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Age of Blood evalution.

Conditions
Complications occuring after red cell transfusion in ICU patients
Registration Number
NL-OMON25580
Lead Sponsor
Sanquin Blood bankRegion South-WestPO-box 21842301 CD LeidenThe Netherlands
Brief Summary

/A

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending
Sex
Not specified
Target Recruitment
2000
Inclusion Criteria

We will include patients who:

1. Have had a request for a first red cell unit transfusion in the ICU (or in the emergency department after admission to the ICU was requested by an intensivist), and;

Exclusion Criteria

1. Less than 18 years of age;

2. For whom there is verbal or written report of a red cell transfusion during the current hospitalisation (including time in emergency room and/or during transport in ambulance and/or time in another hospital prior to the transfer, whatever the length of the first hospitalization is);

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
In the ABLE-NL study the primary analysis will be on nosocomial infections, especially pneumonia. Pneumonia is the only clinical endpoint that has been reported more than once to remain statistically significantly correlated with storage time, even after adequate correction for total number of RBC transfusions. Increases in pneumonia of up to 6% for each additional day of storage have been reported.
Secondary Outcome Measures
NameTimeMethod
As compared to standard issue red cells, we will ascertain whether red cells stored 7 days or less:<br /><br>1. Decrease in-hospital, ICU, 28-day, 90-day and 6-month mortality;<br /><br>2. Decrease the severity of multiple organ dysfunction syndrome (MODS), as measured by the number of organ dysfunction and MODS score;<br /><br>3. Decrease serious nosocomial infections;<br /><br>4. Reduce the length of ICU and hospital stays;<br /><br>5. The occurence of alloimmunisation after transfuion of red cells.<br /><br>Special attention will also be paid to red cell transfusions and transfusion reactions.
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