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Trial registered on ANZCTR
Registration number
ACTRN12607000308493
Ethics application status
Approved
Date submitted
11/05/2007
Date registered
13/06/2007
Date last updated
13/06/2007
Type of registration
Prospectively registered
Titles & IDs
Public title
Older adults with wounds: identifying nutritional risk, the magnitude of the problem and dietary factors influencing healing.
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Scientific title
Older adults with wounds: using assessment tools to identify nutritional risk, the magnitude of the problem and dietary factors influencing healing.
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Universal Trial Number (UTN)
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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:
Wound healing and nutritional status in Older Adults
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Condition category
Condition code
Diet and Nutrition
1944
1944
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0
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Other injuries and accidents
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Intervention/exposure
Study type
Observational
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Patient registry
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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
Older adult inpatients with wounds at the Repatriation General Hospital (SA) will have their nutritional status assessed using the Mini-Nutritional Assessment (MNA), a validated and reliable nutrition assessment tool. In addition to this, participants will have their body composition measured using a Bioelectrical Impedance Assay (BIA), and their weight and height will be measured using standard protocols. The investigators will interview the participants to obtain information on their nutritional intake to enable comparisons to be made to recommendations for nutrition and wound healing. These measures will be repeated every 5-6 days during their hospital stay, to a maximum of 3 measurement intervals.
Patients with wounds at RGH have their wounds assessed by a registered nurse using standardised hospital-wide protocols. Data will be collected from the nursing documentation to allow the investigators to determine wound healing.
The BIA, MNA and the standardised interview (using the multiple replicate 24hr recall) are not currently practices of usual care. Currently, patients are assessed on an individual basis by a dietitian using a diet history or record of intake, compared with estimated nutritional requirements.
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Intervention code [1]
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None
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Rate of Wound healing.
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Assessment method [1]
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Timepoint [1]
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Wound size, depth and severity will be assessed on entry into the study and then every 5 days until discharge from the hospital, to a maximum of 3 measurements time points.
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Secondary outcome [1]
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Nutritional status according to MNA score, BIA, body weight.
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Assessment method [1]
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Timepoint [1]
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Each measurement will be collected on entry into the study, and then at 5 day intervals until discharge from hospital, or to a maximum of 3 time intervals.
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Secondary outcome [2]
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Nutritional intake compared with requirements for wound healing
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Assessment method [2]
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Timepoint [2]
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Assessed at study entry and then at 5 day intervals until discharge from hospital or to a maximum of 3 time intervals, and at discharge.
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Eligibility
Key inclusion criteria
All older adults with wounds, who are inpatients within the Repatriation General Hospital.
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Minimum age
65
Years
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Maximum age
Not stated
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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
Palliative/terminal care patients, ICU patients, and patients receiving enteral or parenteral feeding.
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Study design
Purpose
Screening
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Duration
Longitudinal
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Selection
Convenience sample
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Timing
Prospective
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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
6/08/2007
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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
100
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Accrual to date
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Final
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Flinders University
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Address [1]
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Country [1]
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Australia
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Funding source category [2]
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Hospital
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Name [2]
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Repatriation General Hospital
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Address [2]
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Country [2]
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Australia
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Primary sponsor type
Individual
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Name
Jolene Thomas
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Address
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Country
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Secondary sponsor category [1]
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Individual
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Name [1]
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Dr Michelle Miller
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Repatriation General Hospital Research and Ethics Committee-Repatriation General Hospital
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Ethics committee address [1]
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
3877
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Approval date [1]
3877
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24/04/2007
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Ethics approval number [1]
3877
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protocol 14/07
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Summary
Brief summary
The main aim of this study is to identify nutritional issues that may impact nutritional status and on the healing on lower limb wounds or pressure ulcers in an inpatient population of Older Adults. A range of assessment methods will be utilised at designated time points during the participants' hospital admission. It is currently hypothesized that this group of patients are at an increased risk of under nutrition which may impact on the healing of their wounds. The results of this study will allow the investigators to identify the extent of nutritional issues within this group of patients, and some of the factors that may be contributing to undernutrition and poorer wound healing.
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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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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Jolene Thomas
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Address
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Department of Nutrition and Dietetics
Flinders University
GPO Box 2100
Adelaide SA 5001
Street Address:
Block G4
'The Flats'
Flinders University
Bedford Park SA 5041
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Country
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Australia
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Phone
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+61 8 82045863
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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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Jolene Thomas
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Address
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Department of Nutrition and Dietetics
Flinders University
GPO Box 2100
Adelaide SA 5001
Street Address:
Block G4
'The Flats'
Flinders University
Bedford Park SA 5041
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Country
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Australia
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Phone
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+61 8 82045863
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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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