Capillary Lactate and Transfusion Needs

NCT ID: NCT01793428

Last Updated: 2015-04-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

120 participants

Study Classification

OBSERVATIONAL

Study Start Date

2011-08-31

Brief Summary

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13% of injured normotensive patients arriving in emergency unit need mass blood-transfusion of six or more units of packed Red Blood Cells. It is currently difficult to predict the need for such a mass blood-transfusion. Indeed hemoglobin point of care testing (hemocue) and blood pressure can be normal during the first hours despite intensive bleeding.

It's well known that blood or arterial lactate measures correlate with trauma severity but these measures are not available in a pre-hospital setting. The investigators want to test whether capillary lactate measures also correlate with trauma severity and can therefore predicts earlier transfusion needs.

Detailed Description

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Conditions

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Trauma

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Study Groups

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Injured patient admitted in vital emergency unit

Capillary lactate level

Intervention Type OTHER

Use of capillary sample to determine lactate level upon arrival at vital emergency unit and at 2 hours

Interventions

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Capillary lactate level

Use of capillary sample to determine lactate level upon arrival at vital emergency unit and at 2 hours

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Adult admitted in vital emergency unit
* Severe trauma
* normotensive (Systolic Blood Pressure \>90mmHg)
* patient subjected to capillary haemoglobin and glucose measurements
* patient beneficiary of social security

Exclusion Criteria

* pregnant woman
* liver deficiency
* pre-hospital transfusion
* hypothermia below 35°C
* protected persons according to the law
* Nor epinephrine \> 0.1gamma/kg/min
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Grenoble

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Marc Vinclair, MD

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Grenoble

Locations

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Grenoble University Hospital

La Tronche, Isere, France

Site Status

Countries

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France

References

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Bouzat P, Schilte C, Vinclair M, Manhes P, Brun J, Bosson JL, Payen JF. Capillary lactate concentration on admission of normotensive trauma patients: a prospective study. Scand J Trauma Resusc Emerg Med. 2016 Jun 7;24:82. doi: 10.1186/s13049-016-0272-x.

Reference Type DERIVED
PMID: 27267942 (View on PubMed)

Other Identifiers

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2012-19

Identifier Type: -

Identifier Source: org_study_id

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