Effect of intravenous fluid restriction on hospital stay and complications after abdominal surgery: a randomised triple-blinded clinical trial

ISRCTN ISRCTN16719551
DOI https://doi.org/10.1186/ISRCTN16719551
Protocol serial number N/A
Sponsor Academic Medical Center (AMC), Department of Surgery (Netherlands)
Funders Center for Clinical Practice Guidelines, Academic Medical Center (AMC) (Netherlands), Dutch Health Care Insurance Board (CVZ, independent government organisation) (Netherlands)
Submission date
28/04/2006
Registration date
28/04/2006
Last edited
13/07/2009
Recruitment status
Stopped
Overall study status
Stopped
Condition category
Surgery
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr H. Vermeulen
Scientific

Academic Medical Center (AMC)
Department of Surgery, G4-233
P.O. Box 22660
Amsterdam
1100 DD
Netherlands

Email H.Vermeulen@amc.uva.nl

Study information

Primary study designInterventional
Study designRandomised triple-blinded clinical trial
Secondary study designRandomised controlled trial
Scientific title
Study objectivesA restrictive fluid regimen is beneficial for postoperative recovery after abdominal surgery, as to hospital stay and postoperative complications.
Ethics approval(s)Received from the local medical ethics committee
Health condition(s) or problem(s) studiedAbdominal surgery
Intervention1.5 l intravenous fluid/24 hours versus 2.5 l/24 hours.
Trial was stopped prematurely because of protocol violations due to patient deterioration, with significantly increased postoperative hospital stay (12.3 vs. 8.3 days; p=0.049) and significantly more major complications (12 in 30 (40%) vs. 5 in 32 (16%) patients) in the group with the restricted regime. (detailed in pub 07/07/09)
Intervention typeProcedure/Surgery
Primary outcome measure(s)

Length of hospital stay.

Key secondary outcome measure(s)

1. Postoperative complications
2. Time to restoration of gastric functions and normal diet

Completion date01/07/2005
Reason abandoned (if study stopped)Objectives no longer viable

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexAll
Target sample size at registration100
Key inclusion criteria1. Abdominal surgery
2. Age >18
3. American Society of Anesthesiologists (ASA) I-III
4. Understanding the Dutch language
5. Signed informed consent
Key exclusion criteria1. Cardiac diseases (New York Hearth Association [NYHA] >III and CCS >III)
2. Contraindications for epidural analgesia
3. Presence of diabetes mellitus
4. Planned for liver or oesophageal surgery
5. Participating in another trial
6. Anticipated postoperative stay in the Intensive Care Unit
Date of first enrolment01/05/2004
Date of final enrolment01/07/2005

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Academic Medical Center (AMC)
Amsterdam
1100 DD
Netherlands

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
IPD sharing plan

Study outputs

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