Closed-blood Sampling Devices in the Adult Critically Ill Patient

NCT ID: NCT06478160

Last Updated: 2025-11-10

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

RECRUITING

Clinical Phase

NA

Total Enrollment

216 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-11-11

Study Completion Date

2026-06-07

Brief Summary

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Based on the hypothesis that the strategy of using Closed-Blood Sampling Devices (CSBD, experimental group) compared to the usual practice (waste discard volume, control group), in critically ill adult patients, will decrease the amount of blood withdrawn for laboratory tests, we want to analyze the number of red blood cells (RBC) administered and arterial catheter-related adverse events (catheter-related bacteremia, catheter obstruction, CBSD malfunction, loss of arterial pressure waveform on the patient's bedside monitor) in both study groups, during ICU stay and up to a maximum of 21 days.

Detailed Description

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When a patient with an arterial catheter completes 24h of admission to the unit, with an expected catheter stay of more than 72 hours, inclusion in the study will be assessed. If the patient does not meet the non-inclusion or exclusion criteria and consents to participate in the study, he/she will be randomized to the CBSD-experimental group or waste discard volume- control group.

If the patient belongs to the CBSD-experimental group, the CBSD will be placed in the arterial line at that moment. All extractions performed will be through the arterial catheter and using the CBSD.

In the waste discard volume- control group, the arterial catheter will also be used for extractions but with the usual open extraction system of the ICU. To quantify the blood loss related to blood collection for laboratory tests, the volume of discharge (VD) used for each analysis through the arterial catheter will be recorded. In the CBSD-experimental group the VD for arterial catheter will be zero since CBSD will always be used. The laboratory tubes extracted in each analysis will also be recorded.

Data on blood analysis, blood transfusion and adverse events related to the arterial catheter will be recorded daily during the ICU stay, up to day 21 maximum and/or day of ICU discharge and/or exitus.

Patients discharged from ICU to hospitalization will be followed only during the first 48h to know if they have received red blood cell concentrates and with what previous Hemoglobine (Hb) and hematocrit (Hto).

Catheter insertion and maintenance will be carried out in the same way in both groups.

Conditions

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Acceptability of Health Care

Keywords

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anaemia transfusion diagnostic blood loss phlebotomy blood management hospital-acquired anemia iatrogenic anemia sampling practices blood conservation blood sample collection catheter-related infections critical care nursing blood conservation devices clinical trial laboratory testing blood chemistry tests

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Investigators Outcome Assessors
Outcomes Assessor and statistician who analyze the results

Study Groups

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CBSD-experimental group

blood collection with Closed-Blood Sampling System (CBSD)

Group Type EXPERIMENTAL

Closed-Blood Sampling Devices

Intervention Type DEVICE

blood collection with Closed-Blood Sampling System (CBSD)

Waste discard volume, control group

Blood collection without CBSD, usual practice, need to waste discard volume

Group Type ACTIVE_COMPARATOR

Waste discard volume

Intervention Type OTHER

Blood collection without CBSD, usual practice, need to waste discard volume

Interventions

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Closed-Blood Sampling Devices

blood collection with Closed-Blood Sampling System (CBSD)

Intervention Type DEVICE

Waste discard volume

Blood collection without CBSD, usual practice, need to waste discard volume

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Adult patients with an arterial catheter who agree to participate in the study, with a stay in the ICU of 24h and a minimum of 72h more with an arterial catheter

Exclusion Criteria

* Patients with chronic renal failure
* Patients with active gastrointestinal bleeding
* Patients diagnosed with hematologic cancer
* Women with menstruation at the time of admission
* Pregnant women

Withdrawal criteria: presence of active gastrointestinal bleeding during the study inclusion period.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hospital Universitario 12 de Octubre

OTHER

Sponsor Role collaborator

Hospital Universitario Rey Juan Carlos

OTHER

Sponsor Role collaborator

Hospital General Universitario Gregorio MaraƱon

OTHER

Sponsor Role collaborator

Hospital Universitario Virgen Macarena

OTHER

Sponsor Role collaborator

University of Barcelona

OTHER

Sponsor Role lead

Responsible Party

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Marta Raurell-Torreda

Clinical Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Raurell-Torreda Marta

Role: PRINCIPAL_INVESTIGATOR

University of Barcelona

Locations

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Hospital Universitario 12 de Octubre

Madrid, Madrid, Spain

Site Status COMPLETED

Hospital Rey Juan Carlos

Madrid, Madrid, Spain

Site Status RECRUITING

Hospital Virgen de la Macarena

Seville, Sevilla, Spain

Site Status RECRUITING

Countries

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Spain

Central Contacts

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Raurell-Torreda Marta, PhD

Role: CONTACT

Phone: 626154955

Email: [email protected]

Facility Contacts

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Lopez S Cuenca, MD, PhD

Role: primary

Fernandez R Castillo, RN, PhD

Role: primary

References

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Vlaar AP, Oczkowski S, de Bruin S, Wijnberge M, Antonelli M, Aubron C, Aries P, Duranteau J, Juffermans NP, Meier J, Murphy GJ, Abbasciano R, Muller M, Shah A, Perner A, Rygaard S, Walsh TS, Guyatt G, Dionne JC, Cecconi M. Transfusion strategies in non-bleeding critically ill adults: a clinical practice guideline from the European Society of Intensive Care Medicine. Intensive Care Med. 2020 Apr;46(4):673-696. doi: 10.1007/s00134-019-05884-8. Epub 2020 Jan 7.

Reference Type RESULT
PMID: 31912207 (View on PubMed)

Raurell-Torreda M, Fernandez-Castillo RJ, Rodriguez-Delgado ME, Arias-Rivera S, Basco-Prado L. Best practices for iatrogenic anaemia prevention in the intensive care unit: Blood-sparing techniques. Nurs Crit Care. 2025 Jan;30(1):47-52. doi: 10.1111/nicc.13084. Epub 2024 Apr 23.

Reference Type RESULT
PMID: 38654607 (View on PubMed)

Other Identifiers

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Closed-blood sampling devices

Identifier Type: -

Identifier Source: org_study_id