- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05470335
Nurse-led Sheath Insertion in Cardiac Patients (NUSHI)
Patient Comfort, Success Rate, Procedure Time and Complications During Sheath Insertion by Nurses and Physicians in Connection With Invasive Examination and Treatment of Cardiac Patients
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Background: Insertion of sheath in the radial artery in connection with examination and treatment of patients with coronary artery disease is usually performed by specialized invasive cardiologists or trainees. Whether sheath insertion can be performed by nurses with the same level of comfort and pain is uncertain.
Eligibility: Patients referred for coronary angiography (CAG) and/or percutaneous coronary intervention (PCI) due to suspicion of coronary artery disease are included
Randomization: Patients are randomized 1:1 to sheath insertion by nurse or physician
Methods: Insertion of 5 or 6 radial sheaths is performed in local anesthesia
Outcome measures: Comfort and pain level is registered from immediately after sheath insertion until start of CAG/PCI.
Additional outcome measures: Oximetry test is performed immediately after sheath removal - and repeated after 1 month in case of occlusion. Any complication is recorded from the patient enters the wake-up room until discharge.
All patients are contacted after 1 year in order to register adverse events.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Henning Kelbaek, MD
- Phone Number: 20230078
- Email: heke@regionsjaelland.dk
Study Contact Backup
- Name: Connie Olsen, RN
- Phone Number: 47326169
- Email: clo@regionsjaelland.dk
Study Locations
-
-
Danmark
-
Roskilde, Danmark, Denmark, DK 4000
- Recruiting
- Zealand University Hospital
-
Contact:
- Henning Kelbaek
- Phone Number: 20230078
- Email: heke@regionsjaelland.dkdadlnet.dk
-
Contact:
- Connie Olsen
- Phone Number: 47326169
- Email: clo@reionsjaelland.dk
-
Sub-Investigator:
- Yama Fakhri, MD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- patients suspected of having coronary artery disease
- with normal puls oxymetry on the right hand
- understands patient information and accepts to participate
Exclusion Criteria:
- under consideration for cardiac valve replacement
- systolic blood pressure persistently >180 mmHg
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
No Intervention: physician insertion
radial sheath insertion is performed by physicians
|
|
Experimental: nurse insertion
radial sheath insertion is performed by nurses
|
radial sheaths for coronary examination and intervention are performed by experienced nurses
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
pain level
Time Frame: through study completion, an average of 1 year
|
pain level during sheath insertion is measured using a 1 to 10 point numeric rating scale.
For pain registration: 0 is no pain and 10 the worst imaginable pain.
|
through study completion, an average of 1 year
|
comfort level
Time Frame: through study completion, an average of 1 year
|
comfort level during sheath insertion is measured using a 1 to 10 point numeric rating scale.
For comfort: 0 is no comfort at all and 10 is the best imaginable comfort.
|
through study completion, an average of 1 year
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
success rate
Time Frame: through study completion, an average of 1 year
|
success rate with regard to successful sheath insertion is assured
|
through study completion, an average of 1 year
|
time consumption
Time Frame: through study completion, an average of 1 year
|
time consumption for both groups
|
through study completion, an average of 1 year
|
convertion
Time Frame: through study completion, an average of 1 year
|
successful conversion yes/no from physician to nurse or from nurse to physician determined by the possibility to accomplish the diagnostic or therapeutic procedure
|
through study completion, an average of 1 year
|
complications
Time Frame: through study completion, an average of 1 year
|
occurrence of radial occlusion, perforation, pseudoaneurysm, and compartment syndrome
|
through study completion, an average of 1 year
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Henning Kelbæk, MD, Chief Physician
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- EMN-2021-08143
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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