Neck of femur Optimisation Therapy-Targeted Stroke volume

ISRCTN ISRCTN88284896
DOI https://doi.org/10.1186/ISRCTN88284896
Secondary identifying numbers 5165
Submission date
29/04/2010
Registration date
29/04/2010
Last edited
05/12/2017
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

Dr Iain Moppett
Scientific

Nottingham University Hospitals NHS Trust
University Department of Anaesthesia
Nottingham
NG5 1PB
United Kingdom

Study information

Study designRandomised interventional treatment 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 titleThe use of LiDCO guided fluid administration in hip fracture surgery: a randomised interventional treatment trial
Study acronymNOTTS
Study objectivesTo investigate if using a LiDCO machine (a minimally invasive device that measures how well the heart is pumping blood around the body) to guide the amount of intravenous fluid a patient gets while having their fractured hip repaired under a spinal anaesthetic affects:
1. The time the patient spends in hospital
2. The time until the patient is medically well enough to be discharged from hospital

As of 21/06/2011 the anticipated end date for this trial has been extended from 01/09/2010 to 01/08/2012.
Ethics approval(s)Nottingham REC 1 approved on the 03/102008 (ref: 08AN004)
Health condition(s) or problem(s) studiedTopic: Cardiovascular, Generic Health Relevance and Cross Cutting Themes; Subtopic: Cardiovascular (all Subtopics), Generic Health Relevance (all Subtopics); Disease: Cardiovascular, Surgery
InterventionOptimisation of fluid balance using SV targetted boluses of intravenous gelofusine 250 ml over 5 minutes compared to a cohort group having their fluid balance according to best usual practise (i.e., at the discretion of the attending anaesthetist).

Follow up length: 1 months
Study entry: single randomisation only
Intervention typeOther
Primary outcome measureTo investigate if using a LiDCO machine (a minimally invasive device that measures how well the heart is pumping blood around the body) affects the time spent in hospital. Determined by the patients length of stay.
Secondary outcome measures1. To use the LiDCO machine to characterise any changes in blood pressure and the amount of blood pumped
2. To investigate if using a LiDCO machine in patients undergoing hip fracture surgery with a spinal anaesthetic
3. To characterise the changes in the way the heart and blood vessels work after a spinal anaesthetic

Outcome measures are determined by the patients length of stay. Mortality with be compared at 30, 60 and 90 days.
Overall study start date01/01/2009
Completion date01/08/2012

Eligibility

Participant type(s)Patient
Age groupSenior
SexBoth
Target number of participantsPlanned sample size: 130; UK sample size: 130
Key inclusion criteria1. Patients listed for surgical repair of fracture neck of femur under spinal anaesthesia
2. Aged greater than 60 years, either sex
Key exclusion criteria1. Planned general anaesthetic
2. Severe valvular heart disease previously shown on echocardiography (reduces reliability of monitor measurements)
3. Taking lithium (interferes with calibration of monitor)
4. Multiple injuries requiring operative management
5. Revision surgery or total hip arthroplasty for fractured neck of femur (a different patient/surgical population
Date of first enrolment01/01/2009
Date of final enrolment01/08/2012

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Nottingham University Hospitals NHS Trust
Nottingham
NG5 1PB
United Kingdom

Sponsor information

Nottingham University Hospitals NHS Trust (UK)
Hospital/treatment centre

City Hospital Campus
Hucknall Road
Nottingham
NG5 1PB
England
United Kingdom

Website http://www.nuh.nhs.uk/
ROR logo "ROR" https://ror.org/05y3qh794

Funders

Funder type

Charity

National Institute for Health Research (NIHR) (UK) - Research for Patient Benefit (RfPB) Programme

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?
Protocol article study protocol 28/09/2011 Yes No
Results article results 01/03/2015 Yes No

Editorial Notes

05/12/2017: internal review.