Safety and Effectiveness of Two Blood Transfusion Strategies in Surgical Patients With Cardiovascular Disease
NCT00071032 · Status: COMPLETED · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 2016
Last updated 2020-11-16
Summary
The purpose of this study is to compare liberal red blood cell transfusion therapy with restrictive red blood cell transfusion therapy in surgical patients with cardiovascular disease or risk factors.
Conditions
- Anemia
- Hematologic Diseases
- Cardiovascular Diseases
- Heart Diseases
- Myocardial Infarction
- Thromboembolism
- Pneumonia
- Cerebrovascular Accident
Interventions
- BIOLOGICAL
-
Liberal (10 g/dL) Transfusion Strategy
This transfusion strategy will maintains postoperative Hgb levels above 10 g/dL. This threshold strategy will use enough red blood cell units to maintain Hgb levels at or above 10 g/dL through hospital discharge or up to 30 days after randomization.
- BIOLOGICAL
-
Restrictive (Symptomatic) Transfusion Strategy
Transfusion is withheld until the patient develops symptoms from anemia (i.e., chest pain or ECG changes thought to be ischemic, congestive heart failure, unexplained tachycardia or hypotension unresponsive to fluids) or until the hemoglobin level falls below 8 g/dL. Transfusion is permitted, but is not mandatory, if the hemoglobin level falls below 8 g/dL.
Sponsors & Collaborators
-
National Heart, Lung, and Blood Institute (NHLBI)
collaborator NIH -
Rutgers, The State University of New Jersey
lead OTHER
Principal Investigators
-
Jeffrey L. Carson, MD · University Medicine & Dentistry of NJ
-
Michael Terrin · University of Maryland, College Park
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 50 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2003-07-31
- Primary Completion
- 2009-05-31
- Completion
- 2009-05-31
Countries
- United States
Study Locations
More Related Trials
-
Early Whole Blood in Patients Requiring Transfusion After Major Trauma
NCT01227005 ·Status: COMPLETED ·Phase: PHASE4
-
Primary and Secondary Hemostasis in Elective Coronary Artery Bypass Graft Surgery
NCT00825981 ·Status: COMPLETED
-
Adverse Effects of Red Blood Cell Transfusions: A Unifying Hypothesis (Aim 3)
NCT02280655 ·Status: COMPLETED ·Phase: PHASE2
-
Patient Blood Management in Cardiac Surgery
NCT04040023 ·Status: COMPLETED ·Phase: NA
-
Red Cell Storage Duration and Outcomes in Cardiac Surgery
NCT00458783 ·Status: COMPLETED ·Phase: NA
-
Anemia and Surgery: Indications For Transfusion
NCT00005308 ·Status: COMPLETED
-
Frozen Red Blood Cell Transfusions in Trauma Patients
NCT01038557 ·Status: COMPLETED ·Phase: NA
-
Fresh-Frozen Plasma Infusions to Reduce Risk of Bleeding Related to Invasive Procedures
NCT00233246 ·Status: WITHDRAWN ·Phase: PHASE3
-
ORthopaedic Trauma Anemia With Conservative Versus Liberal Transfusion
NCT02972593 ·Status: COMPLETED ·Phase: PHASE4
-
Tranexamic Acid Use and Blood Loss in Total Hip Arthroplasty
NCT02989155 ·Status: COMPLETED
-
Does Plasma Reduce Bleeding in Patients Undergoing Invasive Procedures
NCT02637427 ·Status: COMPLETED ·Phase: PHASE3
-
Transfusion Rates in Total Hip Replacement Before/After the Implementation of a Patient Blood Management Program.
NCT04398238 ·Status: COMPLETED
-
Multi-national Study Investigating the Effect and Safety of rFXIII on Transfusion Needs in Patients Undergoing Heart Surgery
NCT00914589 ·Status: COMPLETED ·Phase: PHASE2
-
Epidemiology of Severe Peroperative Bleeding During Scheduled Surgery
NCT02311309 ·Status: COMPLETED
-
Factor Replacement in Surgery
NCT04114643 ·Status: UNKNOWN ·Phase: PHASE2
-
Packed Red Blood Cell Transfusion in Elective Coronary Artery Bypass Graft Surgery in A University Hospital
NCT02585310 ·Status: COMPLETED
-
Modeling Blood Management and Hemolytic Risk in Pediatric Heart Surgery
NCT06721455 ·Status: RECRUITING
-
Point-of-Care RBC Washing to Prevent Transfusion-Related Pulmonary Complications
NCT02094118 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Quantra Point-of-Care Hemostasis Monitoring
NCT06328647 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Transfusion Strategies in Pediatric Cardiothoracic Surgery
NCT00350220 ·Status: COMPLETED ·Phase: PHASE2
-
The Effect of Tranexamic Acid on Blood Loss and Transfusion Requirements Following Open Femur Fracture Surgery
NCT03679481 ·Status: WITHDRAWN ·Phase: PHASE4
-
Decreasing Postoperative Blood Loss by Topical vs. Intravenous Tranexamic Acid in Open Cardiac Surgery
NCT03376061 ·Status: COMPLETED ·Phase: PHASE4
-
A Study to Determine the Effectiveness of Epoetin Alfa in Facilitating Self-donation of Blood Before Surgery in Non-anemic Patients Who Are Undergoing Orthopedic, Heart and Blood Vessel, or Breast Reduction Surgery; Performed in Combination With a Procedure to Reduce Blood Loss During Surgery.
NCT00270023 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Liberal Versus Restrictive Transfusion During Symptomatic Moderate Anemia After Hip Arthroplasty
NCT01452581 ·Status: TERMINATED ·Phase: NA
-
Coagulopathy in Cardiac Surgery
NCT03475940 ·Status: COMPLETED