Critical Illness Clinical Trial
Official title:
West-China Transfusion Score for Critically-ill Patients
Guidelines for blood transfusion have been issued for years. According to these guidelines,
red blood cells (RBCs) transfusion should be given when the hemoglobin level is less than
6g/dL or 7g/dL and is unnecessary when the level is more than 10g/dL. However, in all the
guidelines, the determination of whether RBCs should be administered when the hemoglobin
level is in the range of 6~10g/dL is based on the judgment from doctors. Index of
transfusion trigger for patients with hemoglobin level between 6g/dL and 10g/dL is necessary
and important in clinical practice.
Based on the aim of blood transfusion that maintain the balance of oxygen supply and oxygen
consumption, the investigators hypothesize that index of transfusion trigger for patients
with hemoglobin level between 6g/dL and 10g/dL could be calculated by parameters including
infusion rate of inotropic drugs for maintaining normal cardiac output, fraction of inspired
oxygen, core temperature, and torlerance to anemia. To verify this hypothesis, the
investigators present West China Transfusion Score for Critically-ill Patients(WCTS-CP) for
the trigger of transfusion according to the patient's history and monitoring parameters, and
the investigators design a randomized controlled clinical trial to test this score.
Status | Not yet recruiting |
Enrollment | 100 |
Est. completion date | December 2014 |
Est. primary completion date | September 2014 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Height of usual place of residence less than 2,500 metres above sea level - Hemoglobin level possibly less than 10g/dL Exclusion Criteria: - Pregnant women - Age less than 18 - Serious blood system diseases - Dysfunction of hemoglobin - Tumor metastasis - Psychopathy - Refuse to sign consent |
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
China | West China Hospital | Chengdu | Sichuan |
Lead Sponsor | Collaborator |
---|---|
West China Hospital |
China,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Incidence of death and serious complications | 28 days | Yes | |
Secondary | Transfusion rate and transfusion volume of red blood cells | 28 days | Yes | |
Secondary | ventilator-free days in 28 days | The time that patients do not need ventilaton support | 28 days | Yes |
Secondary | length of stay in ICU or in hospital | 28 days | Yes |
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