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CompletedNCT05771285Updated Mar 16, 2023

Cold Application on the Subcutaneous Injection

An interventional study of Cold application in Injection Site Bruising, Bruising and Pain, sponsored by Yuksek Ihtisas University. Completed. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-03-16.

Sponsored by Yuksek Ihtisas University · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Registered 5 years 11 months after the study started (first participant enrolled Jan 2017, registered Dec 2022).
Phase
Not applicable
Study type
Interventional
Enrollment
78
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this clinical trial is to compare the effect of cold application at different periods of time on the occurrence of bruising, haematoma and pain in the subcutaneous low molecular weight heparin (LMWH) injected patients.

Read the detailed description

The study was a single-blind randomised control trial. Patients were allocated randomly to three groups: (i) Cold was applied for two minutes before the injection in the first group (n=26); (ii) Cold was applied for 5 min before the injection in the second group (n=26); and (iii) control group (n=26). All participating patients were injected 40 mg enoxaparin sodium in 0.4 ml in the pre-filled syringes using standard LMWH injection protocol. Post-injection VAS (Visual Analogue Scale) assessment and assessment of the presence and size of bruise and haematoma were conducted at 48th and 72nd hours after the injections for all groups.

02

Conditions studied

  • Injection Site Bruising
  • Bruising
  • Pain

Keywords

  • bruising
  • cold application
  • haematoma
  • low molecular weight heparin
  • nursing
  • pain
  • subcutaneous injection
03

In context

Contusions

47 studies on the registry are indexed under Contusions; 7 are open to participants now.

This study's enrollment of 78 is below the median of 92 across 29 interventional studies indexed under Contusions.

Browse Contusions studies →

Lead sponsor

Yuksek Ihtisas University is the lead sponsor of 22 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • to receive LMWH (pre-filled syringe containing 40 mg enoxaparin sodium in 0.4 ml) treatment at least once a day
  • not to have any visual or auditory disorders
  • not to have any foreknown coagulation disorders
  • to have platelet, PTT and international normalized ratio (INR) values within the normal limits for beginning enoxaparin sodium injections
  • not to have any hematologic disorders or any bruising or injuries at the abdominal wall
  • to receive no injections at the abdominal site, other than the enoxaparin sodium during the research protocol
  • to will to participate in this study

Exclusion criteria

Exclusion Criteria:

  • to be pregnant
  • have bleeding in the injection site
  • have pain at any site of their body prior to the injection
  • have any incision, drain, scar tissue, lipodystrophy or infection symptoms at the abdominal site which hinder the application of injection
  • not to will to participate in this study
05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
78 participants (actual)

Study arms

  • Active comparator
    Group with two-minute pre-injection application of cold

    Before applying the subcutaneous injection, cold application pack was applied on the injection site for two minutes. Then, the low molecular weight heparin injection was applied to this cold-applied area in accordance with the subcutaneous heparin injection protocol. VAS assessment was made after the injection and bruise and haematoma assessments were conducted after 48 and 72 hours.

    Other: Cold application

  • Active comparator
    Group with five-minute pre-injection application of cold

    Before applying the subcutaneous injection, cold application pack was applied on the injection site for five minutes. Then, the low molecular weight heparin injection was applied to this cold-applied area in accordance with the subcutaneous heparin injection protocol. VAS assessment was made after the injection and bruise and haematoma assessments were conducted after 48 and 72 hours.

    Other: Cold application

  • No intervention
    Control group

    Without applying any tools or processes, the low molecular weight heparin injection was applied in accordance with the subcutaneous heparin injection protocol. VAS assessment was made after the injection and bruise and haematoma assessments were conducted after 48 and 72 hours.

Interventions

  • OtherCold application

    To evaluate the effect of cold application applied before subcutaneous low molecular weight heparin injection on post-injection pain, ecchymosis and hematoma formation.

06

What researchers measure

Primary outcomes

  1. Compare of the bruise occurrence change at 48th and 72nd hours after the heparin injection.

    It was evaluated whether bruise occurred 2 times at 48th and 72nd hours after heparin injection.

    Time frame: after 48th and 72nd hours from injection

  2. Compare of the bruise sizes change of the patients at 48th and 72nd hours.

    If bruise developed after heparin injection, its size was measured 2 times at 48th and 72nd hours and recorded.

    Time frame: after 48th and 72nd hours from injection

  3. Compare of the Visual Analogue Scale pain scores of the patients

    The level of pain felt after the heparin injection administration was measured with the visual analogue scale. Visual Analogue Scale (VAS) was used to measure the extent of pain during the injection. VAS is widely used to measure the clinical symptoms such as pain, panic, depression, and fatigue. VAS consists of 100 mm on a horizontal line. On the scale "0" means no pain and "100" shows severe pain. The patients were asked to mark the extent of pain they had immediately after the subcutaneous injection on the scale with 'X'. The distance from "no pain" to the place that the patient has marked quantitatively represents the pain of the patient.

    Time frame: after 1 minute from injection administration

Secondary outcomes

  1. Occurrence of haematoma at 48th and 72nd hours after the heparin injection.

    Changes in hematoma formation were evaluated at 48 and 72 hours after heparin injection.

    Time frame: after 48th and 72nd hours from injection

07

Study locations

No study locations are listed for this record.

08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 16, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05771285
Lead sponsor
Yuksek Ihtisas University
Responsible party
cevahir ilkim buldak (Lecturer, Yuksek Ihtisas University) — Principal investigator
First posted
Mar 16, 2023
Start date
Jan 2017
Primary completion
May 2017
Completion
Jun 2017
Last update
Mar 16, 2023

Study contacts

Cevahir İlkim BULDAK
principal investigator · ilkimbuldak@yiu.edu.tr

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Mar 2023. You cannot join it, but the record below documents what was studied.

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