Hemoglobin Levels for Blood Transfusions During and After Surgery

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorOttawa Hospital Research Institute

About this trial

The goal of this pilot clinical trial is to learn if it is achievable to conduct a large-scale clinical trial whereby, the investigators will compare two ways of deciding when to give a blood transfusion during surgery. Participants in this study are adults undergoing surgery with a risk of significant blood loss.

The main question it aims to answer is:

* Is a trial designed to definitively test and compare two different red blood cell transfusion strategies feasible?

Participants will:

* Receive blood transfusions during surgery based on a higher (less than 90 g/L) or a lower (less than 70 g/L) hemoglobin value. * Complete questionnaires at 30 and 90 days after surgery.

Eligibility criteria

Qualifiers

Adult patients, age ≥18.

Elective or urgent surgery.

Risk of red blood cell transfusion of at least 10 percent.

Preoperative hemoglobin of less than 130 g/L.

Disqualifiers

Active major hemorrhage as indication for surgery (e.g. ruptured aneurysm, polytrauma, etc.).

Acute coronary syndrome or myocardial infarction within the past 6 weeks.

Cardiac surgery.

Liver transplantation.

Trial design

Treatments tested in this trial

  • Restrictive Transfusion
  • Liberal transfusion

Treatment groups

384 Participants
are divided into 2 treatment groups