Estimating prevalence of impaired skin surrounding devices: the EPISODE study

A prospective, observational study to estimate the prevalence of impaired skin surrounding Central Venous Access Devices within an adult cancer care services setting.

Status

Completed

Phases

Unknown

Study type

Observational

Source

ANZCTR

Registry ID

ACTRN12617000439347

Acronym

EPISODE

Enrollment

627

Registered

2017-03-27

Start date

2017-03-28

Completion date

2018-03-21

Last updated

2018-06-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

This observational study will explore the prevalence and risk factors of central venous access device (CVAD) associated skin injury and the types of skin injuries which occur in cancer patients. Who is it for? You may be eligible to join this study if you are aged 16 years or above, are receiving care within a Cancer Care Services inpatient unit, and have a CVAD in place. Study details All participants in this study will have the skin surrounding their CVAD device assessed by a study nurse once per week, or twice per week if there are any signs of skin injury, for the duration of their hospital admission. Nurses will also note any management/treatment received for the CVAD-associated skin injury if present. It is hoped that the results of this study will help researchers to understand the prevalence of CVAD-associated skin injuries, in order to support the development of evidence-based solutions for their prevention and treatment in the future.

Interventions

Any patient with a Central Venous Access Device (CVAD) admitted to cancer care services unit will be eligible to participate in this prevalence audit. Patients will have demographic data collected: e.g. admitting diagnosis, co-morbidities and CVAD characteristics. Participants will be reviewed by a research nurse once weekly (standard) or twice weekly (if there are any signs of skin impairment). All changes to the skin surrounding the CVAD site will be documented. These changes will be categorised into known skin damage diagnoses using visual prompts and definitions, including pressure injuries (Graded 1,2,3,4 ) skin stripping, tension injury or blister, erythema, skin tear, irritant contact dermatitis, allergic dermatitis and maceration. Participants will be monitored until discharge from hospital.

Eligibility

Sex/Gender

All

Age

16 Years to No maximum

Healthy volunteers

Inclusion criteria

1. Patient receiving care within a Cancer Care Services inpatient unit. 2. CVAD in place (includes peripherally inserted central catheter (PICC), haemodialysis catheter, non-tunnelled percutaneously CVAD, tunnelled CVAD, pulmonary artery catheter, umbilical catheter, totally implantable CVAD)

Exclusion criteria

1, Other types of vascular access device (peripheral vascular catheter, arterial catheter).

Outcome results