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Trial registered on ANZCTR
Registration number
ACTRN12606000528550
Ethics application status
Approved
Date submitted
20/06/2006
Date registered
21/12/2006
Date last updated
21/12/2006
Type of registration
Retrospectively registered
Titles & IDs
Public title
Study is on haemoglobin accuracy, reliability and precision using the I-Stat point of care device.
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Scientific title
Accuracy, precision and reliability of the I-Stat point of care device in assessment of haematocrit in patients undergoing massive blood loss and transfusion and with consequent instability of plasma albumin levels
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Universal Trial Number (UTN)
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Trial acronym
sharp
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Massive blood loss in surgery
1500
0
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Condition category
Condition code
Surgery
1598
1598
0
0
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Other surgery
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Comparing two device measurements for haemoglobin, one is called the I-Stat machine and other device will be the standard method used in the laboratory. Three blood samples will be taken; one at baseline (induction of anaesthesia), second blood sample when 25% blood loss is achieved and a third blood sample if 40% blood loss is achieved. The samples would then be analysed by the laboratory (routinely) to determine haematocrit, and then also by the I-STAT to measure this same parameter. Simultaneously, we would measure plasma protein levels (in the laboratory (routinely) and with the I-Stat machine), and determine how the I-STAT measured haematocrit varies with these levels. Each I-STAT measurement would be duplicated in order to determine how the precision of the instrument varies with changing plasma protein levels.
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Intervention code [1]
1151
0
Treatment: Devices
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Comparator / control treatment
The standard method used in the laboratory.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
2204
0
I-Stat Haemoglobin
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Assessment method [1]
2204
0
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Timepoint [1]
2204
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Measured at start of surgery, 25 & 40% blood volume loss. The duplicated measurements are taken at the same time points; 25 & 40% blood loss.
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Secondary outcome [1]
3845
0
Laboratory haemoglobin
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Assessment method [1]
3845
0
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Timepoint [1]
3845
0
Measured at start of surgery, 25 & 40% blood volume loss.
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Secondary outcome [2]
3846
0
Laboratory and I-Stat plasma proteins
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Assessment method [2]
3846
0
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Timepoint [2]
3846
0
Measured at the following time points; induction of anaesthesia, when 25% blood loss is reached and when 40% blood loss is reached.
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Secondary outcome [3]
3847
0
The duplicated I-Stat measurements
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Assessment method [3]
3847
0
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Timepoint [3]
3847
0
Taken at the same time points; when 25% blood loss is reached and when 40% blood loss is reached.
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Eligibility
Key inclusion criteria
Surgery involving total blood loss of 25%.
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Minimum age
18
Years
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Maximum age
Not stated
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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) paitents with hypoalbuminaemia2) patients transfused with albumin.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 4
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
3/07/2006
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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
30
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
358
0
New Zealand
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State/province [1]
358
0
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Funding & Sponsors
Funding source category [1]
1742
0
Hospital
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Name [1]
1742
0
Auckland City Hospital
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Address [1]
1742
0
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Country [1]
1742
0
New Zealand
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Primary sponsor type
Individual
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Name
Dr Wai Leap Ng
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Address
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Country
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Secondary sponsor category [1]
1537
0
Individual
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Name [1]
1537
0
Dr Kerry Gunn
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Address [1]
1537
0
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Country [1]
1537
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
3220
0
Auckland City Hospital
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Ethics committee address [1]
3220
0
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Ethics committee country [1]
3220
0
New Zealand
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Date submitted for ethics approval [1]
3220
0
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Approval date [1]
3220
0
02/05/2006
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Ethics approval number [1]
3220
0
NTX/06/04/040
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Summary
Brief summary
Patients having surgery that normally involves large blood-loss and volume replacement would be included in this study. The aim of the study is to demonstrate how changes in the composition of the circulating blood volume (plasma protein levels) affect the dependability of the haematocrit as measured by the i-STAT device. This device employs the analytical technique of conductometry to measure this variable, and conductometry is known to be affected by plasma protein levels. Blood samples would be drawn from the patient at various stages of the operation, after variable but recorded quantities of fluids had been given. These blood samples would have been collected for routine monitoring purposes. The samples would then be analysed by the laboratory (routinely) to determine haematocrit, and then also by the i-STAT to measure this same parameter. Hence, we can determine how these 2 measurements of the same parameter differ from one another. Simultaneously, we would measure plasma protein levels, and determine how the i-STAT-measured haematocrit varies with these levels. Finally, each i-STAT measurement would be duplicated in order to determine how the precision of the instrument varies with changing plasma protein levels. The only requirement of this study is to measure plasma protein levels in addition to the other routine tests of haematocrit.
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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
35412
0
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Address
35412
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Country
35412
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Phone
35412
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Fax
35412
0
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Email
35412
0
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Contact person for public queries
Name
10340
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Dr Wai Leap Ng
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Address
10340
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Auckland City Hospital
Department of Anaesthesia
Level 8
Park Road
Grafton Auckland
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Country
10340
0
New Zealand
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Phone
10340
0
+64 21 868055
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Fax
10340
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+64 9 3754378
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Email
10340
0
[email protected]
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Contact person for scientific queries
Name
1268
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Dr Kerry Gunn
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Address
1268
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Auckland City Hospital
Department of Anaesthesia
Level 8
Park Road
Grafton Auckland
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Country
1268
0
New Zealand
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Phone
1268
0
+64 27 427626
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Fax
1268
0
+64 9 3754378
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Email
1268
0
[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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