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Trial registered on ANZCTR
Registration number
ACTRN12616000421437
Ethics application status
Approved
Date submitted
15/03/2016
Date registered
1/04/2016
Date last updated
1/04/2016
Type of registration
Retrospectively registered
Titles & IDs
Public title
Troponin levels in patients undergoing spinal surgery:prone versus supine position.
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Scientific title
Prospective controlled cohort study of Troponin I levels in patients undergoing spinal surgery: Prone versus supine position
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Secondary ID [1]
288753
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Nil Known
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Universal Trial Number (UTN)
U1111-1180-7648
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Trial acronym
TropoSS
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
troponin elevation
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degenerative spine disorders undergoing a spinal surgical procedure
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Condition category
Condition code
Surgery
298153
298153
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0
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Other surgery
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Cardiovascular
298154
298154
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0
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Other cardiovascular diseases
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Intervention/exposure
Study type
Observational
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Patient registry
True
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Target follow-up duration
one
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Target follow-up type
Months
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Description of intervention(s) / exposure
Exposure is undergoing spinal surgery in the prone position for the duration of the operation, with blood samples taken up to 24 hours following surgery. Review of state-wide medical records at 30 days post surgery.
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Intervention code [1]
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Not applicable
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Comparator / control treatment
Supine spinal surgical position
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Control group
Active
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Outcomes
Primary outcome [1]
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serum troponin I level
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Assessment method [1]
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Timepoint [1]
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Measurement taken prior to surgery, between zero and eight hours after surgery depending on clinician availability and between eight and twenty-four hours following surgery depending on clinician availability.
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Secondary outcome [1]
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Mortality
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Assessment method [1]
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Timepoint [1]
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Thirty-days post surgery
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Secondary outcome [2]
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Any presentation to any public hospital with suspicion of a cardiovascular complaint. i.e requiring investigation with serum Troponin I levels, electrocardiogram and/or coronary angiogram. As identified on electronic medical record review.
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Assessment method [2]
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Timepoint [2]
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thirty-days post surgery
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Eligibility
Key inclusion criteria
All adult patients undergoing elective spinal surgery for degenerative conditions
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Males
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Can healthy volunteers participate?
No
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Key exclusion criteria
Paediatric population, oncologic surgery, emergency surgery
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Study design
Purpose
Screening
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Duration
Longitudinal
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Selection
Defined population
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Timing
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
5/04/2013
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Date of last participant enrolment
Anticipated
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Actual
20/11/2015
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
90
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Accrual to date
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Final
91
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
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The Townsville Hospital - Douglas
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Recruitment postcode(s) [1]
12916
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4814 - Douglas
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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The Townsville Hospital
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Address [1]
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100 Angus Smith Drive
Douglas
Queensland
4814
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
The Townsville Hospital Neurosurgical Department
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Address
100 Angus Smith Drive
Douglas
Queensland
4814
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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]
291899
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Townsville hospital and Health Service Human Research Ethics Comittee
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Ethics committee address [1]
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100 Angus Smith Drive Douglas QLD 4814
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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05/07/2012
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Approval date [1]
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23/08/2012
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Ethics approval number [1]
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HREC/12/QTHS/93
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Summary
Brief summary
This is a novel study to determine if patients lying in the prone position for spinal surgery develop evidence of mild cardiac bruising as evidenced by a serial serum Troponin rise and ECG abnormalities We suspect that, after prolonged positioning in the prone position, some patients develop evidence of mild cardiac bruising. If so, we intend to study factors that may be predictive of such cases. If confirmed, our study would indicate that all patients undergoing prone position spinal surgery should be consented for the possibility of developing cardiac bruising. If certain risk factors could be identified and if supine position surgery was also simultaneously indicated, then the risk of cardiac bruising would have to be evaluated in conjunction with other pros and cons of each approach, so that the individual could decide upon the best approach for their spinal surgery: i.e. anterior or posterior approach.
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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 Adam Ian Macfarlane
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Address
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The Townsville Hospital
Department of Neurosurgery
100 Angus Smith Drive
Douglas
QLD
4814
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Country
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Australia
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Phone
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+61744331111
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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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Laurence Marshman
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Address
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The Townsville Hospital
Department of Neurosurgery
100 Angus Smith Drive
Douglas
QLD
4814
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Country
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Australia
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Phone
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+61744331111
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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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Laurence Marshman
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Address
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The Townsville Hospital
Department of Neurosurgery
100 Angus Smith Drive
Douglas
QLD
4814
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Country
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Australia
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Phone
64352
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+61744331111
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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.
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