Cost-effectiveness and Cost-utility of Liberal vs Restrictive Red Blood Cell Transfusion Strategies in Patients With Acute Myocardial Infarction and Anaemia.
NCT02648113 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 668
Last updated 2022-04-12
Summary
Anemia in patients with myocardial infarction (MI) is a relatively frequent issue, resulting in poorer outcome. There is equipoise regarding which transfusion strategy is best, and there is an international consensus on the urgent need for a randomized trial.
The investigators hypothesize that a "restrictive" transfusion strategy is at least non-inferior to a "liberal" transfusion strategy on 30-day outcomes of MI patients with anemia. Given the costs and risks of transfusion, a cost-effectiveness and cost-utility analysis becomes key to determining the role of each strategy.
Conditions
- Myocardial Infarction
- Anemia
- Blood Transfusion
Interventions
- PROCEDURE
-
Restrictive transfusion
Transfusions are withheld unless Hb is \<= 8 g/dL, with a target Hb of 8 to 10 g /dL
- PROCEDURE
-
Liberal transfusion
transfusions are allowed as soon as Hb \<= 10 g/dL with a target of 11 g /dL
- BIOLOGICAL
-
red blood transfusion
Sponsors & Collaborators
-
Assistance Publique - Hôpitaux de Paris
lead OTHER
Principal Investigators
-
Philippe-Gabriel STEG · Assistance Publique - Hôpitaux de Paris
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-03-23
- Primary Completion
- 2019-10-10
- Completion
- 2020-09-10
Countries
- France
- Spain
Study Locations
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