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Trial registered on ANZCTR
Registration number
ACTRN12610000127000
Ethics application status
Approved
Date submitted
3/02/2010
Date registered
8/02/2010
Date last updated
21/04/2016
Type of registration
Prospectively registered
Titles & IDs
Public title
Do pressure garments help burn donor sites to heal?
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Scientific title
Interim pressure garment therapy (4–6 mmHg) and its effect on donor site healing in burn patients: a randomised controlled trial
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Secondary ID [1]
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'None'
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Universal Trial Number (UTN)
U1111-1113-5601
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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:
Burns: Scarring of donor sites
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Compression Garment Therapy
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Condition category
Condition code
Injuries and Accidents
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0
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Burns
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Skin
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0
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Normal skin development and function
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Elastic bikepants will be fitted at day 5 following surgery, and replace every 2 weeks for a period of 3 months.
The pressure in each pair of bikepants will be measured at these times.
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Intervention code [1]
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Treatment: Devices
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Comparator / control treatment
The control group will not have Elastic bikepants or equivalent.
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Control group
Active
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Outcomes
Primary outcome [1]
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Mean donor scar skin thickness (Dermascan C Ultrasound )
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Assessment method [1]
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Timepoint [1]
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Measured at day 5, then every fortnight for a period of 3 months.
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Primary outcome [2]
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Reduction of time to epitheleisation (Dermascan C ultrasound)
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Assessment method [2]
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Timepoint [2]
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Measured at day 5, then every fortnight for a period of 3 months.
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Secondary outcome [1]
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pressure in the elastic bikepants of >/= 15mmHg (Pico Press Pressure Sensor)
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Assessment method [1]
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Timepoint [1]
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Measured at day 5, then every fortnight after for a period of 3 months.
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Secondary outcome [2]
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Improvement of overall scar appearance (Patient Observer Scar Assessment Scale (POSAS))
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Assessment method [2]
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Timepoint [2]
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Day 5, then every fortnight for a period fo 3 months
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Secondary outcome [3]
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Reduction in self reported pain level
(Patient Observer Scar Assessment Scale (POSAS))s
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Assessment method [3]
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Timepoint [3]
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Day 5, then every fortnight for a period fo 3 months
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Secondary outcome [4]
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Skin type (Fitzpatricks Skin Phototype)
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Assessment method [4]
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Timepoint [4]
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Initial assessment day 5 post op.
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Secondary outcome [5]
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Erythema (redness) of skin (Colourmeter)
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Assessment method [5]
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Timepoint [5]
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Day 5, then every fortnight for a period fo 3 months
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Secondary outcome [6]
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normal skin comparison on same leg, anatomically close to donor site.
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Assessment method [6]
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Timepoint [6]
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Day 5, then every fortnight for a period fo 3 months.
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Eligibility
Key inclusion criteria
No burns to either thigh right or left,
Donor site on thigh (measured to be 10cm above the patella),
Male or female,
14 years or older,
Signed informed consent,
From any ethnic group (may be separated out on data analysis),
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Minimum age
14
Years
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Maximum age
70
Years
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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
Burns to left, right or both thighs
Donor site on other anatomical location other than the thigh,
Psychiatric history documented in the medical chart which could cause variable (self harm) of outcome,
Arterial disease / compromise as documented in the chart,
Have a dermatological condition in the region where the donor site needs to be taken which may affect the result,
Allergy to ultrasound gel,
Refused consent.
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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)
The principal investigator who will determine if a subject is eligible for inclusion in the trial will be unaware of which group the subject will be allocated. Allocation will be concealed via central randomisation by computer.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Allocation will be randomised via a computerised tablet
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
Pilot Study - Stand alone baseline only component.
To determine a thigh/buttock/waist measurement (in centimetres) for fitting tubigrip bike pants into the following size ranges; extra small, small, medium, large, extra large.
To determine a pressure range of 18 – 25 mmHg for each Tubigrip Bike pant size, in relation the thigh/waist/buttock measurement.
This study is a baseline only component.
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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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
1/03/2010
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Actual
5/09/2010
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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
44
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
QLD
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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Private Practice Trust Fund
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Address [1]
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The Private Practice Trust Fund
Royal Brisbane and Women's Hospital
Corporate Office, Lower Ground Floor
Dr James Mayne Building
Butterfield Street Herston QLD 4029
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Royal Brisbane and Women's Hospital
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Address
Butterfield Street
HERSTON QLD
4029
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Professor Michael Muller
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Address [1]
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Division of Surgery
Royal Brisbane and Women's Hospital
Butterfield Street
Herston QLD
4029
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Country [1]
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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 Brisbane and Women's Hospital Human Research Ethics Committe (HREC)
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Ethics committee address [1]
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Level 7 Block 7 Royal Brisbane and Women's Hospital Butterfield Street Herston QLD 4029
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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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27/10/2009
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Approval date [1]
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03/03/2010
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Ethics approval number [1]
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HREC/09/QRBW/327
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Summary
Brief summary
Pressure garment therapy (PGT) is well accepted and commonly used by clinicians in the treatment of burns scars and grafts. The medium to high pressures (24–40 mmHg) in these garments can support scar minimisation, and evidence is well documented for this particular application. However, PGT specifically for burn donor sites, of which a sequela is also scarring, is not well documented. This study protocol investigates the impact of a low pressure (4–6 mmHg) interim garment on donor site healing and scarring. With a primary purpose of holding donor dressings in place, the application of the interim pressure garment (IPG) appears to have been twofold. IPGs for donor sites have involved inconsistent application with a focus on securing wound dressing rather than scar management. However, anecdotal and observational evidence suggests that IPGs also make a difference to some patient’s scar outcomes for donor sites. This study is a randomised controlled trial designed to test the effectiveness of this treatment on reducing scarring to burn donor sites. Methods/design This study is a single-centre, single (assessor)-blinded, randomised control trial in patients with burns donor sites to their thighs. Patients will be randomly allocated to a control group (with no compression to donor sites) or to an experimental group (with compression to donor sites) as the comparative treatment. Groups will be compared at baseline regarding the important prognostic indicators: donor site location, depth, size, age, and time since graft (5 days). The IPG treatment will be administered post-operatively (on day 5). Follow-up assessments and garment replacement will be undertaken fortnightly for a period of 2 months.This study focuses on a unique area of burns scar management using a low-pressure tubular support garment for the reduction of donor site scars. Such therapy specifically for donor scar management is poorly represented in the literature. This study was designed to test a potentially cost-effective scar prevention for patients with donor sites to the thigh. No known studies of this nature have been carried out to date, and there is a need for rigorous clinical evidence for low-pressure support garments for donor site scar minimisation.
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Trial website
N/A
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Trial related presentations / publications
N/A
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Public notes
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Attachments [1]
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/AnzctrAttachments/335119-HREC ETHICS extension.pdf
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Attachments [2]
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/AnzctrAttachments/335119-UQ Ethics approval 2016.pdf
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Contacts
Principal investigator
Name
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Ms Michelle Donovan
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Address
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Occupational Therapy Department
Royal Brisbane and Women's Hospital
Dr James Mayne Building
Butterfield Street
Herston 4029
Brisbane QLD AUSTRALIA
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Country
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Australia
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Phone
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+61 7 3646 7100
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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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Michelle L Donovan
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Address
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Occupational Therapy Department
Royal Brisbane and Women's Hospital
Level 2 Dr James Mayne Building
Butterfield Street
HERSTON QLD 4029
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Country
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Australia
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Phone
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+61 7 3646 7100
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Fax
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+61 7 3646 7495
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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 Michael Muller
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Address
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Division of Surgery
Royal Brisbane and Women's Hospital
Level 8
Ned Hanlon Building
Butterfield Street
HERSTON QLD 4029
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Country
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Australia
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Phone
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+61 7 3646 1621
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Fax
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+61 7 3646 1314
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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
Source
Title
Year of Publication
DOI
Embase
Interim pressure garment therapy (4-6mmHg) and its effect on donor site healing in burn patients: Study protocol for a randomised controlled trial.
2016
https://dx.doi.org/10.1186/s13063-016-1329-x
N.B. These documents automatically identified may not have been verified by the study sponsor.
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