Establishment of Optimal Transfusion Threshold After Major Orthopedic Surgery
1 other identifier
interventional
67
1 country
2
Brief Summary
The purpose of this study is to determine whether a higher threshold for transfusion with red blood cells improves the postoperative ambulation.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Jun 2009
Typical duration for not_applicable
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
May 20, 2009
CompletedFirst Posted
Study publicly available on registry
May 21, 2009
CompletedStudy Start
First participant enrolled
June 1, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2011
CompletedJune 6, 2011
June 1, 2011
1.9 years
May 20, 2009
June 3, 2011
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Timed Up and Go-test (TUG)in seconds.
Timed Up and Go-test is performed when the patient is able to undertake the test after surgery. This is judged by a physiotherapist. The test measures how long it takes the patient to rise, walk 3 meters, turn around, walk back and sit down again.
30 days
Secondary Outcomes (3)
The postoperative day patients can walk ten meters
30 days
Length of stay at hospital
30 days
The day the patient is able to perform Timed Up and Go-test
30 days
Study Arms (2)
Allowed drop in hemoglobin to 4.5-5.5 mmol/L
ACTIVE COMPARATORTransfusion with red blood cells to level between 4.5-5.5 mmol/L
Allowed drop in hemoglobin to 5.6-6.5 mmol/L
EXPERIMENTALTransfusion with red blood cells to level between 5.6-6.5 mmol/L
Interventions
Transfusion with red blood cells to hemoglobin between 4.5-5.5 mmol/L (Transfusion threshold of 4.5 mmol/L)
Transfusion with red blood cells to between hemoglobin 5.6-6.5 mmol/L (Transfusion threshold of 5.5 mmol/L)
Eligibility Criteria
You may qualify if:
- years or older
- Patients undergoing replacement of hip arthroplasty
- Be legally competent
- Read and understand Danish
You may not qualify if:
- Present malignant disease
- Known heart disease with functionality equivalent to NYHA II or CCS II or worse
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Rigshospitalet, Denmarklead
- TrygFonden, Denmarkcollaborator
Study Sites (2)
Bispebjerg Hospital
Copenhagen, Copenhagen NV, 2400, Denmark
Copenhagen University Hospital, Rigshospitalet
Copenhagen, Østerbro, 2100, Denmark
Related Publications (3)
Carson JL, Stanworth SJ, Dennis JA, Fergusson DA, Pagano MB, Roubinian NH, Turgeon AF, Valentine S, Trivella M, Doree C, Hebert PC. Transfusion thresholds and other strategies for guiding red blood cell transfusion. Cochrane Database Syst Rev. 2025 Oct 20;10(10):CD002042. doi: 10.1002/14651858.CD002042.pub6.
PMID: 41114449DERIVEDCarson JL, Stanworth SJ, Dennis JA, Trivella M, Roubinian N, Fergusson DA, Triulzi D, Doree C, Hebert PC. Transfusion thresholds for guiding red blood cell transfusion. Cochrane Database Syst Rev. 2021 Dec 21;12(12):CD002042. doi: 10.1002/14651858.CD002042.pub5.
PMID: 34932836DERIVEDNielsen K, Johansson PI, Dahl B, Wagner M, Frausing B, Borglum J, Jensen K, Sturup J, Hvolris J, Rasmussen LS. Perioperative transfusion threshold and ambulation after hip revision surgery--a randomized trial. BMC Anesthesiol. 2014 Oct 10;14:89. doi: 10.1186/1471-2253-14-89. eCollection 2014.
PMID: 25337035DERIVED
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Kamilla Nielsen, MD
Rigshospitalet, Denmark
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
May 20, 2009
First Posted
May 21, 2009
Study Start
June 1, 2009
Primary Completion
May 1, 2011
Study Completion
June 1, 2011
Last Updated
June 6, 2011
Record last verified: 2011-06