Hemodialysis Clinical Trial
— TASHAOfficial title:
Three Anticoagulation Strategies for Hemodialysis in Patients at Risk of Hemorrhage: a Multicenter Randomized Trial
The aim of our study is to assess three anticoagulation strategies for intermittent hemodialysis(IHD) in patients at risk of hemorrhage. A registry of consecutive hemodialysis patients with high risk of hemorrhage was conducted at the Guangdong General Hospital, the First Affiliated Hospital of Guangzhou University of Chinese Medicine, the Second Affiliated Hospital of Guangzhou Medicine University or Guangzhou Hospital of Chinese Medicine, between Sep 10, 2017 and June 30th,2018. In this multi-center prospective and randomized study, participants were randomly divided into three groups during IHD according to different anticoagulation, including with regular saline flushes, one stage regional citrate anticoagulation (RCA) and two-stage RCA.
Status | Recruiting |
Enrollment | 141 |
Est. completion date | March 30, 2019 |
Est. primary completion date | March 30, 2019 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - age>=18 years - intermittent hemodialysis patients that carry on a 4 hours hemodialysis procedure, 2-3 times one week. - the therapy mode is hemodialysis,with a dialysis fluid more than 500ml/min and blood flow volume more than 3.5-4ml/min.kg; - at risk of hemorrhage,including active hemorrhage(within 3 days),post-operation(within 3 days) and pre-invasive operation(within 7 days). Exclusion Criteria: - at high risk of citrate accumulation( total bilirubin >60umol/L; lactic acid>3mmol/L,); - use the drugs that impact the coagulation function within 7 days; - serious hypocalcemia (serum calcium<1.9mmol/L). |
Country | Name | City | State |
---|---|---|---|
China | Guangdong General Hospital | Guangzhou | Guangdong |
Lead Sponsor | Collaborator |
---|---|
Guangdong General Hospital |
China,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | therapy interruption event | visible serious circuit clotting or persistent alarms such as venous pressure (> 200 mmHg) or TMP (> 300 mmHg)dialyzer | through study completion, from start to four hours | |
Secondary | the clotting scores | the clotting scores in the venous expansion chamber, arterial expansion chamber and dialyzer | through study procedure,an average of four hours | |
Secondary | urea clearance | the measurement of Kt/V and URR | through study procedure,an average of four hours |
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