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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05836285
Registration number
NCT05836285
Ethics application status
Date submitted
18/04/2023
Date registered
1/05/2023
Titles & IDs
Public title
The ARRC III Trial of Advanced Recovery Room Care (ARRC).
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Scientific title
The ARRC III Trial of Advanced Recovery Room Care (ARRC).
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Secondary ID [1]
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17557
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Universal Trial Number (UTN)
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Trial acronym
ARRCIII
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Post-Surgical Complication
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0
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Economic Problems
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0
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Condition category
Condition code
Intervention/exposure
Study type
Observational [Patient Registry]
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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
Other interventions - ARRC
Other interventions - Usual Care
Medium risk patients undergoing surgery - Patients undergoing surgery designated as medium risk using NSQIP risk scores
Other interventions: ARRC
Eligible for ARRC and managed in ARRC unit
Other interventions: Usual Care
Eligible for ARRC but managed elsewhere as no ARRC bed available
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Intervention code [1]
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Other interventions
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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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Days at Home after surgery
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Assessment method [1]
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number of days spent at usual place of residence within 90 days after surgery
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Timepoint [1]
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90 days after surgery
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Secondary outcome [1]
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in-hospital complications
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Assessment method [1]
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medical emergency response level complications
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Timepoint [1]
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out to 10 days after surgery
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Secondary outcome [2]
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mortality
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Assessment method [2]
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mortality out to 1 year after surgery
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Timepoint [2]
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12 months after surgery
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Secondary outcome [3]
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cost-effectiveness
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Assessment method [3]
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cost per Day at Home improvement compared to usual care - Incremental cost-effectiveness ratio
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Timepoint [3]
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90 days after surgery
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Eligibility
Key inclusion criteria
* Scheduled for elective or unplanned surgery
* Scheduled to stay in hospital at least one night after surgery
* 30-day mortality of 0.5% to 8% by the US National Safety and Quality Improvement Program risk score (NSQIP)
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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
* Undergoing cardiac surgery
* Scheduled for postoperative Intensive Care Unit management
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Study design
Purpose
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Duration
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Selection
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
18/04/2023
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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
1/12/2025
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Actual
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Sample size
Target
3000
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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]
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Royal Adelaide Hospital - Adelaide
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Recruitment postcode(s) [1]
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5000 - Adelaide
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Funding & Sponsors
Primary sponsor type
Other
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Name
University of Adelaide
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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Royal Adelaide Hospital
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Address [1]
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Country [1]
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0
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Ethics approval
Ethics application status
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Summary
Brief summary
A postoperative high-acuity model of care (ARRC) has been shown, in a prospective cohort study of approximately 850 patients, to produce a marked improvement in patient and hospital outcomes, and hospital costs, in medium risk patients (Ludbrook G et al., JAMA Surgery 2023). The goal of this observational study is to examine the outcomes after non-cardiac surgery of a larger group of medium risk patients receiving different forms of care -ARRC and usual ward care. The main questions it aims to answer are: what are the outcomes for patients and hospital after the different forms of care, who receives benefit from high acuity care, what underlies the improved outcomes seen with high acuity care.
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Trial website
https://clinicaltrials.gov/study/NCT05836285
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Trial related presentations / publications
Ludbrook G, Lloyd C, Story D, Maddern G, Riedel B, Richardson I, Scott D, Louise J, Edwards S. The effect of advanced recovery room care on postoperative outcomes in moderate-risk surgical patients: a multicentre feasibility study. Anaesthesia. 2021 Apr;76(4):480-488. doi: 10.1111/anae.15260. Epub 2020 Oct 7.
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Public notes
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Contacts
Principal investigator
Name
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Guy Ludbrook, MBBS PhD
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Address
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Professor of Anaesthesia
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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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Guy L Ludbrook, MBBS PhD
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Address
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Country
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Phone
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+61 413817901
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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
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Undecided
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No/undecided IPD sharing reason/comment
Data may be available to other researchers on request
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Type
Citations or Other Details
Journal
Ludbrook G, Lloyd C, Story D, Maddern G, Riedel B,...
[
More Details
]
Results not provided in
https://clinicaltrials.gov/study/NCT05836285