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Trial registered on ANZCTR
Registration number
ACTRN12614001242617
Ethics application status
Approved
Date submitted
20/09/2014
Date registered
27/11/2014
Date last updated
27/11/2014
Type of registration
Prospectively registered
Titles & IDs
Public title
Control of hydration in hospital patients using an automated system.
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Scientific title
An automated system for administering intravenous 5% dextrose to control the water balance of hospital patients, as measured by the serum sodium.
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Secondary ID [1]
285375
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None
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Universal Trial Number (UTN)
nil
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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:
Dysnatraemias
293106
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Condition category
Condition code
Metabolic and Endocrine
293379
293379
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0
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Metabolic disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
1. A two-compartment model of the extracellular and intracellular fluids is created using patient anthropometrics and serum laboratory results.
2. The duration of infusion will take place from admission until discharge from the unit.
3. The device has two components. A sensor attached to the urinary collection system and a central processor. These devices communicate to determine a rate of infusion.
4. To ensure adherence, the nurse caring for the patient will monitor the intravenous line as per standard clinical care.
5. The device will administer intravenous 5% dextrose at a variable dose, dependent on the need for water.
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Intervention code [1]
290287
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Treatment: Devices
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Comparator / control treatment
1. Standard care, as defined by the traditional decision making process of the clinician in determining the need for water and the subsequent administration of intravenous 5% dextrose.
2. The control data was obtained for the de-identified medical records of patients in the same unit during the 12 months prior to the study. The controls are historical.
3. In the initial phase of the study no active controls will be allocated to receive standard care.
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Control group
Historical
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Outcomes
Primary outcome [1]
293207
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Control of serum sodium as defined by the convergence of the serum sodium. The target rate of change of serum sodium during correction of derangements is defined as 0.5mmol/L/hour. The target sodium is 140mmol/L.
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Assessment method [1]
293207
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Timepoint [1]
293207
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Serum sodium samples are taken at intervals (approximately 4-6 per day) during the length of stay in intensive care unit
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Secondary outcome [1]
310596
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Precision of control of serum sodium, as defined by a reduction in the variability of the serum sodium as compared to traditional therapy.
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Assessment method [1]
310596
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Timepoint [1]
310596
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Serum sodium samples are taken at intervals (approximately 4-6 per day) during the length of stay in intensive care unit
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Eligibility
Key inclusion criteria
The presence of a catheter and an intravenous cannula. The patient must be admitted to the intensive care unit to be eligible.
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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
Pregnancy
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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
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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
14/12/2014
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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 in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
3005
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Monash Medical Centre - Clayton campus - Clayton
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Funding & Sponsors
Funding source category [1]
289985
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Self funded/Unfunded
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Name [1]
289985
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A/Prof William Geoffrey Parkin
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Address [1]
289985
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Intensive Care Unit, Monash Medical Centre, 246 Clayton Rd, Clayton, 3168 VIC
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Country [1]
289985
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Australia
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Primary sponsor type
Individual
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Name
A/Prof William Geoffrey Parkin
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Address
Intensive Care Unit, Monash Medical Centre, 246 Clayton Rd, Clayton, 3168 VIC
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Country
Australia
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Secondary sponsor category [1]
288670
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None
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Name [1]
288670
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none
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Address [1]
288670
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none
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Country [1]
288670
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
291694
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Monash HREC
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Ethics committee address [1]
291694
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Research Directorate Monash Medical Centre 246 Clayton Rd Clayton VIC 3168
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Ethics committee country [1]
291694
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Australia
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Date submitted for ethics approval [1]
291694
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Approval date [1]
291694
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19/03/2014
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Ethics approval number [1]
291694
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13371A
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Summary
Brief summary
The aim is to develop a method to safely and accurately control the water state of patients in a minimally invasive and reliable fashion. The ultimate goal is to reduce complications of inappropriate fluid administration that result in patient harm. An intermediate step is to develop a model of water balance that can inform clinicians of current water state and hence recommend appropriate rates of intravenous 5% dextrose.
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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
51578
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A/Prof William Geoffrey Parkin
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Address
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Monash Intensive Care Unit
Monash Medical Center
246 Clayton Rd
Clayton
Vic
3168
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Country
51578
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Australia
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Phone
51578
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61 3 95943616
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Fax
51578
0
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Email
51578
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[email protected]
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Contact person for public queries
Name
51579
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William Geoffrey Parkin
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Address
51579
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Monash Intensive Care Unit
Monash Medical Center
246 Clayton Rd
Clayton
Vic
3168
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Country
51579
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Australia
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Phone
51579
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61 3 95943616
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Fax
51579
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Email
51579
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[email protected]
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Contact person for scientific queries
Name
51580
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William Geoffrey Parkin
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Address
51580
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Monash Intensive Care Unit
Monash Medical Center
246 Clayton Rd
Clayton
Vic
3168
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Country
51580
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Australia
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Phone
51580
0
61 3 95943616
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Fax
51580
0
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Email
51580
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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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