The EXCEL Registry of Patients Requiring ECMO

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorAustralian and New Zealand Intensive Care Research Centre

About this trial

ECMO is associated with significant costs, risks and requires specialist training and expertise. EXCEL is a novel, high-quality, detailed prospective registry of patients requiring ECMO in Australia and New Zealand. The registry provides information on patient selection, complications, costs and patient reported outcome measures. EXCEL uses the Theoretical Domains Framework to identify evidence-practice gaps and explore barriers and enablers to tailor implementation of evidence

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients admitted to adult hospitals and receive ECMO in Australia and New Zealand

Disqualifiers

None

Trial population

Patients admitted to hospitals with a primary diagnosis of acute heart failure, respiratory failure or cardiac arrest and received ECMO at participating ECMO centres.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

No trial groups listed

Trial outcomes

Primary outcomes

1

Disability-free survival at 6 months, defined as alive and free of disability, measured with the World Health Organisation's Disability Assessment Schedule (WHODAS 2.0) score of <25%.

WHODAS 2.0 measured using a trained, blinded assessor via telephone interview. The WHODAS scores are calculated using the sum of the six domain scores. These domain scores are then converted to a metric score ranging from 0 to 100 (where 0= no disability; 100= full disability)

Time frame
At 6 months from study enrolment

Secondary outcomes

1

Number of participants with adverse events including major bleeding up to 28 days after ECMO, infection, thrombosis (in the ECMO cannulae or in the patient) and limb ischaemia

All adverse events are recorded determined by treating clinician

Time frame
Up to 28 days after ECMO initiation
2

Healthcare utilization - caseload per centre

ECMO patient numbers (caseload per centre)

Time frame
Up to 12 months from study enrolment
3

Healthcare utilization - ECMO initiation timing

Timing of ECMO initiation by staff including an ECMO retrieval team

Time frame
Up to 12 months from study enrolment
4

Healthcare utilization - number of staff members required to manage ECMO

Staff numbers required for the provision of ECMO in ICU and the training required for these staff members to perform their role.

Time frame
Up to 12 months from study enrolment

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Australian and New Zealand Intensive Care Research Centre

Lead sponsor

National Health and Medical Research Council, Australia

Collaborator

Extracorporeal Life Support Organization

Collaborator

National Heart Foundation, Australia

Collaborator

The Alfred

Collaborator

Barwon Health

Collaborator

Fiona Stanley Hospital

Collaborator

The Prince Charles Hospital

Collaborator

Royal Prince Alfred Hospital, Sydney, Australia

Collaborator

St Vincent's Hospital, Sydney

Collaborator