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.
- 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
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.
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
Name Time Method 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
Name Time Method Review of hospital medical record for admission with diagnosis of PE or VTE[up to day 30]