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PeRiOperative Medicine Platform Trial
Sponsor: Monash University
Summary
Our specific aims are to investigate whether conservative (≤30%), intermediate (50%), or liberal (80%) inspired oxygen during and immediately after surgery: Aim 1: Reduces surgical site infections (SSIs or "wound infections") and other healthcare-associated infections (pneumonia and sepsis). Aim 2: Reduces a pooled composite of serious postoperative complications, leading to a faster and more complete recovery after surgery, and thus increases "days alive and at home up to 30 days after surgery" (DAH30). Primary hypothesis: Liberal (80%) oxygen concentration delivered with anesthesia in patients undergoing major surgery reduces the incidence of SSIs after surgery compared to conservative (≤30%) or intermediate (50%) oxygen concentration. Secondary hypothesis: Hyperoxia (50-80%) delivered with anesthesia in patients undergoing major surgery increases the incidence of pulmonary and other complications after surgery compared to conservative (≤30%) oxygen concentration, resulting in fewer Days At Home (DAH). PROMPT enrolls patients undergoing elective or semi-elective surgery.
Official title: Domain-Specific Appendix: OXYGEN
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
7800
Start Date
2025-12-01
Completion Date
2035-12
Last Updated
2025-09-25
Healthy Volunteers
No
Conditions
Interventions
Liberal inspired oxygen
The concentration of Oxygen will differ according to the randomisation
Conservative inspired oxygen
Conservative inspired oxygen
Intermediate inspired oxygen
Intermediate inspired oxygen
Locations (1)
The Alfred
Melbourne, Victoria, Australia