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Trial registered on ANZCTR
Registration number
ACTRN12616000448448
Ethics application status
Approved
Date submitted
27/05/2015
Date registered
6/04/2016
Date last updated
6/04/2016
Type of registration
Retrospectively registered
Titles & IDs
Public title
An observation of perioperative temperature changes in patients undergoing surgery for femur neck fracture
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Scientific title
An observation of perioperative temperature changes in patients undergoing surgery for femur neck fracture
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Secondary ID [1]
286478
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Nil
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Universal Trial Number (UTN)
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Trial acronym
Nil
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Hypothermia
294665
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Condition category
Condition code
Surgery
294967
294967
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0
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Other surgery
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Anaesthesiology
294968
294968
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0
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Other anaesthesiology
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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
Around 80 adult patients undergoing surgery for fractured neck of femur during the 3 month study period will be chosen for. observation. They will have their temperature measured by tympanic thermometer at different time points from their arrival at operating theatre until they reach the post anaesthesia care unit following their surgery. The temperatures will be measured in the holding bay, operating theatre and in the post anaesthesia care unit. Temperatures on arrival and departure from each station will be recorded along with details of patient, surgery and anaesthesia as per the audit form. The warming methods currently practised in the operating theatre will not be interfered with. A note will be made of the warming measures utilized perioperatively. Length of stay in the recovery room will be recorded. Tympanic thermometer will be used for the study.
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Intervention code [1]
291564
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Not applicable
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Comparator / control treatment
Not applicable
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Temperature measured during different time points by the use of tympanic thermometer
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Assessment method [1]
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Timepoint [1]
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At different time points: in the theatre holding bay, during the procedure in the operating theatre, in the recovery room, namely on arrival at holding bay, before induction of anaesthesia, every 30 minutes until departure from operating room, arrival at recovery room and 30 minutes thereafter until departure to ward
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Secondary outcome [1]
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Prevalence of hypothermia in the target population assessed with tympanic thermometer
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Assessment method [1]
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Timepoint [1]
313930
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Various time points through the procedure, namely in the theatre holding bay, during the procedure in the operating theatre, in the recovery room, namely on arrival at holding bay, before induction of anaesthesia, every 30 minutes until departure from operating room, arrival at recovery room and 30 minutes thereafter until departure to ward
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Secondary outcome [2]
313931
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Postoperative length of stay in the recovery room as assessed by review of medical records
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Assessment method [2]
313931
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Timepoint [2]
313931
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Recovery room stay following surgery
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Eligibility
Key inclusion criteria
All adult patients undergoing surgery for fractured neck of femur.
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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
Nil
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Study design
Purpose
Screening
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
For hypothermic subjects, a temperature difference of 0.2 degree celsius between any time point is considered clinically significant. Hypothermia is defined as temperature < 36 degree Celsius. Prevalence of hypothermia will be calculated at different time points based on the formula: (n with hypothermia/sample n) x 100%.
Sample size was estimated based on expected medium effect size (0.5), using Cohen’s convention values. An a level of 0.05 was selected, with a power level of 0.80. Based on the subjects acting as their own controls, these values determined the sample size estimate of n = 63. With 20% loss, the number of patients recruited is planned be 75.
Data analysis will be performed using SPSS (version 21) and will use descriptive statistics to summarise demographic and baseline patient characteristics of the sample. Continuous variables (i.e. time-based temperatures) will be summarised with means, standard deviations, with confidence intervals set at 95%. Within group differences will be examined using parametric tests of difference (T-test, ANOVA; provided distribution assumptions are met) i.e. mean differences in outcome measures (temperature) between groups at different time points. Repeated measures ANOVA will be used to investigate differences (in temperature) over time. Differences in length of stay in the recovery room will be examined using t-test, to compare differences at different temperature-change cut-off points. Significance will be set at p < 0.05.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
24/12/2013
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Date of last participant enrolment
Anticipated
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Actual
15/07/2014
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
75
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Accrual to date
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Final
87
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
3657
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The Prince Charles Hospital - Chermside
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Recruitment postcode(s) [1]
9489
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4032 - Chermside
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Funding & Sponsors
Funding source category [1]
291042
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Self funded/Unfunded
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Name [1]
291042
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Address [1]
291042
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Country [1]
291042
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Primary sponsor type
Individual
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Name
Dr.Usha Gurunathan
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Address
The Prince Charles HOspital, Rode Road,Chermside, QLD 4032
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Country
Australia
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Secondary sponsor category [1]
289725
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None
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Name [1]
289725
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Address [1]
289725
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Country [1]
289725
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
292626
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Human Research Ethics Committee, Metro North Hospital and Health SErvice
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Ethics committee address [1]
292626
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The Prince Charles Hospital, Rode Road, Chermside, QLD 4032
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Ethics committee country [1]
292626
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Australia
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Date submitted for ethics approval [1]
292626
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Approval date [1]
292626
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30/09/2013
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Ethics approval number [1]
292626
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HREC/13/QPCH/247
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Summary
Brief summary
Unintended perioperative hypothermia, defined as a core body temperature less than 36 degree celsius is not uncommon in elderly surgical patient. In the operating theatre, a combination of altered thermoregulatory mechanisms induced by anaesthesia and cooler ambient temperatures cause a decrease in core temperature.Unintended perioperative hypothermia can result in increased complications such increased surgical site infection, adverse cardiovascular events, delayed recovery from anaesthesia, increased surgical bleeding, impaired immune function, prolonged recovery room stay and hospitalization and increased costs. Different modalities of warming patients have been suggested such as forced air warmers or Bair Huggers, warming intravenous fluids, pre-warming patients from 30 minutes before surgery, warmed cotton blankets, but on many occasions, they have not been very effectively used resulting in unintended hypothermia. Elderly patients are more prone to hypothermia because of increase in frailty, comorbidities, impaired thermoregulation with age. In the current study, we aim to study the changes to the body temperature in patients undergoing hip fracture surgery through the perioperative course .
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Trial website
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Trial related presentations / publications
No publications yet
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Public notes
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Contacts
Principal investigator
Name
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Dr Usha Gurunathan
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Address
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The Prince Charles Hospital, Rode Road, Chermside, Queensland- 4032
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Country
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Australia
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Phone
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+61 7 3139 4000
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Fax
42254
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Email
42254
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[email protected]
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Contact person for public queries
Name
42255
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Usha Gurunathan
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Address
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The Prince Charles Hospital, Rode Road Chermside, Queensland - 4032
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Country
42255
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Australia
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Phone
42255
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+61 7 3139 4000
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Fax
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Email
42255
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[email protected]
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Contact person for scientific queries
Name
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Usha Gurunathan
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Address
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The Prince Charles Hospital, Rode Road, Chermside, Queensland,4032
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Country
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Australia
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Phone
42256
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+61 7 3139 4000
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Fax
42256
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Email
42256
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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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