Status:

COMPLETED

Plasma Transfusion in Major Vascular Surgery

Lead Sponsor:

Naestved Hospital

Collaborating Sponsors:

Statens Serum Institut

Conditions:

Aortic Aneurysm, Abdominal

Arterial Occlusive Diseases

Eligibility:

All Genders

41-99 years

Brief Summary

BACKGROUND * Major blood loss is frequent in open repair of ruptured and intact abdominal aortic aneurysm (AAA) as well as in aorto-bifurcated prosthesis insertion due to aortoiliac occlusive disease...

Detailed Description

STATISTICAL ANALYSIS PLAN The primary analysis will be a stratified cox regression model. STRATIFICATION: * type of surgery/condition (ruptured AAA vs intact AAA vs aorto-iliac occlusive disease, s...

Eligibility Criteria

Inclusion

  • Open abdominal aortic repair with the insertion of prosthesis for either
  • intact (elective or symptomatic) AAA
  • ruptured AAA
  • aorto-iliac occlusive disease
  • Requiring massive transfusion defined as 10 units or more of any blood product(\*) transfused on the same date (source DTDB)
  • (\*) = Allogeneic packed RBCs, FFP, cryoprecipitate, or platelets. Cryoprecipitate will account for 4 units of FFP in the FFP:RBC ratio.

Exclusion

  • Surgery time limited to \< 50 minutes (DVR)
  • No prosthesis inserted (DVR) AND operation date (DVR) equal to the death date (CPR)
  • Excluding patients with surgery time less than 50 minutes or cases where no prosthesis has been inserted is expected to minimize survival bias from patients exsanguinating in the operation theater before blood products can be delivered. Intentionally, it may also exclude cases where surgery was considered futile and halted.

Key Trial Info

Start Date :

January 1 1997

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

December 31 2018

Estimated Enrollment :

17000 Patients enrolled

Trial Details

Trial ID

NCT04514575

Start Date

January 1 1997

End Date

December 31 2018

Last Update

January 28 2021

Active Locations (1)

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Slagelse Hospital

Slagelse, Region Sjælland, Denmark, 4200