Analogue versus Digital Intervention in Chest Trauma (ADICT): A prospective randomized control trial on the efficacy of digital thoracostomy drain versus the analogue counterpart following major thoracic trauma
Analogue versus Digital Intervention in Chest Trauma (ADICT): A prospective randomized control trial on the efficacy of digital thoracostomy drain versus the analogue counterpart following major thoracic trauma in participants 16 years or older
Royal Melbourne Hospital
262 participants
Feb 5, 2025
Interventional
Conditions
Summary
Despite the technological innovation and potential for improved care, the use of digital drainage systems has not been well evaluated for trauma care. Decreasing the length of time that patients have an invasive intrathoracic device is expected to impact length of stay (LOS) in hospital, intensive care, and risk of adverse outcomes. This study aims to investigate the efficacy of digital thoracostomy drain in the setting of major thoracic trauma and we hypothesize that it could reduce the length of inter-costal catheterisation (ICC) time compared to the analogue counterpart.
Eligibility
Inclusion Criteria1
- traumatic chest injury requiring intercostal catheter insertion
Exclusion Criteria3
- pre-hospital intercostal catheter insertion
- massive haemothorax
- open thoracotomy in ED
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Interventions
digital chest drain system for use in traumatic pneumonia/haemthorax. This drain will be connected directly to the intercostal catheter (ICC) in the same way as the current analogue drain is. Members of the trauma team (RNs or doctors) connect this train as part of the procedure when inserting an ICC. The duration of the ICC insertion / drain is dependent upon the lung reinflating, but is usually 2-3 days. Review of electronic medical records will be used to determine this. All data will be available from the EMR. Although the digital drain offers further data (e.g. air leak) it will not be used as part of the study as comparable data can not be collected for analogue drains.
Locations(1)
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ACTRN12624001301550