Trial Outcomes & Findings for Acupuncture for Sedation in the Intensive Care Unit (ICU) (NCT NCT01362270)

NCT ID: NCT01362270

Last Updated: 2020-03-20

Results Overview

Care team, family and subject will be surveyed to determine success of blinding. Responses will be tallied and correlated with group assignments.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

15 participants

Primary outcome timeframe

Nurse surveyed daily for length of study (five [5] days). Physician and subject (or subject's family if he/she is unable to complete the questionnaire) surveyed upon study completion, six (6) days after enrollment.

Results posted on

2020-03-20

Participant Flow

Participant milestones

Participant milestones
Measure
Verum Acupuncture
Subjects will receive acupuncture using real acupuncture needles. Verum Acupuncture: DOSAGE: 25 acupoints per session FREQUENCY: 2 sessions per day DURATION: 5 days
Sham Acupuncture
Subjects will receive sham acupuncture therapy using the Streitberger needle at the same points and on the same schedule as patients in the treatment group. Streitberger needles are blunt tipped and retract into themselves rather than penetrating the skin. Sham Acupuncture: DOSAGE: 25 acupoints per session FREQUENCY: 2 sessions per day DURATION: 5 days
Overall Study
STARTED
7
8
Overall Study
COMPLETED
5
6
Overall Study
NOT COMPLETED
2
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Verum Acupuncture
Subjects will receive acupuncture using real acupuncture needles. Verum Acupuncture: DOSAGE: 25 acupoints per session FREQUENCY: 2 sessions per day DURATION: 5 days
Sham Acupuncture
Subjects will receive sham acupuncture therapy using the Streitberger needle at the same points and on the same schedule as patients in the treatment group. Streitberger needles are blunt tipped and retract into themselves rather than penetrating the skin. Sham Acupuncture: DOSAGE: 25 acupoints per session FREQUENCY: 2 sessions per day DURATION: 5 days
Overall Study
Withdrawal by Subject
1
0
Overall Study
Met exclusion criteria after 1st session
0
1
Overall Study
Met excl. criteria before 1st session
1
1

Baseline Characteristics

Acupuncture for Sedation in the Intensive Care Unit (ICU)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Verum Acupuncture
n=6 Participants
Subjects will receive acupuncture using real acupuncture needles. Verum Acupuncture: DOSAGE: 25 acupoints per session FREQUENCY: 2 sessions per day DURATION: 5 days
Sham Acupuncture
n=7 Participants
Subjects will receive sham acupuncture therapy using the Streitberger needle at the same points and on the same schedule as patients in the treatment group. Streitberger needles are blunt tipped and retract into themselves rather than penetrating the skin. Sham Acupuncture: DOSAGE: 25 acupoints per session FREQUENCY: 2 sessions per day DURATION: 5 days
Total
n=13 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
5 Participants
n=5 Participants
6 Participants
n=7 Participants
11 Participants
n=5 Participants
Age, Categorical
>=65 years
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
3 Participants
n=7 Participants
5 Participants
n=5 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
4 Participants
n=7 Participants
8 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
4 Participants
n=5 Participants
6 Participants
n=7 Participants
10 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
4 Participants
n=5 Participants
5 Participants
n=7 Participants
9 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Nurse surveyed daily for length of study (five [5] days). Physician and subject (or subject's family if he/she is unable to complete the questionnaire) surveyed upon study completion, six (6) days after enrollment.

Population: Number of participants successfully receiving assigned intervention without the care team, family, or subject knowing which treatment was given.

Care team, family and subject will be surveyed to determine success of blinding. Responses will be tallied and correlated with group assignments.

Outcome measures

Outcome measures
Measure
Verum Acupuncture
n=6 Participants
Subjects will receive acupuncture using real acupuncture needles. Verum Acupuncture: DOSAGE: 25 acupoints per session FREQUENCY: 2 sessions per day DURATION: 5 days
Sham Acupuncture
n=7 Participants
Subjects will receive sham acupuncture therapy using the Streitberger needle at the same points and on the same schedule as patients in the treatment group. Streitberger needles are blunt tipped and retract into themselves rather than penetrating the skin. Sham Acupuncture: DOSAGE: 25 acupoints per session FREQUENCY: 2 sessions per day DURATION: 5 days
Success of Blinding
1 Participants
1 Participants

SECONDARY outcome

Timeframe: Median RAAS score during treatment (5 days)

Measure of sedation. Scale -5 to +4, with -5 equal to 'Unarousable' and +4 equal to 'Combative.'

Outcome measures

Outcome measures
Measure
Verum Acupuncture
n=6 Participants
Subjects will receive acupuncture using real acupuncture needles. Verum Acupuncture: DOSAGE: 25 acupoints per session FREQUENCY: 2 sessions per day DURATION: 5 days
Sham Acupuncture
n=7 Participants
Subjects will receive sham acupuncture therapy using the Streitberger needle at the same points and on the same schedule as patients in the treatment group. Streitberger needles are blunt tipped and retract into themselves rather than penetrating the skin. Sham Acupuncture: DOSAGE: 25 acupoints per session FREQUENCY: 2 sessions per day DURATION: 5 days
Richmond Agitation-Sedation Scale (RAAS) Score
-1.4 score on a scale from +4 to -5
Interval -3.1 to -0.4
-1.9 score on a scale from +4 to -5
Interval -2.8 to -0.6

SECONDARY outcome

Timeframe: Number hourss subject is ventilated. Subjects are expected to be ventilator dependent an average of 120 hours. Assessed up to discharge (estimated 3 weeks).

Number of hours of ventilator use

Outcome measures

Outcome measures
Measure
Verum Acupuncture
n=6 Participants
Subjects will receive acupuncture using real acupuncture needles. Verum Acupuncture: DOSAGE: 25 acupoints per session FREQUENCY: 2 sessions per day DURATION: 5 days
Sham Acupuncture
n=7 Participants
Subjects will receive sham acupuncture therapy using the Streitberger needle at the same points and on the same schedule as patients in the treatment group. Streitberger needles are blunt tipped and retract into themselves rather than penetrating the skin. Sham Acupuncture: DOSAGE: 25 acupoints per session FREQUENCY: 2 sessions per day DURATION: 5 days
Length of Ventilator Dependence
62.1 hours
Standard Deviation 32.4
232.8 hours
Standard Deviation 244.4

Adverse Events

Verum Acupuncture

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Sham Acupuncture

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Verum Acupuncture
n=6 participants at risk
Subjects will receive acupuncture using real acupuncture needles. Verum Acupuncture: DOSAGE: 25 acupoints per session FREQUENCY: 2 sessions per day DURATION: 5 days
Sham Acupuncture
n=7 participants at risk
Subjects will receive sham acupuncture therapy using the Streitberger needle at the same points and on the same schedule as patients in the treatment group. Streitberger needles are blunt tipped and retract into themselves rather than penetrating the skin. Sham Acupuncture: DOSAGE: 25 acupoints per session FREQUENCY: 2 sessions per day DURATION: 5 days
Skin and subcutaneous tissue disorders
Bleeding at acupuncture site
33.3%
2/6 • Number of events 2 • 30 days
0.00%
0/7 • 30 days
Skin and subcutaneous tissue disorders
Pain at acupuncture site
33.3%
2/6 • Number of events 2 • 30 days
0.00%
0/7 • 30 days

Additional Information

Samantha Underwood, Research Manager

Oregon Health & Science University

Phone: 503-494-8481

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place