Blend to Limit OxygEN in ECMO: A RanDomised ControllEd Registry (BLENDER) Trial: Study Protocol and Statistical Analysis Plan.

Cardiogenic shock Extracorporeal membrane oxygenation Hyperoxia Ischaemic reperfusion injury Venoarterial

Journal

Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine
ISSN: 1441-2772
Titre abrégé: Crit Care Resusc
Pays: Netherlands
ID NLM: 100888170

Informations de publication

Date de publication:
Sep 2023
Historique:
medline: 25 10 2023
pubmed: 25 10 2023
entrez: 25 10 2023
Statut: epublish

Résumé

Critically ill patients supported with venoarterial extracorporeal membrane oxygenation (VA ECMO) are at risk of developing severe arterial hyperoxia, which has been associated with increased mortality. Lower saturation targets in this population may lead to deleterious episodes of severe hypoxia. This manuscript describes the protocol and statistical analysis plan for the Blend to Limit OxygEN in ECMO: A RanDomised ControllEd Registry (BLENDER) Trial. The BLENDER trial is a pragmatic, multicentre, registry-embedded, randomised clinical trial., registered at ClinicalTrials.gov (NCT03841084) and approved by The Alfred Hospital Ethics Committee project ID HREC/50486/Alfred-2019. Patients supported by VA ECMO for cardiogenic shock or cardiac arrest who are enrolled in the Australian national ECMO registry. The study compares a conservative oxygenation strategy (target arterial saturations 92-96%) with a liberal oxygenation strategy (target 97-100%). The primary outcome is the number of intensive care unit (ICU)-free days for patients alive at day 60. Secondary outcomes include duration of mechanical ventilation, ICU and hospital mortality, the number of hypoxic episodes, neurocognitive outcomes, and health economic analyses. The 300-patient sample size enables us to detect a 3-day difference in ICU-free days at day 60, assuming a mean ICU-free days of 11 days, with a risk of type 1 error of 5% and power of 80%. Data will be analysed according to a predefined analysis plan. Findings will be disseminated in peer-reviewed publications. This paper details the protocol and statistical analysis plan for the BLENDER trial, a registry-embedded, multicentre interventional trial comparing liberal and conservative oxygenation strategies in VA ECMO.

Identifiants

pubmed: 37876374
doi: 10.1016/j.ccrj.2023.06.001
pii: S1441-2772(23)00022-4
pmc: PMC10581278
doi:

Banques de données

ClinicalTrials.gov
['NCT03841084']

Types de publication

Journal Article

Langues

eng

Pagination

118-125

Informations de copyright

© 2023 The Authors.

Déclaration de conflit d'intérêts

Authors Rinaldo Bellomo, David Pilcher, Carol Hodgson, Andrew Udy and Ed Litton declare a conflict of interest as Editors of this journal.

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Auteurs

Aidan Burrell (A)

Australian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.
Department of Intensive Care and Hyperbaric Medicine, The Alfred, Melbourne, VIC, Australia.

Sze Ng (S)

Australian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.

Kelly Ottosen (K)

Australian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.

Michael Bailey (M)

Australian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.
Department of Critical Care, School of Medicine, University of Melbourne, VIC, Australia.

Hergen Buscher (H)

Australian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.
St. Vincent's Hospital Sydney, University of New South Wales, Darlinghurst, NSW, Australia.

John Fraser (J)

Critical Care Research Group, Brisbane, QLD, Australia.
Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia.

Andrew Udy (A)

Australian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.
Department of Intensive Care and Hyperbaric Medicine, The Alfred, Melbourne, VIC, Australia.

David Gattas (D)

Intensive Care Unit, Royal Prince Alfred Hospital, Camperdown, NSW, Australia.
Sydney Medical School, University of Sydney, Sydney, NSW, Australia.

Richard Totaro (R)

Intensive Care Unit, Royal Prince Alfred Hospital, Camperdown, NSW, Australia.
Sydney Medical School, University of Sydney, Sydney, NSW, Australia.

Rinaldo Bellomo (R)

Australian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.
Department of Critical Care, School of Medicine, University of Melbourne, VIC, Australia.
Data Analytics Research and Evaluation (DARE) Centre, Austin Hospital, Melbourne, VIC, Australia.

Paul Forrest (P)

Sydney Medical School, University of Sydney, Sydney, NSW, Australia.
Department of Anaesthetics, Royal Prince Alfred Hospital, Sydney, NSW, Australia.

Emma Martin (E)

Department of Intensive Care and Hyperbaric Medicine, The Alfred, Melbourne, VIC, Australia.

Liadain Reid (L)

Australian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.

Marc Ziegenfuss (M)

Critical Care Research Group, Brisbane, QLD, Australia.
Adult Intensive Care Unit, The Prince Charles Hospital, Brisbane, QLD, Australia.

Glenn Eastwood (G)

Australian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.
Department of Intensive Care, Austin Hospital, Melbourne, VIC, Australia.

Alisa Higgins (A)

Australian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.

Carol Hodgson (C)

Australian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.
Department of Intensive Care and Hyperbaric Medicine, The Alfred, Melbourne, VIC, Australia.
Department of Critical Care, School of Medicine, University of Melbourne, VIC, Australia.

Edward Litton (E)

Intensive Care Unit, Fiona Stanley Hospital, Murdoch, WA, Australia.

Priya Nair (P)

Intensive Care Unit, St Vincent's Hospital, Darlinghurst, NSW, Australia.

Neil Orford (N)

Intensive Care Unit, University Hospital Geelong, Barwon Health, Geelong, VIC, Australia.
School of Medicine, Deakin University, Waurn Ponds, VIC, Australia.

Vince Pellegrino (V)

Department of Intensive Care and Hyperbaric Medicine, The Alfred, Melbourne, VIC, Australia.

Kiran Shekar (K)

Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia.
Adult Intensive Care Unit, The Prince Charles Hospital, Brisbane, QLD, Australia.

Tony Trapani (T)

Australian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.

David Pilcher (D)

Australian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.
Department of Intensive Care and Hyperbaric Medicine, The Alfred, Melbourne, VIC, Australia.

Classifications MeSH