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 volunteersQualifiers
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
Cohort
Prospective
Treatments tested in this trial
Data collection on interventions performs as per medical routine
Other interventionNo intervention other than routine medical practice
Treatment groups
Trial outcomes
Primary outcomes
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
Secondary outcomes
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)
Impact of PBM implementation on postoperative care
Time spent in the intensive care unit in the postoperative period (ICU days)
Impact of PBM implementation on postoperative care
Hospital length of stay (days)
PBM implementation impact on infection rates
Postoperative infection rate
Sponsors and contacts
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Semmelweis University
Lead sponsor
CSL Behring
Collaborator