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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

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12624001301550
Acronym
ADICT
Enrollment
1
Registered
2024-10-25
Start date
2025-02-05
Completion date
2026-08-01
Last updated
2025-09-08

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

Conditions

None listed

Brief 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.

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 avai

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.

Sponsors

Royal Melbourne Hospital
Lead SponsorHospital

Study design

Allocation
Randomised controlled trial
Primary purpose
Treatment
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
16 Years to No maximum
Healthy volunteers
No

Inclusion criteria

traumatic chest injury requiring intercostal catheter insertion

Exclusion criteria

pre-hospital intercostal catheter insertion massive haemothorax open thoracotomy in ED

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026