Transfusion Strategies for Pediatric Liver Transplantation
The Perioperative Liberal or Restrictive Transfusion in Pediatric Liver Transplantation: A Prospective Randomized Controlled Trial
1 other identifier
interventional
488
1 country
1
Brief Summary
The patients assigned to the restrictive group will receive transfusion once the hemoglobin concentration falls below 6.0 g per deciliter, with a target hemoglobin range of 7.5 to 8.0 g per deciliter. Patients assigned to the liberal group will receive transfusion once the hemoglobin concentration falls below 8.0 g per deciliter, with a target hemoglobin range of 9.0 to 10.0 g per deciliter. The primary outcome: Survival rate in six months after randomization. Secondary outcomes: Incidence of perioperative complications, including sepsis , pulmonary complications, portal vein thrombosis, hepatic artery thrombosis and transfusion-related adverse events. Intraoperative blood loss, intraoperative blood transfusion amount, postoperative blood transfusion amount in 7 days after surgery, postoperative inflammatory reaction, mechanical ventilation time in the intensive care unit, lengths of stay in the intensive care unit and the hospital,and hospitalization expenses.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Dec 2016
Longer than P75 for not_applicable
1 active site
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
October 25, 2016
CompletedFirst Posted
Study publicly available on registry
November 1, 2016
CompletedStudy Start
First participant enrolled
December 7, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 30, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
December 30, 2022
CompletedOctober 14, 2021
October 1, 2021
5.6 years
October 25, 2016
October 9, 2021
Conditions
Outcome Measures
Primary Outcomes (1)
Survival rate
up to 6 months after randomization
Secondary Outcomes (14)
Amount of intraoperative blood transfusion
during surgery
Amount of blood transfusion during perioperative period
up to 7 days after surgery
Heart rate during surgery
during surgery
Blood pressure during surgery
during surgery
Arterial partial pressure of oxygen during surgery
during surgery
- +9 more secondary outcomes
Study Arms (2)
restrictive group
EXPERIMENTALPatients in this group will have a transfusion when the hemoglobin concentration falls below 6g/dL, with a target hemoglobin range of 7.5-8.0g/dL.
liberal group
ACTIVE COMPARATORPatients in this group will have a transfusion when the hemoglobin concentration falls below 8g/dL, with a target hemoglobin range of 9.5-10.0g/dL.
Interventions
Transfusion will start when the hemoglobin concentration falls below 6.0 g/dL
Eligibility Criteria
You may qualify if:
- The investigators study included pediatric patients (the moon's age \<36 months) who will receive standard living-donor liver transplantation (LDLT) in Renji Hospital.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- RenJi Hospitallead
Study Sites (1)
Renji Hospital affliated to Shanghai Jiaotong University School of Medicine
Shanghai, Shanghai Municipality, 200126, China
Study Officials
- PRINCIPAL INVESTIGATOR
Jie Tian
RenJi Hospital
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 25, 2016
First Posted
November 1, 2016
Study Start
December 7, 2016
Primary Completion
June 30, 2022
Study Completion
December 30, 2022
Last Updated
October 14, 2021
Record last verified: 2021-10