Patient Blood Management Implementation in CEE Study

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorSemmelweis University

About this trial

The goal of the study is data collection on available fixed and personal assets required for Patient Blood Management (elements of the 3 pillars of PBM) in Central Eastern Europe countries hospitals, status before and after PBM training.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

patients above 18 years of age

patients undergoing elective medium and high bleeding risk surgical intervention defined as moderate (<500 ml) and high (≥ 500 ml)

patient consent

Disqualifiers

no patient consent

patients under 18 years of age

pregnant patients

surgery with a low risk of bleeding

Trial population

Patients undergoing elective surgerical interventions with medium or high bleeding risk during predefined two times one week periods - one week at basline and one week after 6 months

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • Data collection on interventions performs as per medical routine

    Other intervention

    No intervention other than routine medical practice

Treatment groups

2,000 Participants
are divided into 2 treatment groups
Group A: Hospital self audit data baseline before PBM training1 intervention
Group B: Hospital self audit data after 6 month after PBM training1 intervention

Trial outcomes

Primary outcomes

1

Was the PBM training able to significantly reduce the use of blood products in the audited periods?

Identification of local and country level PBM gaps during the first self audit followed by training and corrective measures, reidentification of remaining local and country level PBM gaps during the second self audit: 1. Reduction of RBC, FFP and TC in Units 2. PBM trained physichian in number

Time frame
second self audit versus first self audit ( 6 months)

Secondary outcomes

1

Material assets for the PBM pillars

1. increase in use of POC tests (number of tests) 2. increase in use of factor concentrates (IU) 3. local hemostasis management protocols (YES/NO)

Time frame
second self audit versus first self audit ( 6 months)
2

Impact of PBM implementation on postoperative care

Time spent in the intensive care unit in the postoperative period (ICU days)

Time frame
second self audit versus first self audit ( 6 months)
3

Impact of PBM implementation on postoperative care

Hospital length of stay (days)

Time frame
second self audit versus first self audit ( 9 months)
4

PBM implementation impact on infection rates

Postoperative infection rate

Time frame
second self audit versus first self audit ( 6 months)

Other outcomes

Sponsors and contacts

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Semmelweis University

Lead sponsor

CSL Behring

Collaborator