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Trial registered on ANZCTR
Registration number
ACTRN12612000691842
Ethics application status
Approved
Date submitted
6/06/2012
Date registered
27/06/2012
Date last updated
27/06/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
Dynamic changes in clot formation using Thromboelastometry after reinfusion of unwashed cell salvaged whole blood in total hip arthroplasty: a pilot study
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Scientific title
Dynamic changes in clot formation using Thromboelastometry after reinfusion of unwashed cell salvaged whole blood in total hip arthroplasty
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Secondary ID [1]
280632
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nil
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Universal Trial Number (UTN)
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Trial acronym
nil
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
shed blood
286644
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reinfusion
286794
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clot formation
286796
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coagulopathy
286797
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Condition category
Condition code
Blood
286928
286928
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0
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Clotting disorders
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Surgery
287105
287105
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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
to evaluate if the reinfusion of cellsalvaged whole blood will impact on coagulation observed in standard laboratory testing and/or thrombelasometry. A minimum of 300ml blood is collected during hip replacement surgery using the SANGVIA cell saver system, filtered and then reinfused immediately post-operatively
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Intervention code [1]
285028
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Treatment: Other
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Intervention code [2]
285172
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Treatment: Surgery
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Comparator / control treatment
nil
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
287283
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standard coagulation test (INR/aPPT) and assessed using point of care device, "ROTEM".thrombelastometry in addition to cytokine analysis of the collected blood
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Assessment method [1]
287283
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Timepoint [1]
287283
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outcome assessed at one time point within 1 hour of postoperative reinfusion of intraoperative cellsalvaged blood
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Secondary outcome [1]
297820
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haemoglobin post op
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Assessment method [1]
297820
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Timepoint [1]
297820
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post op day one or two
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Secondary outcome [2]
298121
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haemoglobin at discharge
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Assessment method [2]
298121
0
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Timepoint [2]
298121
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Hb closest to discharge
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Secondary outcome [3]
298122
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allogeneic transfusion of red blood cells
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Assessment method [3]
298122
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Timepoint [3]
298122
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this hospital stay
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Secondary outcome [4]
298123
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cytokines in salvaged blood before reinfusion
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Assessment method [4]
298123
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Timepoint [4]
298123
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analysed post completion
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Eligibility
Key inclusion criteria
primary hip replacement
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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
contraindication to reinfusion of shed blood, pateint refusal,
pre-existing coagulopathy
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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)
consented patients for primary hip arthroplasty
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
NA
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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
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
8/06/2011
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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
25
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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]
285397
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Commercial sector/Industry
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Name [1]
285397
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Astra Tech AB
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Address [1]
285397
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PO Box 14
SE-431 21
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Country [1]
285397
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Sweden
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Funding source category [2]
285398
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Government body
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Name [2]
285398
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BloodSafe
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Address [2]
285398
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301 Pirie Street
Adelaide
South Australia
5000
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Country [2]
285398
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Australia
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Funding source category [3]
285399
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Commercial sector/Industry
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Name [3]
285399
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HaemoVIEW Diagnostics Pty Ltd
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Address [3]
285399
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HaemoVIEW Diagnostics Pty Ltd
73 Osna Place
Pullenvale
Brisbane 4069
Queensland
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Country [3]
285399
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Australia
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Primary sponsor type
Commercial sector/Industry
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Name
Astra Tech AB
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Address
PO Box 14
SE-431 21
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Country
Sweden
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Secondary sponsor category [1]
284250
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Commercial sector/Industry
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Name [1]
284250
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HaemoVIEW Diagnostics Pty Ltd
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Address [1]
284250
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HaemoVIEW Diagnostics Pty Ltd
73 Osna Place
Pullenvale
Brisbane 4069
Queensland
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Country [1]
284250
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Australia
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Secondary sponsor category [2]
284251
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Government body
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Name [2]
284251
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BloodSafe
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Address [2]
284251
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301 Pirie Street
Adelaide
South Australia
5000
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Country [2]
284251
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
287412
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ETHICS OF HUMAN RESEARCH COMMITTEE (TQEH & LMH)
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Ethics committee address [1]
287412
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Executive Officer, Human Research Ethics Committee The Queen Elizabeth Hospital, Lyell McEwin Hospital & Modbury Hospital Adelaide Health Service Ground Floor, Basil Hetzel Institute for Medical Research, The Queen Elizabeth Hospital, 28 Woodville Road, Woodville South SA 5011
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Ethics committee country [1]
287412
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Australia
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Date submitted for ethics approval [1]
287412
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Approval date [1]
287412
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03/06/2011
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Ethics approval number [1]
287412
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NA
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Summary
Brief summary
A pilot study: As part of our standard care, in line with a comprehensive blood management approach, patients presenting for primary hip arthroplasty are offered intra-operative cell salvage. One type of cell saver used is the SANGVIA system. Blood is collected during surgery, filtered and can be reinfused post-operatively. This is a relatively new technology and there is some controversy around the efficacy, safety and potential adverse effects of the reinfusion. This includes some concern whether a coagulopathy might be induced by reinfusion through various mechamisms. of cytokines. A "point of care device" "ROTEM" is well established in clinical medicine. It is comprehensive diagnostic system coagulation management. We would like to assess the patients' clotting profile before incision and the potential impact of reinfusion of the salvaged blood at the end of the operation. This will be conducted with ROTEM , testing for ex-TEM S (screening extrinsic clotting pathway & platelet contribution to clot formation), in-TEM S (screening intrinsic clotting pathway & platelet contribution to clot formation)compared to standard Lab testing (INR, aPTT). A small sample volume of the shed blood is collected and analyed for haemoglobin and platelets to assess the quality and composition of the blood. In addition a 2nd sample is frozen which will be analyzed after completion of the study to assess the presence and levels of imflammatory mediators.
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Trial website
nil
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
34279
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Address
34279
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Country
34279
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Phone
34279
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Fax
34279
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Email
34279
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Contact person for public queries
Name
17526
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Dr Bernd Froessler
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Address
17526
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Dept of Anaesthesia
Lyell McEwin Hospital
Haydown Rd
Elizabeth Vale SA 5112
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Country
17526
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Australia
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Phone
17526
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+61881829806
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Fax
17526
0
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Email
17526
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[email protected]
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Contact person for scientific queries
Name
8454
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Dr Bernd Froessler
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Address
8454
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Dept of Anaesthesia
Lyell McEwin Hospital
Haydown Rd
Elizabeth Vale SA 5112
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Country
8454
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Australia
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Phone
8454
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+61881829806
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Fax
8454
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Email
8454
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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
Dynamic changes in clot formation determined using thromboelastometry after reinfusion of unwashed anticoagulated cell-salvaged whole blood in total hip arthroplasty.
2015
https://dx.doi.org/10.2450/2015.0311-14
N.B. These documents automatically identified may not have been verified by the study sponsor.
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