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Trial registered on ANZCTR
Registration number
ACTRN12612000361808
Ethics application status
Approved
Date submitted
24/03/2012
Date registered
29/03/2012
Date last updated
29/03/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
Reduction of sternotomy pain with “self-hug"
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Scientific title
In adult patients undergoing a cardiac procedure needing a sternotomy, can “self-hug" reduce post-operative sternotomy pain?
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Secondary ID [1]
279966
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Nil
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Universal Trial Number (UTN)
U1111-1128-2813
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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:
Pain post sternotomy
285883
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Condition category
Condition code
Cardiovascular
286073
286073
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0
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Other cardiovascular diseases
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Surgery
286074
286074
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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
Standard care is to protect the sternotomy wound with the hands cross in front of the chest with a pillow.
From day 2-5 post-operatively all patients in the study are asked to rate the sternotomy pain with the following 2 manoeuvres.
first 3 deep breaths and subsequent coughs with the cross-chest method (support/compression of the sternotomy wound with crossed hands in front of the chest with a pillow) vs 3 deep breaths and subsequent coughs with the "self-hug" method (arms across the chest pulling together the shoulder and shoulder blade pulling with the hands on either side.
This is done once in the morning and once in the afternoon. In the afternoon the order is reversed with the "self-hug" method first followed by the cross-chest method.
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Intervention code [1]
284303
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Treatment: Other
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Comparator / control treatment
Sternotomy patients receiving standard care supporting the sternotomy wound with the cross-chest method as described under Description of intervention.
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Control group
Active
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Outcomes
Primary outcome [1]
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Reduced pain with activity (deep breath and coughing) in about 50% of the patients.
Pain is assess on a numerical scale 1-10.
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Assessment method [1]
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Timepoint [1]
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From day 2 to 5 post-operatively the pain, on 3 deep breaths and subsequent coughs, will be assess once in the morning and once in the afternoon.
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Secondary outcome [1]
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Nil
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Assessment method [1]
296704
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Timepoint [1]
296704
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Nil
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Eligibility
Key inclusion criteria
All adult patients undergoing a cardiac procedure needing a sternotomy
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Minimum age
20
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
ICU stay longer than 2 days,
Return to theatre and/or re-do sternotomies,
Post-operative confusion
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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)
All coming patient for cardiac surgery needing a sternotomy will be asked to partake in the study untill 40 patients are enrolled.
Each patient will be asked to perform and give a pain score (numerical) with the cross-chest and self-hug method.
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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
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Type of endpoint/s
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
27/03/2012
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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
40
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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]
284959
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Hospital
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Name [1]
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Sir Charles Gairdner Hospital
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Address [1]
284959
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Hospital Ave
Nedlands
WA6009
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Country [1]
284959
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Australia
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Primary sponsor type
Hospital
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Name
Sir Charles Gairdner Hospital
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Address
Hospital Ave
Nedlands
WA6009
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Country
Australia
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Secondary sponsor category [1]
283829
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None
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Name [1]
283829
0
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Address [1]
283829
0
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Country [1]
283829
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
286968
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Sir Charles Gairdner Hospital Human Research Ethics Committee
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Ethics committee address [1]
286968
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Hospital Avenue Nedlands WA6009
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Ethics committee country [1]
286968
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Australia
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Date submitted for ethics approval [1]
286968
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25/11/2011
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Approval date [1]
286968
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21/01/2012
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Ethics approval number [1]
286968
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2011-120
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Summary
Brief summary
A sternotomy (cut through the breastbone) for heart surgery is associated with some pain. The pain can be increased with activities like mobilisation but also deep breathing and coughing. We intend to assess whether the pain is less with self-hugging the chest (arms around the shoulder pulling them together) compared to the standard method of compression of the chest with the hands crossed over a pillow in front of the chest.
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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
33798
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Phone
33798
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Fax
33798
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Email
33798
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Contact person for public queries
Name
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L Sanders
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Address
17045
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Sir Charles Gairdner Hospital
Hospital Avenue
Nedlands
WA6009
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Country
17045
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Australia
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Phone
17045
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+61 8 9346 3333
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Fax
17045
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Email
17045
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[email protected]
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Contact person for scientific queries
Name
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L Sanders
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Address
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Sir Charles Gairdner Hospital
Hospital Avenue
Nedlands
WA6009
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Country
7973
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Australia
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Phone
7973
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+61 8 9346 3333
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Fax
7973
0
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Email
7973
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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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