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Trial registered on ANZCTR
Registration number
ACTRN12616000761460
Ethics application status
Approved
Date submitted
16/02/2016
Date registered
9/06/2016
Date last updated
16/06/2017
Type of registration
Retrospectively registered
Titles & IDs
Public title
Rotation thromboelastometry (ROTEM 'Registered Trademark') in obstetrics: baseline parameters in normal and complicated pregnancies. A prospective observational study on elective Caesarean patients.
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Scientific title
ROTEM ('Registered Trademark') thromboelastometry in elective Caesarean patients: baseline parameters in normal and complicated pregnancies.
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Secondary ID [1]
288559
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Nil
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Universal Trial Number (UTN)
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Trial acronym
RTC (ROTEM Thromboelastometry in elective Caesarean patients)
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Pregnancy
297674
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Pregnancy-related conditions
297675
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Coagulopathies
297676
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Condition category
Condition code
Reproductive Health and Childbirth
297853
297853
0
0
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Normal pregnancy
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Blood
297854
297854
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0
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Clotting disorders
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Reproductive Health and Childbirth
298992
298992
0
0
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Fetal medicine and complications of pregnancy
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
A 3.5mL (or 7mL if complicated/high-risk for correlation with a coagulation profile) blood sample will be taken to process for a ROTEM profile, at the point of IV cannula insertion pre-operatively. No follow-up with the patient required, but medical records will be reviewed as part of data collection regarding birth outcomes (estimated blood loss, neonatal outcomes).
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Intervention code [1]
293939
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Diagnosis / Prognosis
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Comparator / control treatment
Patients in the normal pregnancy group will act as the comparator.
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Control group
Active
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Outcomes
Primary outcome [1]
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ROTEM profile assessed using whole blood analysis
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Assessment method [1]
297380
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Timepoint [1]
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At the point of IV cannulation pre-operatively
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Primary outcome [2]
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Outcome of delivery (whether there were any complications in relation to the mother or baby) will be assessed by review of medical records.
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Assessment method [2]
298522
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Timepoint [2]
298522
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At the time of delivery (intra-operatively)
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Primary outcome [3]
298532
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Estimated blood loss by review of medical records
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Assessment method [3]
298532
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Timepoint [3]
298532
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At the time of delivery
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Secondary outcome [1]
320885
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Analysis of changesin coagulation as assessed by ROTEM seen in patients with pregnancy complications and coagulopathies
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Assessment method [1]
320885
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Timepoint [1]
320885
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ROTEM will be performed pre-induction of anaesthesia for Caesarean section.
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Eligibility
Key inclusion criteria
Pregnant and of greater than 30 weeks gestation.
Booked for an elective Caesarean section.
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Minimum age
18
Years
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Maximum age
55
Years
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Severe cognitive impairment, severe mental illness, moderate to severe intellectual disability
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Study design
Purpose
Screening
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Duration
Cross-sectional
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Selection
Convenience sample
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Timing
Prospective
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Statistical methods / analysis
Statistical advice has been provided by the Statistics Department of the Queensland Institute of Medical Research. The proposed study period will be 12 months and based on estimates, there will be approximately 100 patients potentially included in the study, at which point we will review our data to assess the need for further extension of this study. Demographic and baseline data will be presented as frequencies/percent for categorical data or means/standard deviations for continuous data. Continuous data will be analysed using analysis of variance (ANOVA), and the chi square test will be applied to categorical data. It is difficult in this setting with the aim of deriving normal baseline values for ROTEM and thus formal power calculations cannot be applied. The statistical advice given was to recruit as many patients as possible over a defined study period.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
1/09/2015
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Date of last participant enrolment
Anticipated
30/09/2016
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Actual
31/12/2016
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Date of last data collection
Anticipated
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Actual
31/03/2017
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Sample size
Target
100
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Accrual to date
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Final
206
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment postcode(s) [1]
12745
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4006 - Bowen Hills
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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The University of Queensland
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Address [1]
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The University of Queensland
School of Medicine, St Lucia, QLD 4067
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Country [1]
292903
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Australia
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Primary sponsor type
Hospital
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Name
The Royal Brisbane and Women's Hospital
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Address
The Royal Brisbane and Women's Hospital
Butterfield St, Herston
QLD 4029
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Country
Australia
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Secondary sponsor category [1]
291649
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None
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Name [1]
291649
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N/A
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Address [1]
291649
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N/A
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Country [1]
291649
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
294403
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Royal Brisbane and Women's Hospital Human Research Ethics Committee
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Ethics committee address [1]
294403
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RBWH Butterfield St Herston QLD 4006
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Ethics committee country [1]
294403
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Australia
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Date submitted for ethics approval [1]
294403
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24/10/2014
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Approval date [1]
294403
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03/12/2014
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Ethics approval number [1]
294403
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HREC/14/QRBW/496
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Summary
Brief summary
Recruitment of parturients will occur at the Royal Brisbane and Women’s Hospital (RBWH). There is increasing use of ROTEM(TM) for point-of-care coagulation monitoring in patients with massive haemorrhage, but there still remains limited data on reference ranges in normal pregnancies and subsequently limited understanding of the effects of complicated pregnancies on ROTEM(TM) interpretation. With the recent implementation of ROTEM(TM) within the RBWH, reference ranges for the obstetric population need to be established to optimise interpretation of derived values.
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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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Dr Julie Lee
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Address
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The Royal Brisbane and Women's Hospital
Department of Anaesthesia and Perioperative Medicine
Level 4, Ned Hanlon Building
Butterfield St
RBWH, Herston QLD 4029
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Country
63614
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Australia
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Phone
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+617 36468111
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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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Julie Lee
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Address
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Department of Anaesthesia and Perioperative Medicine
Level 4, Ned Hanlon Building
The Royal Brisbane and Women's Hospital
Butterfield St
Herston QLD 4029
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Country
63615
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Australia
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Phone
63615
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+617 36468111
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Fax
63615
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Email
63615
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[email protected]
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Contact person for scientific queries
Name
63616
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Julie Lee
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Address
63616
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Department of Anaesthesia and Perioperative Medicine
Level 4, Ned Hanlon Building
The Royal Brisbane and Women's Hospital
Butterfield St
Herston QLD 4006
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Country
63616
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Australia
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Phone
63616
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+61418838821
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Fax
63616
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Email
63616
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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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