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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00112398
Registration number
NCT00112398
Ethics application status
Date submitted
2/06/2005
Date registered
3/06/2005
Date last updated
12/03/2013
Titles & IDs
Public title
Head Injury Retrieval Trial
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Scientific title
Randomised, Controlled Trial of Physician Prehospital Management of Severe Blunt Head Injury
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Secondary ID [1]
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HIRT1
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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:
Head Injuries, Closed
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Condition category
Condition code
Injuries and Accidents
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Other injuries and accidents
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Neurological
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Other neurological disorders
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Skin
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Other skin conditions
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Surgery - Extended interventions by advanced level prehospital providers
Active comparator: Standard (paramedic) prehospital care -
Experimental: Physician prehospital care -
Treatment: Surgery: Extended interventions by advanced level prehospital providers
may include rapid sequence intubation (RSI) airway management, blood transfusions, surgical procedures, etc.
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Intervention code [1]
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Treatment: Surgery
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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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Glasgow Outcome Scale Score
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Assessment method [1]
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Timepoint [1]
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Six months post injury
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Secondary outcome [1]
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Length of hospital and intensive care unit stays
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Assessment method [1]
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Timepoint [1]
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At hospital discharge
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Secondary outcome [2]
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30 day survival and survival to discharge from the acute care hospital
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Assessment method [2]
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Timepoint [2]
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At hospital discharge and 30 days
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Secondary outcome [3]
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Extended Glasgow Outcome Scale Score
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Assessment method [3]
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Timepoint [3]
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Six months post injury
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Secondary outcome [4]
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Disability Rating scale
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Assessment method [4]
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Timepoint [4]
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Six months post injury
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Eligibility
Key inclusion criteria
* Glasgow Coma Scale score of 3 to 8 due to blunt trauma as measured at the accident scene by the first prehospital team to arrive at the site.
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Minimum age
16
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
* Penetrating trauma
* Age less than 16 years
* No more than 5 casualties at the scene
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
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Intervention assignment
Parallel
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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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
1/05/2005
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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
1/09/2011
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Sample size
Target
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Accrual to date
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Final
338
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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CareFlight, PO Box 159 - Sydney
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Recruitment postcode(s) [1]
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2145 - Sydney
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Funding & Sponsors
Primary sponsor type
Other
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Name
CareFlight
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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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NSW Motor Accident Authority
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
The study hypothesis is that advanced interventions as provided by a physician at an accident scene will decrease the death rate and the rate of severe disability in survivors of severe head injury. Extended interventions by advanced level prehospital providers may include rapid sequence intubation (RSI) airway management, blood transfusions, surgical procedures, etc.
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Trial website
https://clinicaltrials.gov/study/NCT00112398
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Trial related presentations / publications
Garner AA, Mann KP, Fearnside M, Poynter E, Gebski V. The Head Injury Retrieval Trial (HIRT): a single-centre randomised controlled trial of physician prehospital management of severe blunt head injury compared with management by paramedics only. Emerg Med J. 2015 Nov;32(11):869-75. doi: 10.1136/emermed-2014-204390. Epub 2015 Mar 20. Garner AA, Fearnside M, Gebski V. The study protocol for the Head Injury Retrieval Trial (HIRT): a single centre randomised controlled trial of physician prehospital management of severe blunt head injury compared with management by paramedics. Scand J Trauma Resusc Emerg Med. 2013 Sep 14;21:69. doi: 10.1186/1757-7241-21-69.
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Public notes
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Contacts
Principal investigator
Name
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Alan A Garner, FACEM
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Address
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CareFlight
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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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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 scientific queries
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
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT00112398
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