Investigation of the Transfusion Practices in Surgical Patients in Turkey
- Conditions
- Blood Loss, SurgicalCoagulation DisorderAnemiaBlood Loss AnemiaBlood TransfusionSurgery
- Registration Number
- NCT03468738
- Lead Sponsor
- Diskapi Teaching and Research Hospital
- Brief Summary
The aim of this study is to describe the transfusion practices in patients undergoing major surgery in Turkey. The transfusion rates of red blood cells (RBC), fresh frozen plasma (FFP) and platelets; the transfusion predictors and transfusion related patient outcomes are investigated.
- Detailed Description
Patient Blood Management (PBM) is an evidence based multidisciplinary approach for the care of patients who may need blood transfusion. The aim of PBM is achieving better patient outcomes by focusing on the patients' own blood as a source.
To date PBM is considered "good transfusion practice" and is being implemented in a growing number of countries. The Turkish Society of Anesthesiologists PBM Task Force is working on this subject since 4 years and decided to conduct a study. Before starting a PBM program, the transfusion practices of clinicians working at diverse surgical fields; differences between current transfusion practices and PBM strategies; the areas for improvement and the obstacles that could prevent change could be identified with this study. Data collection will also serve to identify the current situation as a reference and to control the achievement of the PBM's aim: improving clinical outcomes. These data will be refered as The Turkish National Perioperative Transfusion Study (TULIP TS) data.
The aim of this study is to describe the transfusion practices in patients undergoing major surgery in Turkey.
The study evaluates i. The perioperative transfusion rates of RBCs, FFP and platelets. ii. With which reasons the anesthesiologists decide to transfuse a patient (co morbidities of the patients, physiologic transfusion triggers, hemoglobin trigger, uncontrolled bleeding, on request from surgeon etc.).
iii. The relation of transfusion and the patients co-morbidity index, the P POSSUM score and SORT score; anesthesia methods; monitorisation methods (hemodynamic, coagulation); amount of bleeding; type of surgery; type of hospital.
iv. The relation of transfusion and patient outcomes (unanticipated ICU admission, prolonged ICU stay, acute renal failure, thromboembolic events, ischemic events, pulmonary complications, cardiac advers events, infections, acute respiratory distress, infection, all-cause mortality).
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 6481
Patients undergoing major elective surgery
Trauma patients, emergency surgery
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Preoperative amount of blood products transfused Before surgery at day 0 Preoperative amount of blood products: RBCs,FFP and platelets transfused
Intraoperative amount of blood products transfused During surgery at day 0 Intraoperative amount of blood products: RBC's,FFP and platelets transfused
Postoperative amount of blood products transfused 24 hours after surgery Postoperative amount of blood products: RBCs,FFP and platelets transfused
- Secondary Outcome Measures
Name Time Method Infection After surgery at day 2 Whether the patient had infection: wound, pneumonia, urinary, sepsis etc.
Preoperative coagulopathy Before surgery at day 0 Whether the patient had coagulopathy due to disease or drugs
Intraoperative transfusion indications During surgery at day 1 The reasons to decide to transfuse (factors determining transfusion) blood products
Pretransfusion hemoglobin values After surgery at day 2 The hemoglobin concentration before transfusion
Prolonged length of stay in ICU After surgery at day 2 Whether the patient had a prolonged length of stay in ICU
Advers cardiac events After surgery at day 30 Whether the patient had an advers cardiac event: myocardial infaction; non fatal cardiac arest; arrhytmia; cardiogenic pulmonary edema etc
Acute renal failure After surgery at day 2 Whether the patient had acute renal failure
Ischemic event After surgery at day 2 Whether the patient had an ischemic event concerning heart, nervous system,limb, gastrointestinal tract etc.
Mortality after surgery at day 30 Whether the patient died: all cause mortality
Preoperative anemia Before surgery at day 0 Whether the patient had anemia (Hemoglobin male \< 13 female \< 12 g/dL)
Preoperative transfusion indications Before surgery at day 0 The reasons to decide to transfuse (factors determining transfusion) blood products
Postoperative transfusion indications 24 hours after surgery The reasons to decide to transfuse (factors determining transfusion) blood products
Unanticipated ICU admission After surgery at day 1 Whether the patient had an unanticipated ICU admission
Thromboembolic event After surgery at day 2 Whether the patient had a thromboembolic event concerning lungs (pulmonary embolism), brain (stroke), gastrointestinal tract, kidneys, or extremities etc.
Acute respiratory distress After surgery at day 2 Whether the patient had acute respiratory distress
Related Research Topics
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Trial Locations
- Locations (61)
Ankara University Cebeci Medical Center
🇹🇷Ankara, Turkey
Acibadem University Mehmet Ali Aydinlar Atakent Hospital
🇹🇷Ankara, Turkey
Başkent University Ankara Hospital
🇹🇷Ankara, Turkey
Ankara University Ibni Sina Hospital
🇹🇷Ankara, Turkey
Hacettepe University Medical Faculty
🇹🇷Ankara, Turkey
Gazi University Medical Faculty
🇹🇷Ankara, Turkey
Ufuk University Medical Faculty Dr. Ridvan Ege Training and Research Hospital
🇹🇷Ankara, Turkey
Private Cankaya Hospital
🇹🇷Ankara, Turkey
University of Health Sciences Ankara Numune Training and Research Hospital
🇹🇷Ankara, Turkey
University of Health sciences Ankara Child Health and Diseases Hematology Oncology Training and research Hospital
🇹🇷Ankara, Turkey
University of Health Sciences Ankara Training and Research Hospital
🇹🇷Ankara, Turkey
University of Health Sciences Dr Abdurrahman Yurtaslanı Ankara Oncology Training and Research Hospital
🇹🇷Ankara, Turkey
University of Health Sciences Diskapi Yildirim Beyazit Trainig Research Hospital
🇹🇷Ankara, Turkey
University of Health Sciences Kecioren Training and Research Hospital
🇹🇷Ankara, Turkey
University of Technology and Economics Medical Faculty
🇹🇷Ankara, Turkey
University of Health Sciences Turkiye Yuksek Ihtisas Training and Research Hospital
🇹🇷Ankara, Turkey
University of Health Sciences Yenimahalle Training and Research Hospital
🇹🇷Ankara, Turkey
University of Health Sciences Zubeyde Hanim Gynecology and Maternity Training and Research Hospital
🇹🇷Ankara, Turkey
University of Health Sciences Antalya Training and Research Hospital
🇹🇷Antalya, Turkey
Akdeniz University Medical Faculty
🇹🇷Antalya, Turkey
Uludağ University Medical Faculty
🇹🇷Bursa, Turkey
Balikesir University Training and Research Hospital
🇹🇷Balıkesir, Turkey
University of Health Sciences Bursa Yuksek Ihtisas Training and Research Hospital
🇹🇷Bursa, Turkey
Trakya University Medical Faculty
🇹🇷Edirne, Turkey
Fırat University Medical Faculty
🇹🇷Elazığ, Turkey
Erzincan University Mengucek Gazi Training and Research Hospital
🇹🇷Erzincan, Turkey
Eskisehir Osmangazi University Medical Faculty
🇹🇷Eskişehir, Turkey
Istanbul Medeniyet University Goztepe Training and Research Hospital
🇹🇷İstanbul, Turkey
Istanbul University Medical Faculty
🇹🇷Istanbul, Turkey
Suleyman Demirel University Medical Faculty
🇹🇷Isparta, Turkey
Acibadem University Altunizade Hospital
🇹🇷Istanbul, Turkey
University of Health Sciences Fatih Sultan Mehmet Training and Research Hospital
🇹🇷Istanbul, Turkey
Marmara University Pendik Training and Research Hospital
🇹🇷Istanbul, Turkey
University of Health Sciences Haydarpasa Numne Training and Research Hospital
🇹🇷Istanbul, Turkey
University of Health Sciences Istanbul Training and Research Hospital
🇹🇷Istanbul, Turkey
University of Health Sciences Kanuni Sultan Suleyman Training and Research Hospital
🇹🇷Istanbul, Turkey
University of Health Sciences Okmeydanı Training and Research Hospital
🇹🇷Istanbul, Turkey
Dokuz Eylul University Medical Faculty
🇹🇷İzmir, Turkey
University of Health Sciences Umraniye Training and Research Hospital
🇹🇷Istanbul, Turkey
University of Health Sciences İzmir Tepecik Training and Research Hospital
🇹🇷İzmir, Turkey
University of Health Sciences Bozyaka Training Research Hospital
🇹🇷İzmir, Turkey
Sutcu Imam University Medical Faculty
🇹🇷Kahramanmaraş, Turkey
Erciyes University Medical Faculty
🇹🇷Kayseri, Turkey
University of Health Sciences Kayseri Training and Research Hospital
🇹🇷Kayseri, Turkey
Anadolu Health Center Hospital
🇹🇷Kocaeli, Turkey
University of Health Sciences Derince Training and Research Hospital
🇹🇷Kocaeli, Turkey
Inonu University Liver Transplantation Institute
🇹🇷Malatya, Turkey
Necmettin Erbakan University Meram Medical Faculty Center for Health and Research
🇹🇷Konya, Turkey
Selcuk University Medical Faculty
🇹🇷Konya, Turkey
University of Health Sciences Konya Training and Research Hospital
🇹🇷Konya, Turkey
Manisa Celal Bayar University Medical Faculty Hafsa Sultan Hospital
🇹🇷Manisa, Turkey
Osmaniye State Hospital
🇹🇷Osmaniye, Turkey
Ordu University Medical Faculty
🇹🇷Ordu, Turkey
Ondokuz Mayıs University Medical Faculty
🇹🇷Samsun, Turkey
Namık Kemal University Medical Faculty
🇹🇷Tekirdağ, Turkey
Tunceli State Hospital
🇹🇷Tunceli, Turkey
Karadeniz Technical University Medical Faculty Farabi Hospital
🇹🇷Trabzon, Turkey
Bulent Ecevit University Medical Faculty Center for Health and Research
🇹🇷Zonguldak, Turkey
Hitit University Corum Erol Olcok Training and Research Hospital
🇹🇷Çorum, Turkey
Mersin University Medical Faculty
🇹🇷Mersin, Turkey
Van Yuzuncuyıl University Medical Faculty Dursun Odabası Center
🇹🇷Van, Turkey