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Trial registered on ANZCTR
Registration number
ACTRN12610000755033
Ethics application status
Submitted, not yet approved
Date submitted
9/09/2010
Date registered
13/09/2010
Date last updated
23/05/2016
Type of registration
Prospectively registered
Titles & IDs
Public title
The Postoperative Use of a Brace for Sternum Study
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Scientific title
Patients undergoing median sternotomy who postoperatively wear a sternal brace garment device compared with patients who don't experience less pain, less sternal instability and functional difficulties.
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Secondary ID [1]
252482
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No secondary ID
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Universal Trial Number (UTN)
U1111-1116-6201
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Trial acronym
PUBS Study
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Post-operative sternal complications
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Condition category
Condition code
Physical Medicine / Rehabilitation
258146
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0
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Physiotherapy
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Surgery
258147
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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
Intervention group to wear sternal brace garment (Qualibreath) post median sternotomy, during inpatient hospital stay. A median sternotomy is wear the breastbone is divided with a sternal saw to access the chest cavity and is then reapposed with a series of sternal wires. Chest supports can be grouped in two major types of products: 1. passive, non-elastic (rigid) bands, 2. semi-rigid or elastic bands (abdominal bands). Type 1 helps patients when they cough, sneeze etc, but cannot give any continuous breathing support. Type 2 may give continuous breathing support but cannot help patients when they need extra help for extra pain. The Qualibreath device combines all advantages in one product: it gives continuous breathing support and it enables patients to get extra tightening support when needed. The sternal brace will be worn continuously and removed temporarily for showering. It will be worn for the duration of the patient's inhospital stay which is approximately 7 days.
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Intervention code [1]
257035
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Treatment: Devices
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Comparator / control treatment
Standard Treatment will be routine sternal precautions post-operatively which includes holding a pillow against the chest when coughing. This will last for the duration of the patient's in-hospital stay which will be approximately 7 days.
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Control group
Active
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Outcomes
Primary outcome [1]
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Pain (Visual Anaogue Scale)
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Assessment method [1]
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Timepoint [1]
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Day 1 post extubation, Day 3 post extubation, Day of discharge, 6 weeks post sternotomy
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Secondary outcome [1]
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Sternal Instability Scale
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Assessment method [1]
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Timepoint [1]
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Day 1 post extubation, Day 3 post extubation, Day of discharge
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Secondary outcome [2]
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Functional Difficulties Questionnaire
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Assessment method [2]
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Timepoint [2]
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Day 1 post extubation, Day 3 post extubation, Day of discharge, 6 weeks post sternotomy
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Secondary outcome [3]
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Patient satisfaction and mood survey
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Assessment method [3]
265560
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Timepoint [3]
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Day 1 post extubation, Day 3 post extubation, Day of discharge, 6 weeks post sternotomy
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Secondary outcome [4]
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Inspiratory Reserve Volume (as measured by a portable spirometer device)
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Assessment method [4]
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Timepoint [4]
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Day 1 post extubation, Day 3 post extubation, Day of discharge
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Eligibility
Key inclusion criteria
1)undergoing an operation which involves median sternotomy
2)ability to undertake visual testing and complete questionnaires
3)competence to provide informed consent
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Minimum age
18
Years
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Maximum age
90
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
1)heart transplant and Ventricular Assist Device patients
2)contraindication to wearing sternal brace
3)irradiation of the thorax
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Study design
Purpose of the study
Treatment
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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)
Subjects will be enrolled and assigned a unique study identification number. On the day of the operation they will be allocated according to the treatment arm specified in a sealed, opaque envelope with a unique randomisation number. The investigator who assigns study identification numbers will not be involved in the process of allocating and/or opening sealed, opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
A simple randomisation will be obtained by using a randomisation table created by computer software
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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
Parallel
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Other design features
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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
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/06/2016
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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
120
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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Monash Medical Centre - Clayton campus - Clayton
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Qualiteam S.R.L
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Address [1]
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via Casale Nassio Sopra 15/A
10010 Chiaverano (TO)
Italy
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Monash Medical Centre Human Research and Ethics Committee
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Address
Monash Medical Centre
246 Clayton Rd
Clayton
VIC 3168
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
256868
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Ethics approval
Ethics application status
Submitted, not yet approved
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Ethics committee name [1]
259648
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Ethics committee address [1]
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Ethics committee country [1]
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Date submitted for ethics approval [1]
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17/03/2016
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Approval date [1]
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Ethics approval number [1]
259648
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Summary
Brief summary
This trial is a prospective randomised controlled trial comparing outcomes in patients who have undergone median sternotomy fitted with the QualiBreath sternal brace postoperatively with those who have not. Pain, sternal instability, patient satisfaction and functional activity level will be assessed.
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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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Contacts
Principal investigator
Name
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Dr Yi Chen
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Address
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Monash Medical Centre
246 Clayton Rd
Clayton VIC 3168
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Country
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Australia
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Phone
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+61 3 95946666
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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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Dr Yi Chen
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Address
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Monash Medical Centre
246 Clayton Rd
Clayton VIC 3168
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Country
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Australia
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Phone
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+61 3 95946666
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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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Dr Yi Chen
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Address
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Monash Medical Centre
246 Clayton Rd
Clayton VIC 3168
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Country
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Australia
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Phone
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+61 3 95946666
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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.
Download to PDF