Appropriateness of Hemostatic Agent Use in Cardiovascular Surgery (HAEMOVAX)
NCT07699016 · Status: RECRUITING · Type: OBSERVATIONAL · Enrollment: 15
Last updated 2026-07-13
Summary
Hemostatic agents are widely used in cardiac and vascular surgery to support intraoperative bleeding control. Despite their clinical relevance and substantial economic impact, little is known about real-world patterns of use, adherence to evidence-based recommendations, and the alignment between clinicians' perceived knowledge and actual decision-making.
HAEMOVAX is a single-center mixed-methods observational study conducted at IRCCS Galeazzi-Sant'Ambrogio Hospital, Milan, Italy. The study combines an anonymous survey of cardiovascular surgeons with a retrospective audit of institutional hemostatic agent consumption. The primary objective is to evaluate the appropriateness of hemostatic agent selection using a Knowledge-Practice Alignment Score (KPA-Score) derived from standardized clinical vignettes based on current EACTS and ESA recommendations. Secondary objectives include assessment of usage patterns, barriers to appropriate use, concordance between declared practice and real-world consumption, and opportunities for evidence-based standardization.
Conditions
- Hemostasis
- Perioperative Bleeding
- Cardiovascular Surgery
- Cardiac Surgery
- Vascular Surgery
Interventions
- OTHER
-
observational study
Cross-sectional structured survey assessing knowledge-practice alignment in the use of hemostatic agents, combined with retrospective institutional audit of product consumption. No therapeutic or experimental intervention is administered.
Sponsors & Collaborators
-
University of Milan
lead OTHER
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2026-07-01
- Primary Completion
- 2026-07-16
- Completion
- 2026-08-15
Countries
- Italy
Study Locations
More Related Trials
-
Correlation Between Reticulated Platelets and Major Adverse Cardiac and Cerebrovascular Events After Noncardiac Surgery
NCT02097602 ·Status: COMPLETED
-
Mechanism of Cardiac and Cerebral Function Injury Caused by Intraoperative Limb Ischemia-reperfusion
NCT05661227 ·Status: UNKNOWN ·Phase: NA
-
Impact of Cardiac Surgery With a Minimal Invasive Extracorporeal Circuit οn Coagulation: Data From Point of Care Devices
NCT04159064 ·Status: COMPLETED
-
Efficacy And Safety Of Unfractionated Heparin In Patients With Cardiovascular Surgery Using Cardiopulmonary Bypass
NCT01072747 ·Status: UNKNOWN ·Phase: PHASE3
-
Comparison of Aprotinin and Tranexamic Acid in Routine Cardiac Surgery
NCT00396760 ·Status: UNKNOWN ·Phase: PHASE3
-
Application of Large Volume Acute Normovolemic Hemodilution in Cardiac Surgery
NCT04369443 ·Status: COMPLETED ·Phase: NA
-
Efficacy and Safety of Sodium Heparin in Patients
NCT00894959 ·Status: COMPLETED ·Phase: PHASE3
-
Efficacy and Safety of Sodium Heparin (Hipolabor) in Patients
NCT00894673 ·Status: COMPLETED ·Phase: PHASE3
-
Anticoagulation and Inflammation Monitoring in Patients After Heart and Vascular Interventions
NCT06222866 ·Status: RECRUITING
-
Remote Ischemic Preconditioning in Cardiac Surgery Trial
NCT01071265 ·Status: COMPLETED ·Phase: NA
-
Thrombin in Cardiac Surgery
NCT04762576 ·Status: UNKNOWN
-
Heparin and Protamine Titration in Cardiac Surgery Under Minimal Invasive Extracorporeal Circulation
NCT04215588 ·Status: COMPLETED ·Phase: NA
-
Comparison of Blood Cardioplegia and Custodiol
NCT01941459 ·Status: COMPLETED
-
Conventional Versus Point-of-care Based Coagulation Management
NCT00997841 ·Status: COMPLETED ·Phase: PHASE4
-
Myocardial Protection in Minimally Invasive Mitral Valve Surgery
NCT04231903 ·Status: COMPLETED
-
Aprotinin Use and Renal Outcome in Hypothermic Bypass and Circulatory Arrest for Surgical Repair of Thoracic Aorta.
NCT00405093 ·Status: COMPLETED
-
Postural Mobilization Compared to Noradrenaline Only in Off-Pump CABG Surgery
NCT07163858 ·Status: RECRUITING ·Phase: NA
-
Perioperative Hemodynamic Optimization Using the NICOM Device
NCT01217151 ·Status: COMPLETED ·Phase: NA
-
Efficacy and Safety of Sodium Heparin in Patients Submitted to Heart Surgery Using Bypass
NCT00905216 ·Status: UNKNOWN ·Phase: PHASE3
-
A Monocentric Study Assessing the Efficacy of the Nitrosylated Hemoglobin as Biomarker for Detecting the Development of a Cardiovascular Complication During or After Surgery
NCT03994900 ·Status: UNKNOWN ·Phase: PHASE2
-
Incidence of Acute Cerebrovascular Events Using Either Minimized or Standard Cardiopulmonary Bypass Circuit
NCT00862160 ·Status: UNKNOWN ·Phase: PHASE4
-
Application of Remote Ischemic Preconditioning in Patients Undergoing Open Heart Surgeries
NCT01906918 ·Status: UNKNOWN ·Phase: NA
-
Efficacy and Safety of Sodium Heparin
NCT00894985 ·Status: COMPLETED ·Phase: PHASE3
-
Intermittent Cold Blood vs Crystalloid Cardioplegia in Aortic Valve Surgery
NCT00257777 ·Status: COMPLETED ·Phase: NA
-
Perioperative Risk Factors of Outcomes for Cardiac Surgery: A Retrospective Study
NCT04980742 ·Status: UNKNOWN