Patient blood management in elective bypass cardiac surgery: A 2-step single-centre interventional trial to analyse the impact of an educational programme and erythropoiesis stimulation on red blood cell transfusion.

Anaemia Cardiac surgery Erythropoietin Iron deficiency Red blood cell transfusion

Journal

Contemporary clinical trials communications
ISSN: 2451-8654
Titre abrégé: Contemp Clin Trials Commun
Pays: Netherlands
ID NLM: 101671157

Informations de publication

Date de publication:
Sep 2020
Historique:
received: 03 03 2020
revised: 20 06 2020
accepted: 12 07 2020
entrez: 23 7 2020
pubmed: 23 7 2020
medline: 23 7 2020
Statut: epublish

Résumé

Anaemia and iron deficiency are frequent in patients scheduled for cardiac surgery. Perioperative patient blood management (PBM) is widely recommended in current practice guidelines. The aim of this protocol is to analyse the effect of a global perioperative PBM programme on the red blood cell (RBC) transfusion ratio, morbidities and rehabilitation score in elective cardiac surgery.This study is a prospective, single-centre trial with a 2-step protocol, A and B, as follows: A: non-drug intervention: the caregiver is given a blood management educational programme; B: drug intervention: systematic correction of perioperative iron, vitamin deficiencies, and anaemia. This study was designed to enrol 900 patients (500 in group A and 400 in group B) in a rolling period starting at anaesthesia consultation and ending 3 months after surgery. The primary ClinicalTrials.gov, NCT04040023: registered 29 July 2019.

Identifiants

pubmed: 32695923
doi: 10.1016/j.conctc.2020.100617
pii: S2451-8654(20)30101-0
pii: 100617
pmc: PMC7365967
doi:

Banques de données

ClinicalTrials.gov
['NCT04040023']

Types de publication

Journal Article

Langues

eng

Pagination

100617

Informations de copyright

© 2020 Published by Elsevier Inc.

Références

Ann Thorac Surg. 2013 Aug;96(2):478-85
pubmed: 23673069
N Engl J Med. 2017 Nov 30;377(22):2133-2144
pubmed: 29130845
Ann Thorac Surg. 2006 Nov;82(5):1747-56
pubmed: 17062241
Can J Anaesth. 2019 Jun;66(6):716-731
pubmed: 30924000
Ann Thorac Surg. 2011 Mar;91(3):944-82
pubmed: 21353044
Lancet. 2019 Jun 1;393(10187):2201-2212
pubmed: 31036337
Crit Care Med. 2006 Jun;34(6):1608-16
pubmed: 16607235
Ann Thorac Surg. 2018 Jan;105(1):15-23
pubmed: 29233331
Eur J Anaesthesiol. 2011 Nov;28(11):796-801
pubmed: 21885979
N Engl J Med. 2009 Dec 17;361(25):2436-48
pubmed: 19920054
JAMA. 2010 Oct 13;304(14):1568-75
pubmed: 20940382
JAMA. 2019 Mar 12;321(10):983-997
pubmed: 30860564
Eur Heart J. 2015 Mar 14;36(11):657-68
pubmed: 25176939
Can Med Assoc J. 1985 Apr 15;132(8):919-23
pubmed: 3978515
Br J Anaesth. 2020 Jan;124(1):25-34
pubmed: 31668348
Eur J Prev Cardiol. 2017 May;24(8):799-807
pubmed: 28117617
Anesthesiology. 2015 Feb;122(2):241-75
pubmed: 25545654
Br J Clin Pharmacol. 2001 Sep;52(3):223-8
pubmed: 11560553
Circulation. 2008 Jan 29;117(4):478-84
pubmed: 18172032
Circulation. 2007 Nov 27;116(22):2544-52
pubmed: 17998460
Transfusion. 2004 Oct;44(10):1453-62
pubmed: 15383018
Anesth Analg. 2019 Nov;129(5):1209-1221
pubmed: 31613811
Health Policy. 1990 Dec;16(3):199-208
pubmed: 10109801
J Cardiothorac Vasc Anesth. 2018 Feb;32(1):88-120
pubmed: 29029990
BMJ Open. 2017 Apr 18;7(4):e014872
pubmed: 28420664
Eur J Anaesthesiol. 2017 Jun;34(6):332-395
pubmed: 28459785
Ann Thorac Surg. 2017 Jan;103(1):18-24
pubmed: 27884412
N Engl J Med. 2015 Mar 12;372(11):997-1008
pubmed: 25760354

Auteurs

Hélène Charbonneau (H)

Department of Anesthesiology and Intensive Care Unit, Clinique Pasteur, 45 avenue de Lombez BP27617, 31076 Toulouse Cedex 03, France.

Marie Pasquié (M)

Clinical Research Associate, Clinique Pasteur, 45 avenue de Lombez BP27617, 31076, Toulouse Cedex 03, France.

Pierre Berthoumieu (P)

Department of Cardiothoracic and Vascular Surgery, Clinique Pasteur, 45 avenue de Lombez BP27617, 31076, Toulouse Cedex 03, France.

Nicolas Savy (N)

Toulouse Institute of Mathematics, UMR5219 - University of Toulouse, CNRS - UPS IMT, F-31062, Toulouse Cedex 9, France.

Gérard Autones (G)

Department of Anesthesiology and Intensive Care Unit, Clinique Pasteur, 45 avenue de Lombez BP27617, 31076 Toulouse Cedex 03, France.

Olivier Anglès (O)

Department of Anesthesiology and Intensive Care Unit, Clinique Pasteur, 45 avenue de Lombez BP27617, 31076 Toulouse Cedex 03, France.

Anne Laure Berthelot (AL)

Department of Anesthesiology and Intensive Care Unit, Clinique Pasteur, 45 avenue de Lombez BP27617, 31076 Toulouse Cedex 03, France.

Madeleine Croute-Bayle (M)

Department of Anesthesiology and Intensive Care Unit, Clinique Pasteur, 45 avenue de Lombez BP27617, 31076 Toulouse Cedex 03, France.

Isabelle Decramer (I)

Department of Anesthesiology and Intensive Care Unit, Clinique Pasteur, 45 avenue de Lombez BP27617, 31076 Toulouse Cedex 03, France.

David Duterque (D)

Department of Anesthesiology and Intensive Care Unit, Clinique Pasteur, 45 avenue de Lombez BP27617, 31076 Toulouse Cedex 03, France.

Yannick Gabiache (Y)

Department of Anesthesiology and Intensive Care Unit, Clinique Pasteur, 45 avenue de Lombez BP27617, 31076 Toulouse Cedex 03, France.

Valérie Julien (V)

Department of Anesthesiology and Intensive Care Unit, Clinique Pasteur, 45 avenue de Lombez BP27617, 31076 Toulouse Cedex 03, France.

Laurent Mallet (L)

Department of Anesthesiology and Intensive Care Unit, Clinique Pasteur, 45 avenue de Lombez BP27617, 31076 Toulouse Cedex 03, France.

Mimoun M'rini (M)

Department of Anesthesiology and Intensive Care Unit, Clinique Pasteur, 45 avenue de Lombez BP27617, 31076 Toulouse Cedex 03, France.

Jean François Quedreux (JF)

Department of Anesthesiology and Intensive Care Unit, Clinique Pasteur, 45 avenue de Lombez BP27617, 31076 Toulouse Cedex 03, France.

Benoit Richard (B)

Department of Anesthesiology and Intensive Care Unit, Clinique Pasteur, 45 avenue de Lombez BP27617, 31076 Toulouse Cedex 03, France.

Laurent Sidobre (L)

Department of Anesthesiology and Intensive Care Unit, Clinique Pasteur, 45 avenue de Lombez BP27617, 31076 Toulouse Cedex 03, France.

Laurence Taillefer (L)

Department of Anesthesiology and Intensive Care Unit, Clinique Pasteur, 45 avenue de Lombez BP27617, 31076 Toulouse Cedex 03, France.

Philippe Soula (P)

Department of Cardiothoracic and Vascular Surgery, Clinique Pasteur, 45 avenue de Lombez BP27617, 31076, Toulouse Cedex 03, France.

Olivier Garcia (O)

Department of Cardiothoracic and Vascular Surgery, Clinique Pasteur, 45 avenue de Lombez BP27617, 31076, Toulouse Cedex 03, France.

Issam Abouliatim (I)

Department of Cardiothoracic and Vascular Surgery, Clinique Pasteur, 45 avenue de Lombez BP27617, 31076, Toulouse Cedex 03, France.

Olivier Vahdat (O)

Department of Cardiothoracic and Vascular Surgery, Clinique Pasteur, 45 avenue de Lombez BP27617, 31076, Toulouse Cedex 03, France.

Marc Bousquet (M)

Department of Cardio-vascular Rehabilitation, Clinique Saint Orens ELSAN, 12 Avenue de Revel, 31650, Saint-Orens-de-Gameville, France.

Jean Marc Ferradou (JM)

Department of Cardio-vascular Rehabilitation "Midi-Gascogne" Cardiovascular Rehabilitation, 1487 Avenue du Languedoc, 82500, Beaumont-de-Lomagne, France.

Yves Jansou (Y)

Department of Cardio-vascular Rehabilitation, Cinique du Sud ELSAN, ZAC Route de Montredon, Chemin de la Madeleine, 11000, Carcassonne, France.

Pierre Brunel (P)

Perfusionist Group, Clinique Pasteur, 45 avenue de Lombez BP27617, 31076, Toulouse Cedex 03, France.

Claude Breil (C)

Perfusionist Group, Clinique Pasteur, 45 avenue de Lombez BP27617, 31076, Toulouse Cedex 03, France.

Nicolas Mayeur (N)

Department of Anesthesiology and Intensive Care Unit, Clinique Pasteur, 45 avenue de Lombez BP27617, 31076 Toulouse Cedex 03, France.

Classifications MeSH