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临床试验/NCT01038557
NCT01038557已完成不适用

Efficacy and Safety of Frozen Red Blood Cells for Transfusion in Trauma Patients

Oregon Health and Science University6 个研究点 分布在 1 个国家目标入组 254 人开始时间: 2010年1月最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
254
试验地点
6
主要终点
Tissue Oxygenation

研究概览

简要总结

The purpose of this study is to look at red blood cell (RBC) transfusions in trauma patients and evaluate for any differences between the age of the RBCs and how they were stored. The investigators will specifically look for the following differences between study groups:

  1. the transfused red blood cells' ability to delivery oxygen to the tissues
  2. differences in biochemical markers in subjects and units transfused, and
  3. how the subject's internal organs are working and if they develop any infections

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
Double (Participant, Care Provider)

入排标准

年龄范围
15 Years 至 100 Years(Child, Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Trauma Service with an Injury Severity Score > 4
  • Require a blood (PRBC) transfusion
  • Transfusion is not emergent
  • Able to obtain consent from patient or appropriate 3rd party prior to 1st transfusion

排除标准

  • Inability to adhere to blood age randomization due to limitations of the blood bank inventory
  • Bilateral hand injuries that prevent StO2 measurements
  • Age < 15
  • Pregnancy
  • Massive transfusion (=/> 10 units in 24 hours) in last 3 months
  • Hemodynamically unstable or need for transfusion in < 3 hours

结局指标

主要结局

Tissue Oxygenation

时间窗: Percentage of baseline (3 hours post transfusion compared to baseline)

Assessment of tissue oxygenation by NIRS in subjects up to 3 hours after PRBC transfusion.

次要结局

  • Haptoglobin Levels 12 Hours After Transfusion(12 hours after transfusion)
  • Clinical Outcomes - Hospital Days(from time of randomization through hospital discharged, assessed up to 6 months)
  • Free Hemoglobin Levels After Transfusion(12 hours after transfusion)
  • 2,3 DPG Levels After Transfusion(12 hours post transfusion)
  • Clinical Outcomes - Infections(from time of randomization through hospital discharged, assessed up to 6 months)
  • Clinical Outcomes - ICU Days(from time of randomization through hospital discharged, assessed up to 6 months)
  • Clinical Outcomes - Ventilator Days(from time of randomization through hospital discharged, assessed up to 6 months)
  • Clinical Outcomes - Acute Respiratory Distress Syndrome(from time of randomization through hospital discharged, assessed up to 6 months)
  • Number of Participants With Acute Renal Failure(from time of randomization through hospital discharged, assessed up to 6 months)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Martin A Schreiber, MD

Professor & Chief of Trauma

Oregon Health and Science University

研究点 (6)

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