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Randomised clinical trial to assess the feasibility for a larger study comparing the use of three Veno-Thrombo-Embolic prophylaxis treatments in patients undergoing major abdominal surgery.

Not Applicable
Completed
Conditions
Deep Vein Thrombosis (DVT)
Pulmonary Embolism (PE)
Surgery - Other surgery
Registration Number
ACTRN12619000481178
Lead Sponsor
Hunter New England Local Health District
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
31
Inclusion Criteria

All patients 40 years and over undergoing elective major abdominal surgery with an anticipated length of stay greater than 24 hours and able to attend a 30-day follow-up bilateral lower leg venous ultrasound.

Exclusion Criteria

Patients from the above group will be excluded if they have:
•Unable to give written informed consent to take part in the study,
•Active, clinically significant bleeding
•Documented congenital or acquired bleeding tendency/disorders
•Recent intracranial hemorrhage or recent (less than 3 months prior to randomization) brain spinal, or ophthalmologic surgery
•Patients where epidural or spinal anesthesia is planned and undertaken.
•Known cerebral metastasis
•Participants in whom haemostasis had not been established 6 hours after surgical closure
•Current thrombocytopenia eg platelets <70
•Renal Impairment GFR <30 and or Creatinine level above 2.0 mg/dL (180 µmol/L) in a well-hydrated participants
•Pregnant and breastfeeding women
•Participant with evidence of leg ischemia caused by peripheral vascular disease, unable to wear IPCD and graduated compression stockings.
•Participants life expectancy < 6 months,
•Clinical sign of VTE and/or history of recent VTE
•Participants who have pre-existing indication for heparins (including LMWH)

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
How many participants out of the 30 can we get to the 30 day Ultrasound Scan[30 day Ultrasound Scan follow-up ]
Secondary Outcome Measures
NameTimeMethod
Review of hospital medical record for admission with diagnosis of PE or VTE[up to day 30]
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