The Effectiveness of Ankaferd Blood Stopper in the Management of Traumatic Bleeding
Haydarpaşa Numune Education and Research Hospital
1 other identifier
interventional
80
1 country
1
Brief Summary
The objective of this study was to prospectively compare effectiveness of Ankaferd Blood Stopper (ABS) with dry sponges in cessation of bleeding in adult trauma cases with external bleeding due to extremity lacerations. Methods: The study was conducted on patients with bleeding associated with extremity lacerations. All consecutive patients presented to the emergency department of the high-volume training hospital in Istanbul were recruited within the study period
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 Oct 2018
Shorter than P25 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
Study Start
First participant enrolled
October 1, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 11, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
October 23, 2018
CompletedFirst Submitted
Initial submission to the registry
March 5, 2019
CompletedFirst Posted
Study publicly available on registry
March 12, 2019
CompletedMarch 12, 2019
March 1, 2019
10 days
March 5, 2019
March 10, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Bleeding control
Group I were compressed with ABS-soaked wet sponge, and group II were treated with compression using dry sterile sponges. The compresses were briefly removed at one-minute intervals and bleeding status were checked. This process was continued for a maximum of 10 minutes. The time when both stopped the bleeding was noted for comparison.The main issue here was to see how long the ABS had taken control of the bleeding
1-10 minute
Repetition of bleeding
Wounds were monitored for half an hour for bleeding recurrence
0-30 minute
Secondary Outcomes (1)
Wound infection
3-5 days
Other Outcomes (1)
Suture removal
8-12 days
Study Arms (2)
ABS in external bleeding
ACTIVE COMPARATORDrug Ankaferd Blood Stopper Bleeding control in 10 minutes with ABS
Repetition of ABS stopped bleeding
ACTIVE COMPARATORRepetition of ABS stopped bleeding
Interventions
ankaferd blood stpper They were trained to apply compression of approximately 3-kg weight after irrigation with saline in patients with active bleeding who met inclusion criteria. Bleeding was controlled in every minute and data were collected. Traditional methods such as primary suturing were performed in patients whose bleeding did not stop within 10 minutes. Patients whose bleeding was stopped were monitored for half an hour for bleeding recurrence. The patients were divided into two groups; ones treated by ABS soaked wet compresses (group I) and ones treated by dry sponge compresses
Eligibility Criteria
You may qualify if:
- Adult patients (18 years-old and above)
- presented with isolated cuts on the extremities
- cuts sized between 1 and 5 centimeters .
You may not qualify if:
- Patients under 18 years of age
- with only superficial abrasions
- with lacerations smaller than 1 cm and larger than 5 cm
- irregular laceration borders or star-like lacerations
- deep lacerations requiring subcutaneous suturing
- lacerations requiring additional interventions such as tendon repair controlled bleeding
- grade III and IV systemic diseases (advanced heart failure, uncontrolled hypertension, etc.) according to American Society of Anesthesiologists (ASA) classification,
- who received radiotherapy or chemotherapy for malignancies within the last three months
- with the history of hematologic diseases such as leukemia
- using medications leading to hemorrhage risk (oral anticoagulants, aspirin, etc.)
- congenital coagulation factor deficiency such as hemophilia
- multiple trauma and abnormal vital signs
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Nazmiye Koyuncu
Istanbul, 0620, Turkey (Türkiye)
Related Publications (8)
Beyazit Y, Kurt M, Kekilli M, Goker H, Haznedaroglu IC. Evaluation of hemostatic effects of Ankaferd as an alternative medicine. Altern Med Rev. 2010 Dec;15(4):329-36.
PMID: 21194248RESULTGoker H, Haznedaroglu IC, Ercetin S, Kirazli S, Akman U, Ozturk Y, Firat HC. Haemostatic actions of the folkloric medicinal plant extract Ankaferd Blood Stopper. J Int Med Res. 2008 Jan-Feb;36(1):163-70. doi: 10.1177/147323000803600121.
PMID: 18304416RESULTUcar Albayrak C, Caliskan U, Haznedaroglu IC, Goker H. Haemostatic actions of the folkloric medicinal plant extract Ankaferd Blood Stopper. J Int Med Res 2008; 36:163-170. J Int Med Res. 2008 Nov-Dec;36(6):1447-8; author reply 1448-9. No abstract available.
PMID: 19094458RESULTOzel Demiralp D, Haznedaroglu IC, Akar N. Functional proteomic analysis of Ankaferd(R) Blood Stopper. Turk J Haematol. 2010 Jun 5;27(2):70-7. doi: 10.5152/tjh.2010.03.
PMID: 27263447RESULTTuncer I, Doganay L, Ozturk O. Instant control of fundal variceal bleeding with a folkloric medicinal plant extract: Ankaferd Blood Stopper. Gastrointest Endosc. 2010 Apr;71(4):873-5. doi: 10.1016/j.gie.2009.08.021. Epub 2009 Nov 17. No abstract available.
PMID: 19922917RESULTOzaslan E, Purnak T, Yildiz A, Haznedaroglu IC. Bleeding due to slippage of elastic band during variceal ligation: successful use of Ankaferd blood stopper. Indian J Gastroenterol. 2010 Jul;29(4):166-8. doi: 10.1007/s12664-010-0043-y. Epub 2010 Sep 3.
PMID: 20814774RESULTAl B, Yildirim C, Cavdar M, Zengin S, Buyukaslan H, Kalender ME. Effectiveness of Ankaferd blood stopper in the topical control of active bleeding due to cutaneous-subcutaneous incisions. Saudi Med J. 2009 Dec;30(12):1520-5.
PMID: 19936413RESULTKoyuncu N. The Effectiveness of Ankaferd Blood Stopper in the Management of Traumatic Bleeding. Adv Ther. 2019 May;36(5):1143-1149. doi: 10.1007/s12325-019-00935-4. Epub 2019 Mar 21.
PMID: 30900196DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Cagatay Nuhoglu, MD
Haydarpasa Numune Education and Research Hospital/İSTANBUL/TURKEY
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Masking Details
- I don't understand very well.
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- SEQUENTIAL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- specialist of emergency medicine
Study Record Dates
First Submitted
March 5, 2019
First Posted
March 12, 2019
Study Start
October 1, 2018
Primary Completion
October 11, 2018
Study Completion
October 23, 2018
Last Updated
March 12, 2019
Record last verified: 2019-03
Data Sharing
- IPD Sharing
- Will not share