Restrictive versus standard fluid regime in patients undergoing elective infrarenal abdominal aortic aneurysm (AAA) repair

ISRCTN ISRCTN27753612
DOI https://doi.org/10.1186/ISRCTN27753612
Secondary identifying numbers RGHT 00372
Submission date
13/12/2006
Registration date
31/03/2009
Last edited
02/09/2009
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Circulatory System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Mr Denis Harkin
Scientific

Royal Victoria Hospital
Grosvenor Road
Belfast
Bt12 6BA
United Kingdom

Study information

Study designPhase II single centre prospective randomised controlled clinical trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleA prospective randomised clinical trial comparing a restrictive with a standard fluid regime in patients undergoing elective infrarenal abdominal aortic aneurysm (AAA) repair
Study objectivesA restrictive fluid regime for elective open infra-renal abdominal aortic aneurysm (AAA) repair will improve clinical outcomes as judged primarily by a reduction in the number of patients with post-operative complications.
Ethics approval(s)Northern Ireland Ethics Committee gave approval on the 8th November 2006 (ref: 06/NIR02/110)
Health condition(s) or problem(s) studiedAbdominal aortic aneurysm
InterventionIn the standard regimen patients will be given standard fluid volume intra-operatively and post-operatively until day 5, consisting of 3 litres per day. However in the restricted group, less fluid will be given intra-operatively and only 2 litres per day until day 5.

Following discharge patients will be reviewed and examined at a vascular outpatient clinic at the 30-day, 3-month and 12-month post-operative stages.
Intervention typeOther
Primary outcome measureThe difference in the number of patients with post-operative complications between the restrictive and standard treated groups.
Secondary outcome measures1. Duration of hospital stay - recorded on discharge
2. Re-admission to Intensive Care Unit (ICU)/High Dependency Unit (HDU) and length of ICU/HDU stay - recorded following discharge from ICU
3. Oxygen saturation/fraction of inspired oxygen (FiO2):partial pressure of oxygen in arterial blood (PaO2) ratio - measured at baseline, and daily until day 5
4. Need for renal replacement therapy/estimated glomerular filtration rate (eGFR) - measured at baseline, and daily until day 5
5. First day of initial passage of flatus or faeces - recorded on occurrence
6. Differences in body weight - measured at baseline, and daily until day 5
7. Number of transfused platelet concentrates (PC)/fresh frozen plasma (FFP)/platelets - measured daily until day 5
8. Haematocrit - measured at baseline, and daily until day 5
9. Urinary albumin/creatinine ratio - measured at baseline, and daily until day 5
10. Sequential Organ Failure Assessment (SOFA) score - measured at baseline, and daily until day 5
Overall study start date01/01/2007
Completion date01/11/2008

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants92 (recruitment ceased at 22 participants)
Key inclusion criteriaAdult patients (aged 18 years and over, either sex) admitted for elective open repair of AAA
Key exclusion criteria1. Patients with established renal failure
2. Pre-operative haematological disorder
3. Known allergy to agents specified in the standardised anaesthetic protocol
4. Lack of consent
5. Participation in other trials within 30 days
Date of first enrolment01/01/2007
Date of final enrolment01/11/2008

Locations

Countries of recruitment

  • Northern Ireland
  • United Kingdom

Study participating centre

Royal Victoria Hospital
Belfast
Bt12 6BA
United Kingdom

Sponsor information

Royal Victoria Hospital (UK)
Hospital/treatment centre

Grosvenor Road
Belfast
BT12 6BA
Northern Ireland
United Kingdom

ROR logo "ROR" https://ror.org/03rq50d77

Funders

Funder type

Research organisation

Ulster Hospital Research Fellowship Committee (UK)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/07/2009 Yes No