
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Primary outcome [3]
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immediately after blood sampling
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Assessment method [3]
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Timepoint [3]
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immediately after blood sampling
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Primary outcome [4]
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Accuracy of coagulation studies
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Assessment method [4]
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Timepoint [4]
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immediately after blood sampling
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Primary outcome [5]
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Accuracy of magnesium, phosphate and calcium
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Assessment method [5]
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Timepoint [5]
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immediately after blood sampling
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Primary outcome [6]
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Accuracy of troponin
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Assessment method [6]
1611
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Timepoint [6]
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immediately after blood sampling
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Secondary outcome [1]
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Develop model to minimise blood loss in ICU patients from diagnostic testing.
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Assessment method [1]
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Timepoint [1]
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This will be done during the data analysis phase.
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Eligibility
Key inclusion criteria
Informed written consent from patient or legal representative• Patent arterial catheter in situ as part of routine care • Haemoglobin >8.0g/dL• Clinically stable (has neither required nor is anticipated to require any intervention in the 30 minutes prior to, or during the sampling period).
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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
Current bleeding or major surgery planned in the next 48 hours• Current transfusion of blood products, hypertonic electrolytes, or anticoagulants other than heparin saline in flush devices• Patient with extracorporeal circuits• Non-English speaking patient or legal representative• Patient not expected to survive the next 24 hours or patient/relatives deemed too emotionally distressed to be approached• Inotrope support exceeding Nor-Adrenaline and Adrenaline > 5mcg/min, Dopamine and Dobutamine > 5mcg/kg/min.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Dummy times recorded on pathology forms
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computer generated random numbers
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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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
1/04/2006
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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
100
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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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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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ICU Departments of Launceston General Hospital
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Address [1]
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Charles St, Launceston 7250 TAS
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Country [1]
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Australia
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Funding source category [2]
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Hospital
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Name [2]
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Royal Prince Alfred Hospital
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Address [2]
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Sydney NSW
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Country [2]
1304
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Australia
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Funding source category [3]
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Hospital
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Name [3]
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Sir Charles Gairdner Hospital
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Address [3]
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Hospital Drive, NEDLANDS, WA
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Country [3]
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Australia
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Funding source category [4]
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University
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Name [4]
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Uni of Tasmania School of Nursing and Midwifery
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Address [4]
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Newnham Campus TAS 7250
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Country [4]
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Australia
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Funding source category [5]
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Charities/Societies/Foundations
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Name [5]
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Clifford Craig Medical Research Trust
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Address [5]
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PO Box 1963. Launceston, 7250 Tasmania
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Country [5]
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Australia
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Funding source category [6]
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University
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Name [6]
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Griffith University
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Address [6]
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170 Kessels Rd, Nathan, QLD
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Country [6]
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Australia
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Primary sponsor type
University
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Name
Griffith University School of Nursing and Midwifery
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Address
School of Nursing and Midwifery
Griffith University Nathan Campus Kessels Rd Nathan QLD 4111
Newnham Campus
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Country
Australia
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Secondary sponsor category [1]
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Hospital
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Name [1]
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Launceston General Hospital
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Address [1]
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Charles St Launceston TAS 7250
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Country [1]
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Australia
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Secondary sponsor category [2]
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Hospital
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Name [2]
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ICU Departents:Royal Prince Alfred Hospital
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Address [2]
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Sydney NSW
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Country [2]
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Australia
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Secondary sponsor category [3]
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Hospital
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Name [3]
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ICU Departents: Sir Charles Gairdner Hospital
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Address [3]
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Nedlands WA
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Country [3]
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Australia
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Secondary sponsor category [4]
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Charities/Societies/Foundations
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Name [4]
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Clifford Craig Medical Research Trust Fund
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Address [4]
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PO Box 1963 Launceston TAS 7250.
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Country [4]
3305
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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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Tasmanian State Health Research Ethics Committee
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Ethics committee address [1]
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University of Tasmania Sandy Bay Campus Hobart Tas
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
2632
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Approval date [1]
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20/02/2006
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Ethics approval number [1]
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H0008638.
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Ethics committee name [2]
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Royal Prince Alfred Hospital
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Ethics committee address [2]
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Sydney NSW
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Ethics committee country [2]
2633
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Australia
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Date submitted for ethics approval [2]
2633
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Approval date [2]
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07/12/2005
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Ethics approval number [2]
2633
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X05-0354
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Ethics committee name [3]
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Sir Charles Gairdner Hospital
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Ethics committee address [3]
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Hospital Drive Nedlands, WA
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Ethics committee country [3]
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Australia
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Date submitted for ethics approval [3]
2634
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Approval date [3]
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16/03/2006
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Ethics approval number [3]
2634
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2006-001
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Summary
Brief summary
Intensive care patients require many blood tests. Each blood test requires a small amount of blood loss and when added together this can lead to anaemia and the need for a blood transfusion. ICU blood tests are taken through a drip, and an amount of blood must be wasted each time, to clear the drip set and access the patient’s blood. This “discard volume” is important: too little and the blood tests may be inaccurate, too much and the patient loses even more blood unnecessarily. The ideal discard volume for most blood tests is unknown and so hospitals and health professionals take various amounts; it is highly likely that unnecessary blood loss occurs. In our study we plan to identify the minimum discard volume required to obtain accurate results for several of the most common blood tests performed in ICUs. The laboratory scientists (assessors) performing the outcomes measures will be blinded to intervention group of each blood sample.
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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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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Prof Claire Rickard
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Address
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Research Centre for Clinical and Community Practice Innovation
Griffith University, Nathan Campus, QLD
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Country
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Australia
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Phone
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61 7 3735 6460
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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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Prof Claire Rickard
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Address
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Research Centre for Clinical and Community Practice Innovation
Griffith University
Nathan Campus QLD 4111
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Country
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Australia
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Phone
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61 7 3735 6460
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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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