Table 2.
Objective | Outcome measure | Criteria for success | Results |
---|---|---|---|
Primary objective is to determine the feasibility of the HIPPO-ST study design defined by 5 outcomes below: | |||
1. To assess the accuracy of capturing the CRB rate within the satellite HD setting | The level of agreement between the date the nurse contacts the coordinator to inform them of a suspected infectiona and when the culture was sent to the laboratory | κ > 0.80 | 1.0 |
2. To determine the percentage of satellite HD patients with catheters who are screenedb | The percentage of HD patients with catheters who are screened for eligibility among all HD patients | >95% | 97.8% |
3. To determine the percentage of eligible HD patients who consent | The percentage of consented eligible patients among all eligible patients | >80% | 44.2% |
4. To measure the success of HIPPO-ST teaching | The percentage of patients in the intervention arm passing the Shower Technique Test at 3 and 6 months | ≥80% of patients randomized to HIPPO-ST | 88.4% |
5. To determine the percentage of participants in the control arm who are using aspects of the intervention | The percentage of controls who are using aspects of the HIPPO-ST that they were not using at baseline | <5% of participants in the control arm | 0% |
HD, hemodialysis.
Catheter-related infection defined by the Health Canada guidelines and determined by the independent event adjudication committee (see previously published protocol for full details27).
Screening was challenging in remotely located satellite units (compared to in-center HD).