ISRCTN ISRCTN16732094
DOI https://doi.org/10.1186/ISRCTN16732094
Submission date
01/01/2024
Registration date
05/01/2024
Last edited
05/01/2024
Recruitment status
Recruiting
Overall study status
Ongoing
Condition category
Circulatory System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
The project assumes broadening of knowledge among patients hospitalized in non-cardiac departments who receive treatment that increases the risk of bleeding, determining the factors affecting this risk and optimizing the diagnostic and therapeutic process among these patients.

There are currently no extensive analyzes of bleeding complications in non-cardiology departments, the publications that will be created on the basis of the collected database will supplement the missing knowledge in the field of planning anticoagulant and/or antiplatelet treatment and management of complications of the above therapy. The endpoints can also be used to create guidelines and various expert positions.

Who can participate?
Patients receiving anticoagulant and/or antiplatelet therapy hospitalized in non-cardiac departments with a complication of treatment in the form of bleeding.

What does the study involve?
Our study is a prospective, multicenter, registry study. We plan to invite several centers to the register, including several departments with different profiles - including surgical and non-surgical ones (neurology, urology, gastroenterology, surgery, otolaryngology, gynecology etc.) We are focusing on patients who are receiving antiplatelet and/or anticoagulant therapy with bleeding complications. The study population will be characterized according to the type of received treatment and also the type of bleeding. We plan to collect data for about 2 years with 1 month and 1 year follow-up after hospitalization.

What are the possible benefits and risks of participating?
None

Where is the study run from?
MezzoCardio (Poland)

When is the study starting and how long is it expected to run for?
September 2021 to December 2025

Who is funding the study?
Investigator initiated and funded

Who is the main contact?
Dr Maciej Kocjan, maciej.kocjan@sum.edu.pl
Prof Damian Kawecki, damian.kawecki@sum.edu.pl

Contact information

Prof Damian Kawecki
Public, Scientific, Principal Investigator

Sklodowskiej-Curie 10
Zabrze
41-800
Poland

ORCiD logoORCID ID 0000-0003-4445-9721
Phone +48 720813983
Email damian.kawecki@sum.edu.pl

Study information

Study designMulticenter registry study
Primary study designObservational
Secondary study designCohort study
Study setting(s)Home, Hospital, Laboratory, Medical and other records, Telephone
Study typeDiagnostic, Prevention, Quality of life, Screening, Treatment, Safety, Efficacy
Participant information sheet To follow
Scientific titleBLEEDing complications After Cardiac Treatment - ​BLEED-ACT Registry
Study acronymBLEED-ACT
Study objectivesThe project assumes broadening of knowledge among patients hospitalized in non-cardiac departments who receive treatment that increases the risk of bleeding, determining the factors affecting this risk and optimizing the diagnostic and therapeutic process among these patients.
Ethics approval(s)Ethics approval not required
Ethics approval additional informationOur trial is a study of patient data, not an experiment so it does not require an ethics approval.
We have received an opinion of the bioethical committee on this matter - no. PCN/CBN/0022/KB/239/21
Health condition(s) or problem(s) studiedPatients who are receiving antiplatelet and/or anticoagulant therapy with bleeding complications.
InterventionOur study is a prospective, multicenter, registry study. We plan to invite several centers to the register, including several departments with different profiles - including surgical and non-surgical ones.
We will collect data on risk factors, etiology, diagnostics, management and prognosis in patients with bleeding complications.
Data will be collected for 24 months with one year of prospective observation. Patients over 18 years of age will be eligible for the study.
Exclusion criterion - lack of consent to participate in the register.
Intervention typeOther
Primary outcome measureBasic clinical data on risk factors collected upon admission to hospital, upon discharge and one month after hospitalization:
1. Cardiovascular risk
2. Risk of bleeding
3. Thrombosis
4. Multi-morbidity
5. Indications and method of cardiac treatment (antiplatelet/anticoagulation)
6. Management of a patient undergoing cardiological treatment under planned conditions in the surgical ward
7. Leading symptoms of bleeding, location and degree of bleeding assessed based on the international BARC scale
8. In-hospital diagnostics
9. Management of bleeding
10. Length of hospitalization
11. Possible change of cardiac treatment after bleeding and prognosis in patients with bleeding complications
Secondary outcome measuresThere are no secondary outcome measures
Overall study start date01/09/2021
Completion date31/12/2025

Eligibility

Participant type(s)Patient, Population
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants1000
Key inclusion criteria1. Age over 18 years
2. Gender – women and men
3. Patients receiving anticoagulant and/or antiplatelet therapy hospitalized in non-cardiac departments with a complication of treatment in the form of bleeding.
Key exclusion criteria1. Age under 18 years of age
2. Lack of consent to participate in the register
Date of first enrolment01/01/2024
Date of final enrolment30/11/2025

Locations

Countries of recruitment

  • Poland

Study participating centre

II Department of Cardiology, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Katowice
Sklodowskiej-Curie 10
Zabrze
41-800
Poland

Sponsor information

MezzoCardio
Other

Stefana Okrzei 1B
Tarnowskie Góry
42-600
Poland

Phone +48 720813983
Email rejestracja@mezzocardio.pl

Funders

Funder type

Other

Investigator initiated and funded

No information available

Results and Publications

Intention to publish date31/12/2026
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryPublished as a supplement to the results publication
Publication and dissemination planPlanned publication in a high-impact peer-reviewed journal
IPD sharing planAll data generated or analysed during this study will be included in the subsequent results publication

Editorial Notes

05/01/2024: Trial's existence confirmed by Polish Cardiological Society