A Cluster Randomized Trial on the Effectiveness of a Care Bundle to Prevent Postpartum Hemorrhage After Cesarean Delivery (Re-Team)
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 52,000
- 主要终点
- Incidence of PPH
研究概览
简要总结
Delays in the detection or inconsistent use of effective interventions of postpartum hemorrhage can result in complications or death. We designed a cluster-randomized trial to assess a multi-component strategy for the detection and treatment of postpartum hemorrhage after cesarean delivery.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Hospital level
- •Public hospitals
- •There are more than 100 cesarean deliveries per year
- •Patient level
- •Cesarean delivery
- •Sign informed consent
排除标准
- •Hospital level
- •Data verification information cannot be provided
- •Pregnant woman level
- •No blood routine results within 2 weeks before surgery
结局指标
主要结局
Incidence of PPH
时间窗: Day 2
defined by a calculated estimated blood loss \> 1000 mL \[Calculated estimated blood loss = estimated blood volume × (preoperative hematocrit - postoperative hematocrit)/preoperative hematocrit (where estimated blood volume (mL) = weight (Kg) × 85)\] or red blood cell (RBC) transfusion before day 2 postpartum .
次要结局
- mean total calculated blood loss(Day 2)
- Estimated blood loss(postpartum 24 hours)
- Incidence of postpartum transfusion(baseline)
- Incidence of additional operations performed outside cesarean section(baseline)
- Incidence of transfer to intensive care unit(baseline)
- Incidence of maternal death from any cause(Up to 42 days)
- The adherence to the treatment bundle(intraoperation and postpartum 24 hours)
研究者
Dunjin Chen
Principal Investigator
The Third Affiliated Hospital of Guangzhou Medical University
