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Trial registered on ANZCTR
Registration number
ACTRN12616001457437
Ethics application status
Approved
Date submitted
2/10/2016
Date registered
19/10/2016
Date last updated
10/08/2017
Type of registration
Prospectively registered
Titles & IDs
Public title
The demographic factors associated with blood ketone levels in acute care patients.
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Scientific title
An observational study of the demographic factors, blood chemistry and clinical observations associated with blood ketone levels in acute care patients during hospital admission.
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Secondary ID [1]
290178
0
None
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Universal Trial Number (UTN)
U1111-1187-8136
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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:
perioperative nutritional status
300321
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Blood ketone levels
300487
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Condition category
Condition code
Diet and Nutrition
300189
300189
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0
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Other diet and nutrition disorders
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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 single blood ketone level will be measured using a drop of blood discarded during cannulation or incidental to other blood tests during acute inpatient care.
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Intervention code [1]
295938
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Early Detection / Screening
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
299672
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Blood ketone level measured with point of care StatStrip Xpress Meter.
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Assessment method [1]
299672
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Timepoint [1]
299672
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At time of cannualtion or blood sampling for other investigations.
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Secondary outcome [1]
327783
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Nutritional status [Body Mass Index, history of weight loss, fasting time] extracted from the patient's electronic medical record. [compound endpoint].
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Assessment method [1]
327783
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Timepoint [1]
327783
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As near as possible to time of the blood ketone measurement..
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Secondary outcome [2]
327784
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Blood creatinine extracted from the patient's electronic medical record.
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Assessment method [2]
327784
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Timepoint [2]
327784
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As near as possible to the blood ketone measurement.
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Secondary outcome [3]
327785
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Patient demographics listed in the patient electronic medical record. [age, gender, type of admission, ICU care, surgical procedures, length of stay, mode of separation]. [compound endpoint].
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Assessment method [3]
327785
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Timepoint [3]
327785
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On discharge from hospital.
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Secondary outcome [4]
328123
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Comorbidities [diabetes, pregnancy, respiratory support] extracted from the patient's electronic medical record. [compound endpoint].
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Assessment method [4]
328123
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Timepoint [4]
328123
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As near as possible to the blood ketone measurement.
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Secondary outcome [5]
328281
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Blood electrolytes, extracted from the patient's electronic medical record.
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Assessment method [5]
328281
0
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Timepoint [5]
328281
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As near as possible to the blood ketone measurement
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Secondary outcome [6]
328282
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Haemaglobin, white cell count and platelet count extracted from the patient's electronic medical record. [composite outcome]
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Assessment method [6]
328282
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Timepoint [6]
328282
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As near as possible to the blood ketone measurement.
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Secondary outcome [7]
328283
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Blood glucose extracted from the patient's electronic medical record.
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Assessment method [7]
328283
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Timepoint [7]
328283
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As near as possible to the blood ketone measurement.
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Eligibility
Key inclusion criteria
Patients attending hospital for acute inpatient care. They will be a sample of convenience selected from surgical, intensive care and emergency department attendances.
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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
Patients that are not already having blood tests or cannulation.
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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
Using a sample of 500 tests will permit subgroup analysis to identify associations with a range of demographic factors. No hypotheses are being tested so a power analysis is not relevant in this setting. Regression, correlation and multiple logistic regression will be used to assess these associations.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/11/2016
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Actual
14/06/2017
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Date of last participant enrolment
Anticipated
31/12/2019
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Actual
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Date of last data collection
Anticipated
31/12/2019
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Actual
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Sample size
Target
500
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Accrual to date
63
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
6758
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St George Hospital - Kogarah
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Recruitment hospital [2]
6759
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Shoalhaven Hospital - Nowra
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Recruitment postcode(s) [1]
14403
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2217 - Kogarah
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Recruitment postcode(s) [2]
14404
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2541 - Nowra
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Funding & Sponsors
Funding source category [1]
294622
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Hospital
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Name [1]
294622
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St. George Hospital Department of Anaesthesia
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Address [1]
294622
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Gray St. Kogarah NSW 2217
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Country [1]
294622
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Australia
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Primary sponsor type
Hospital
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Name
Department of Anaesthesia - St. George Hospital
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Address
Gray St. Kogarah, NSW 2217
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Country
Australia
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Secondary sponsor category [1]
293484
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None
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Name [1]
293484
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Address [1]
293484
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Country [1]
293484
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
296063
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South Eastern Sydney LHD Human Research Ethics Committee
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Ethics committee address [1]
296063
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POWH, High St. Randwick, NSW, 2031
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Ethics committee country [1]
296063
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Australia
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Date submitted for ethics approval [1]
296063
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04/10/2016
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Approval date [1]
296063
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13/04/2017
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Ethics approval number [1]
296063
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16/097
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Summary
Brief summary
Blood ketone measurement has been used in the treatment of diabetic ketoacidosis for some time. However it also provides a monitor of nutritional status. Ketonaemia [elevated blood ketones] occur when the body switches from glucose to fatty acids as the main metabolic substrate. This occurs in starvation, during illness and also with prolonged perioperative fasting. The aim of this study is to establish the prevalence and associations of ketonaemia in acute care patients. Point of care, single drop, blood analysis [similar to blood sugar testing] provides a simple method of detecting ketonaemia. Making measurements on discarded blood during cannulation or routine blood collection and relating the ketone level to factors collected from the electronic medical record [eMR] will enable normal ranges and demographic associations to be established. This observational study will permit use of blood ketone measurement to detect nutritionally vulnerable populations and establish a baseline for studies of specific interventions in the future.
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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
69126
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A/Prof Richard Morris
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Address
69126
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St. George Hospital
Gray St.
Kogarah NSW 2217
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Country
69126
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Australia
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Phone
69126
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+61 2 91132100
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Fax
69126
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Email
69126
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[email protected]
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Contact person for public queries
Name
69127
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Richard Morris
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Address
69127
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St. George Hospital
Gray St.
Kogarah NSW 2217
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Country
69127
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Australia
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Phone
69127
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+61 2 91132100
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Fax
69127
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Email
69127
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[email protected]
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Contact person for scientific queries
Name
69128
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Richard Morris
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Address
69128
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St. George Hospital
Gray St.
Kogarah NSW 2217
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Country
69128
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Australia
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Phone
69128
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+61 2 91132100
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Fax
69128
0
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Email
69128
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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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