Prevalence and risk factors of hair-loss in survivors of critical illness

ISRCTN ISRCTN59206964
DOI https://doi.org/10.1186/ISRCTN59206964
Secondary identifying numbers Version 5
Submission date
15/02/2017
Registration date
02/03/2017
Last edited
16/08/2022
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nervous System Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Background and study aims
Alopecia (hair-loss) in adult survivors of critical illness has received limited attention in critical care research. Hair-loss is of minimal concern to the intensive care team, when patient survival is the primary objective of care given. However, hair-loss can prove distressing for the patient, especially after recovering from a serious illness. In a recent pilot study in Morriston Hospital (UK), it was found that 17% of patients attending the Intensive Care Unit (ICU) follow up clinic, complained of hair-loss. There is very little research about how often hair-loss occurs in survivors of a critical illness. The first objective of the study is to investigate the incidence and nature of hair-loss in adult survivors of critical illness. The second objective is to investigate the risk factors for hair-loss in adult survivors of critical illness.

Who can participate?
Adults over the age of 18 who are in the ICU for five days or more.

What does the study involve?
During participant's ICU stay, data is collected regarding their demographics and about their health variables that are considered a potential risk for alopecia. Three months after participants are discharged, they are sent a survey regarding potential hair loss to complete and return to the research team. If the survey is not returned after one month, participants receive a phone call by the researchers in order to assist them with their survey.

What are the possible benefits and risks of participating?
Participants may benefit from having potential risk factors for hair loss identified. There are no notable risks with participating.

Where is the study run from?
This study is being run from Morriston Hospital (UK) takes place in hospitals in Wales (UK).

When is the study starting and how long is it expected to run for?
August 2016 to December 2017

Who is funding the study?
Abertawe Bro Morgannwg University Health Board (UK)

Who is the main contact?
Dr Ceri Battle
Ceri.Battle@wales.nhs.uk

Contact information

Dr Ceri Battle
Public

Physiotherapy Department
Morriston Hospital
Morriston
Swansea
SA6 6NL
United Kingdom

ORCiD logoORCID ID 0000-0002-7503-1931
Phone +44 179 270 3124
Email ceri.battle@wales.nhs.uk

Study information

Study designMixed methods prospective observational epidemiological study
Primary study designObservational
Secondary study designEpidemiological study
Study setting(s)Hospital
Study typeOther
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleAlopecia in Survivors of CRitical Illness: a Mixed methods study
Study acronymASCRIM
Study hypothesisThe aim of the study is to investigate the prevalence, nature and risk factors for alopecia in survivors of critical illness.
Ethics approval(s)North of Scotland Research Ethics Service, 21/11/2016, ref: 16/NS/0133
ConditionAlopecia
InterventionThis study consist of two phases. In the first phase, patients are approached to participate in the study. This is done when the patient has been in the Intensive Therapy Unit (ITU) for five or more days and is able to provide written consent. During the patient’s ITU stay, data collection is completed by the researcher, which involves collecting details about demographics and variables that are considered potential risk factors for alopecia, taken from the patient’s medical records. The researcher records age, sex, admission diagnosis, sepsis, past medical history, blood products transfused during stay, relevant drugs that are known risk factors for alopecia, physiological data and discharge data such as length of stay, mechanical ventilation days, respiratory/cardiovascular/renal support during stay.

The second phase of the study occurs three months post ITU discharge. The patient is sent a survey regarding alopecia to complete. If the patient fails to return the survey after one month, they are followed up with a phone call by the research team to assist with survey completion as required.
Intervention typeOther
Primary outcome measurePrevalence and nature of patient reported alopecia in survivors of critical illness is measured using a patient reported survey at three months post ITU discharge.
Secondary outcome measuresRisk factors for alopecia in survivors of critical illness are measured using a patient record survey at three months post ITU discharge.
Overall study start date01/08/2016
Overall study end date31/12/2017

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants400
Participant inclusion criteria1. Aged 18 years or more (no upper limit)
2. Capacity to consent to participation
3. Capacity to complete survey
4. ICU stay of five or more days
5. Survived to three months post ICU discharge
Participant exclusion criteria1. Aged less than 18 years
2. No capacity to consent to participation
3. No capacity to complete survey
4. ICU stay of less than five days
5. Does not survive to three months post ICU discharge
6. Patients requiring chemotherapy that will potentially cause alopecia
7. Patients who suffer with any pre-existing alopecia / baldness
Recruitment start date01/05/2017
Recruitment end date30/06/2017

Locations

Countries of recruitment

  • United Kingdom
  • Wales

Study participating centres

Morriston Hospital
Heol Maes Eglwys
Swansea
SA6 6NL
United Kingdom
University Hospital Wales
Heath Park
Cardiff
CF14 4XW
United Kingdom
Royal Gwent Hospital
Cardiff Road
Newport
NP20 2UB
United Kingdom
Nevill Hall Hospital
Brecon Road
Abergavenny
NP7 7EG
United Kingdom
Royal Glamorgan Hospital
Ynysmaerdy
Llantrisant
CF72 8XR
United Kingdom
Princess of Wales Hospital
Coity Road
Bridgend
CF31 1RQ
United Kingdom
Prince Charles Hospital
Gurnos Road
Merthyr Tydfil
CF47 9DT
United Kingdom
Bronglais Hospital
Caradoc Road
Aberystwyth
SY23 1ER
United Kingdom
Wrexham Maelor Hospital
Croesnewydd Road
Wrexham
LL13 7TD
United Kingdom
Glan Clwyd Hospital
Rhuddlan Road
Bodelwyddan
LL18 5UJ
United Kingdom
Ysbyty Gwynedd
Bangor
LL57 2PW
United Kingdom
Glangwili General Hospital
Dolgwili Road
Carmarthen
SA31 3AF
United Kingdom
Withybush Hospital
Fishguard Road
Haverfordwest
SA61 2PZ
United Kingdom

Sponsor information

Abertawe Bro Morgannwg University Health Board
Hospital/treatment centre

R&D Department
ILS2
Swansea University
Singleton Park
Swansea
SA2 8PP
Wales
United Kingdom

Phone +44 179 253 0888
Email abm.rd@wales.nhs.uk
ROR logo "ROR" https://ror.org/04zet5t12

Funders

Funder type

Hospital/treatment centre

Abertawe Bro Morgannwg University Health Board

No information available

Results and Publications

Intention to publish date30/06/2018
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryData sharing statement to be made available at a later date
Publication and dissemination planPlanned publication in a high-impact peer reviewed journal.
IPD sharing planThe current data sharing plans for the current study are unknown and will be made available at a later date.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/04/2019 Yes No
Protocol file version 5.2 18/10/2017 16/08/2022 No No
HRA research summary 28/06/2023 No No

Additional files

33242 protocol v5.2_18Oct 2017.pdf

Editorial Notes

16/08/2022: Uploaded protocol (not peer-reviewed) as an additional file.
10/12/2018: Publication reference added.