Investigation of the Transfusion Practices in Surgical Patients in Turkey
NCT ID: NCT03468738
Last Updated: 2019-04-25
Study Results
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Basic Information
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COMPLETED
6481 participants
OBSERVATIONAL
2018-04-02
2019-02-01
Brief Summary
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Detailed Description
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To date PBM is considered "good transfusion practice" and is being implemented in a growing number of countries. The Turkish Society of Anesthesiologists PBM Task Force is working on this subject since 4 years and decided to conduct a study. Before starting a PBM program, the transfusion practices of clinicians working at diverse surgical fields; differences between current transfusion practices and PBM strategies; the areas for improvement and the obstacles that could prevent change could be identified with this study. Data collection will also serve to identify the current situation as a reference and to control the achievement of the PBM's aim: improving clinical outcomes. These data will be refered as The Turkish National Perioperative Transfusion Study (TULIP TS) data.
The aim of this study is to describe the transfusion practices in patients undergoing major surgery in Turkey.
The study evaluates i. The perioperative transfusion rates of RBCs, FFP and platelets. ii. With which reasons the anesthesiologists decide to transfuse a patient (co morbidities of the patients, physiologic transfusion triggers, hemoglobin trigger, uncontrolled bleeding, on request from surgeon etc.).
iii. The relation of transfusion and the patients co-morbidity index, the P POSSUM score and SORT score; anesthesia methods; monitorisation methods (hemodynamic, coagulation); amount of bleeding; type of surgery; type of hospital.
iv. The relation of transfusion and patient outcomes (unanticipated ICU admission, prolonged ICU stay, acute renal failure, thromboembolic events, ischemic events, pulmonary complications, cardiac advers events, infections, acute respiratory distress, infection, all-cause mortality).
Conditions
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Study Design
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OTHER
PROSPECTIVE
Interventions
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Blood transfusion
Transfusion of blood products in the perioperative period in patients undergoing major surgery
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
ALL
No
Sponsors
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Turkish Society of Anesthesiology and Reanimation
OTHER
Diskapi Teaching and Research Hospital
OTHER
Responsible Party
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DILEK YAZICIOGLU
Associate Professor
Principal Investigators
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Dilek Unal, Assoc Prof
Role: PRINCIPAL_INVESTIGATOR
Netherlands: Ministry of Health, Welfare and Sports
Locations
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Acibadem University Mehmet Ali Aydinlar Atakent Hospital
Ankara, , Turkey (Türkiye)
Ankara University Cebeci Medical Center
Ankara, , Turkey (Türkiye)
Ankara University Ibni Sina Hospital
Ankara, , Turkey (Türkiye)
Başkent University Ankara Hospital
Ankara, , Turkey (Türkiye)
Gazi University Medical Faculty
Ankara, , Turkey (Türkiye)
Hacettepe University Medical Faculty
Ankara, , Turkey (Türkiye)
Private Cankaya Hospital
Ankara, , Turkey (Türkiye)
Ufuk University Medical Faculty Dr. Ridvan Ege Training and Research Hospital
Ankara, , Turkey (Türkiye)
University of Health sciences Ankara Child Health and Diseases Hematology Oncology Training and research Hospital
Ankara, , Turkey (Türkiye)
University of Health Sciences Ankara Numune Training and Research Hospital
Ankara, , Turkey (Türkiye)
University of Health Sciences Ankara Training and Research Hospital
Ankara, , Turkey (Türkiye)
University of Health Sciences Diskapi Yildirim Beyazit Trainig Research Hospital
Ankara, , Turkey (Türkiye)
University of Health Sciences Dr Abdurrahman Yurtaslanı Ankara Oncology Training and Research Hospital
Ankara, , Turkey (Türkiye)
University of Health Sciences Kecioren Training and Research Hospital
Ankara, , Turkey (Türkiye)
University of Health Sciences Turkiye Yuksek Ihtisas Training and Research Hospital
Ankara, , Turkey (Türkiye)
University of Health Sciences Yenimahalle Training and Research Hospital
Ankara, , Turkey (Türkiye)
University of Health Sciences Zubeyde Hanim Gynecology and Maternity Training and Research Hospital
Ankara, , Turkey (Türkiye)
University of Technology and Economics Medical Faculty
Ankara, , Turkey (Türkiye)
Akdeniz University Medical Faculty
Antalya, , Turkey (Türkiye)
University of Health Sciences Antalya Training and Research Hospital
Antalya, , Turkey (Türkiye)
Balikesir University Training and Research Hospital
Balıkesir, , Turkey (Türkiye)
Uludağ University Medical Faculty
Bursa, , Turkey (Türkiye)
University of Health Sciences Bursa Yuksek Ihtisas Training and Research Hospital
Bursa, , Turkey (Türkiye)
Hitit University Corum Erol Olcok Training and Research Hospital
Çorum, , Turkey (Türkiye)
Trakya University Medical Faculty
Edirne, , Turkey (Türkiye)
Fırat University Medical Faculty
Elâzığ, , Turkey (Türkiye)
Erzincan University Mengucek Gazi Training and Research Hospital
Erzincan, , Turkey (Türkiye)
Eskisehir Osmangazi University Medical Faculty
Eskişehir, , Turkey (Türkiye)
Suleyman Demirel University Medical Faculty
Isparta, , Turkey (Türkiye)
Acibadem University Altunizade Hospital
Istanbul, , Turkey (Türkiye)
Istanbul Medeniyet University Goztepe Training and Research Hospital
Istanbul, , Turkey (Türkiye)
Istanbul University Medical Faculty
Istanbul, , Turkey (Türkiye)
Marmara University Pendik Training and Research Hospital
Istanbul, , Turkey (Türkiye)
University of Health Sciences Fatih Sultan Mehmet Training and Research Hospital
Istanbul, , Turkey (Türkiye)
University of Health Sciences Haydarpasa Numne Training and Research Hospital
Istanbul, , Turkey (Türkiye)
University of Health Sciences Istanbul Training and Research Hospital
Istanbul, , Turkey (Türkiye)
University of Health Sciences Kanuni Sultan Suleyman Training and Research Hospital
Istanbul, , Turkey (Türkiye)
University of Health Sciences Okmeydanı Training and Research Hospital
Istanbul, , Turkey (Türkiye)
University of Health Sciences Umraniye Training and Research Hospital
Istanbul, , Turkey (Türkiye)
Dokuz Eylul University Medical Faculty
Izmir, , Turkey (Türkiye)
University of Health Sciences Bozyaka Training Research Hospital
Izmir, , Turkey (Türkiye)
University of Health Sciences İzmir Tepecik Training and Research Hospital
Izmir, , Turkey (Türkiye)
Sutcu Imam University Medical Faculty
Kahramanmaraş, , Turkey (Türkiye)
Erciyes University Medical Faculty
Kayseri, , Turkey (Türkiye)
University of Health Sciences Kayseri Training and Research Hospital
Kayseri, , Turkey (Türkiye)
Anadolu Health Center Hospital
Kocaeli, , Turkey (Türkiye)
University of Health Sciences Derince Training and Research Hospital
Kocaeli, , Turkey (Türkiye)
Necmettin Erbakan University Meram Medical Faculty Center for Health and Research
Konya, , Turkey (Türkiye)
Selcuk University Medical Faculty
Konya, , Turkey (Türkiye)
University of Health Sciences Konya Training and Research Hospital
Konya, , Turkey (Türkiye)
Inonu University Liver Transplantation Institute
Malatya, , Turkey (Türkiye)
Manisa Celal Bayar University Medical Faculty Hafsa Sultan Hospital
Manisa, , Turkey (Türkiye)
Mersin University Medical Faculty
Mersin, , Turkey (Türkiye)
Ordu University Medical Faculty
Ordu, , Turkey (Türkiye)
Osmaniye State Hospital
Osmaniye, , Turkey (Türkiye)
Ondokuz Mayıs University Medical Faculty
Samsun, , Turkey (Türkiye)
Namık Kemal University Medical Faculty
Tekirdağ, , Turkey (Türkiye)
Karadeniz Technical University Medical Faculty Farabi Hospital
Trabzon, , Turkey (Türkiye)
Tunceli State Hospital
Tunceli, , Turkey (Türkiye)
Van Yuzuncuyıl University Medical Faculty Dursun Odabası Center
Van, , Turkey (Türkiye)
Bulent Ecevit University Medical Faculty Center for Health and Research
Zonguldak, , Turkey (Türkiye)
Countries
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References
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Kotze A, Carter LA, Scally AJ. Effect of a patient blood management programme on preoperative anaemia, transfusion rate, and outcome after primary hip or knee arthroplasty: a quality improvement cycle. Br J Anaesth. 2012 Jun;108(6):943-52. doi: 10.1093/bja/aes135.
Meier J, Filipescu D, Kozek-Langenecker S, Llau Pitarch J, Mallett S, Martus P, Matot I; ETPOS collaborators. Intraoperative transfusion practices in Europe. Br J Anaesth. 2016 Feb;116(2):255-61. doi: 10.1093/bja/aev456.
Murphy GJ, Reeves BC, Rogers CA, Rizvi SI, Culliford L, Angelini GD. Increased mortality, postoperative morbidity, and cost after red blood cell transfusion in patients having cardiac surgery. Circulation. 2007 Nov 27;116(22):2544-52. doi: 10.1161/CIRCULATIONAHA.107.698977. Epub 2007 Nov 12.
Hsieh FY, Bloch DA, Larsen MD. A simple method of sample size calculation for linear and logistic regression. Stat Med. 1998 Jul 30;17(14):1623-34. doi: 10.1002/(sici)1097-0258(19980730)17:143.0.co;2-s.
Kalil AC, Mattei J, Florescu DF, Sun J, Kalil RS. Recommendations for the assessment and reporting of multivariable logistic regression in transplantation literature. Am J Transplant. 2010 Jul;10(7):1686-94. doi: 10.1111/j.1600-6143.2010.03141.x.
Other Identifiers
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Dilek Yazıcıoglu Unal
Identifier Type: -
Identifier Source: org_study_id
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