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Clinical Impact of Red Cell Storage Age

Completed
Conditions
RBC Transfusions
Interventions
Other: no intervention
Registration Number
NCT05482737
Lead Sponsor
University of Minnesota
Brief Summary

The recent four RCTs evaluating effects of RBC storage age on morbidity and mortality found no statistically significant adverse effects of longer stored RBC compared to shorter storage ages. Unfortunately, none of these RCTs had sufficient numbers of subjects receiving RBC at either storage age extreme to identify consequences of RBC transfusion at these limits. To better investigate effects of RBC storage age on clinical outcomes, this study will perform secondary meta-analyses of merged common patient data elements -individual patient data (IPD) meta-analysis (IPDMA) - from the nearly 33,000 subjects enrolled in the four RCTs.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
33000
Inclusion Criteria
  • Received at least one RBC transfusion
  • >=18 years of age
Exclusion Criteria
  • N/A

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
less than or equal 7 daysno interventionTransfused RBC stored =\<7 days
less than 18 daysno interventionTransfused RBC stored \<18 days
more than 7 daysno interventionTransfused RBC stored \<7 days
more than 35 daysno interventionTransfused RBC stored \>35 days
Reference groupno interventionTransfused RBC stored 8-35 days
more that 10 daysno interventionTransfused RBC stored \>10 days
less than or equal 35 daysno interventionTransfused RBC stored =\<35 days
less that or equal 10 daysno interventionTransfused RBC stored =\<10 days
more than or equal 18 daysno interventionTransfused RBC stored =\>18 days
Primary Outcome Measures
NameTimeMethod
All-cause mortality28 days after transfusion

Estimate the effect of transfused RBC storage-age on time to all-cause mortality

Hospital length of stayafter transfusion through 28 days

Estimate the effect of transfused RBC storage-age on hospital stay

Secondary Outcome Measures
NameTimeMethod
All-cause mortality at 28 days for long-storage28 days after transfusion

all-cause mortality at 28 days comparing subjects who received (one or more) RBC unit ≥ 35 days vs. no unit \> 35 days

28 day mortality for short-storage28 days after transfusion

28 day mortality for subjects who received (one or more) RBC unit ≤ 7 days vs. no unit ≤ 7 days

Trial Locations

Locations (1)

University of Minnesota

🇺🇸

Minneapolis, Minnesota, United States

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