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Trial registered on ANZCTR
Registration number
ACTRN12618000451202
Ethics application status
Approved
Date submitted
21/02/2018
Date registered
28/03/2018
Date last updated
28/03/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Predictors of clinical outcomes in patients admitted with influenza and whether troponin levels during hospital admission predicts clinical outcomes in patients with influenza?
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Scientific title
Predictors of clinical outcomes in patients admitted with influenza and whether troponin levels during hospital admission predicts clinical outcomes in patients with influenza?
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Secondary ID [1]
293716
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None
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Universal Trial Number (UTN)
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Trial acronym
None
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Linked study record
None
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Health condition
Health condition(s) or problem(s) studied:
Influenza
306725
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myocarditis
306726
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myocardial infarction
306727
0
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pneumonia
306728
0
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Condition category
Condition code
Respiratory
305826
305826
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0
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Other respiratory disorders / diseases
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Infection
305827
305827
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0
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Other infectious diseases
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Cardiovascular
305828
305828
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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
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
This study will determine the factors which are associated with adverse clinical outcomes in patients who are hospitalised due to seasonal influenza and will study association of troponin levels with clinical outcomes in patients with influenza. The troponin levels done at any time during the index admission will be assessed. The clinical outcomes observed will include length of hospital stay (LOS),in-hospital mortality, complications during index admission and number of readmissions within one and six months of hospital discharge.
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Intervention code [1]
300403
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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]
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in-hospital mortality assessed by review of hospital records.
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Assessment method [1]
304885
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Timepoint [1]
304885
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during period of hospital admission
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Primary outcome [2]
305037
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length of hospital stay as determined by review of hospital records
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Assessment method [2]
305037
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Timepoint [2]
305037
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assessed during the period of hospitalisation
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Secondary outcome [1]
343479
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number of hospital readmissions determined using hospital records
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Assessment method [1]
343479
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Timepoint [1]
343479
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within one month of hospital discharge after index admission
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Secondary outcome [2]
343966
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number of readmissions determined using hospital records
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Assessment method [2]
343966
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Timepoint [2]
343966
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within six months of hospital discharge from index admission
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Secondary outcome [3]
344783
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number of complications e.g nosocomial infections determined using medical records
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Assessment method [3]
344783
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Timepoint [3]
344783
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during period of hospital admission
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Eligibility
Key inclusion criteria
All patients greater than or equal to 18 years of age who have confirmed influenza.
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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
All gynecologic and surgical admissions
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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
Retrospective
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Statistical methods / analysis
Values will be presented as mean (standard deviation) or median (interquartile range) for
continuous variables and as number (percentage) for categorical variables where
appropriate. Student’s t test or MannWhitney test will be used to compare continuous
variables while Chi2 or Fisher’s exact test will test categorical variables as
appropriate. Multivariate logistic regression will be used to determine whether troponin
elevation during hospital admission predicts length of hospital stay, mortality,
complications during hospital admission or readmissions within one month or within 6
months following discharge after adjusting for confounders including age, gender, Charlson
index and preexistingcardiovascular disease.
Kaplan-Meier survival curves will be plotted and Log rank test will be used to determine
differences in survival according to troponin elevation during admission. All tests of
significance will be two-tailed and a p < 0.05 will be considered as statistically
significant.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
31/03/2018
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Actual
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Date of last participant enrolment
Anticipated
30/06/2018
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Actual
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Date of last data collection
Anticipated
31/12/2018
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Actual
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Sample size
Target
500
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
SA
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Recruitment hospital [1]
10083
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Flinders Medical Centre - Bedford Park
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Recruitment hospital [2]
10084
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The Royal Adelaide Hospital - Adelaide
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Recruitment postcode(s) [1]
21609
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5042 - Bedford Park
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Recruitment postcode(s) [2]
21610
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5000 - Adelaide
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Recruitment postcode(s) [3]
21611
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5042 - Flinders University
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Recruitment postcode(s) [4]
21612
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5000 - Adelaide Bc
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Funding & Sponsors
Funding source category [1]
298334
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Hospital
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Name [1]
298334
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Flinders Medical Centre
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Address [1]
298334
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Flinders Medical Centre, Flinders Drive Bedford Park South Australia 5042
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Country [1]
298334
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Australia
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Primary sponsor type
Hospital
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Name
Flinders Medical Centre
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Address
Flinders Drive Bedford Park South Australia 5042
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Country
Australia
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Secondary sponsor category [1]
297449
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None
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Name [1]
297449
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Address [1]
297449
0
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Country [1]
297449
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
299325
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Southern Adelaide Clinical Human Research Ethics Committee (SAC HREC)
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Ethics committee address [1]
299325
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Office for Research Flinders Medical Centre Flinders Drive Bedford Park SA 5042
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Ethics committee country [1]
299325
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Australia
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Date submitted for ethics approval [1]
299325
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20/10/2017
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Approval date [1]
299325
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22/11/2017
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Ethics approval number [1]
299325
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285.17
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Summary
Brief summary
Seasonal influenza is responsible for significant morbidity and mortality around the world. It may result in 200,000 to 500,00 deaths per year and numbers can be higher during pandemics. The frequency of myocardial involvement in influenza is variable with rates up to 10% having being reported in literature and depends upon the methods used to detect myocardial involvement. It is unclear how common asymptomatic cardiac involvement of influenza is although it has been reported as anywhere from 0 to 53% of cases. Although influenza is known to be associated with adverse cardiovascular outcomes but limited studies have studied relationship between troponin levels during hospital admission and clinical outcomes and it is unknown whether increased troponin levels can be used to predict clinical outcomes in these patients. The primary objective of this study will be to determine variables associated with adverse clinical outcomes in hospitalized patient admitted with influenza and other objective will be to determine whether troponin levels during admission correlates with length of hospital stay, complications during hospital admission and readmissions within 1 month and 6 months following discharge. This study will involve only retrospective collection of data of all confirmed cases of influenza admitted in Flinders Medical Centre and Royal Adelaide Hospital between January 2014 and October 2017. The anticipated benefits are possibility of finding new variables, which can predict clinical outcomes in patients admitted with influenza and thus may help in directing strategies to high-risk patients in 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
80062
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Dr Yogesh Sharma
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Address
80062
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Department of General Medicine
Flinders Medical Centre
Flinders Drive
Bedford Park
South Australia 5042
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Country
80062
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Australia
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Phone
80062
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+61882046694
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Fax
80062
0
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Email
80062
0
[email protected]
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Contact person for public queries
Name
80063
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Yogesh Sharma
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Address
80063
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Department of General Medicine
Flinders Medical Centre
Flinders Drive
Bedford Park
South Australia 5042
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Country
80063
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Australia
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Phone
80063
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+61882046694
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Fax
80063
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Email
80063
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[email protected]
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Contact person for scientific queries
Name
80064
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Yogesh Sharma
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Address
80064
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Department of General Medicine
Flinders Medical Centre
Flinders Drive
Bedford Park
South Australia 5042
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Country
80064
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Australia
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Phone
80064
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+61882046694
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Fax
80064
0
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Email
80064
0
[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
Type
Is Peer Reviewed?
DOI
Citations or Other Details
Attachment
Basic results
No
374251-(Uploaded-20-11-2020-11-49-11)-Basic results summary.docx
Plain language summary
No
This study recruited 1846 patients over four influ...
[
More Details
]
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Clinical characteristics and outcomes of influenza A and B virus infection in adult Australian hospitalised patients.
2020
https://dx.doi.org/10.1186/s12879-020-05670-8
Embase
Prognostic impact of high sensitive troponin in predicting 30-day mortality among patients admitted to hospital with influenza.
2021
https://dx.doi.org/10.1016/j.ijcha.2020.100682
N.B. These documents automatically identified may not have been verified by the study sponsor.
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