Effect of two different volumes of blood transfusion on cardiac function, cerebral and gut hemodynamics in neonates: a randomised controlled trial

ISRCTN ISRCTN18526805
DOI https://doi.org/10.1186/ISRCTN18526805
Protocol serial number N0227163238
Sponsor Record Provided by the NHSTCT Register - 2006 Update - Department of Health
Funder South Tees Hospitals NHS Trust (UK), NHS R&D Support Funding
Submission date
29/09/2006
Registration date
29/09/2006
Last edited
20/08/2015
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Neonatal Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Samir Gupta
Scientific

South Tees Hospital Trust
The James Cook University Hospital
Marton Road
Cleveland
TS4 3BW
United Kingdom

Study information

Primary study designInterventional
Study designRandomised controlled trial
Secondary study designRandomised controlled trial
Study type Participant information sheet
Scientific titleEffect of two different volumes of blood transfusion on cardiac function, cerebral and gut hemodynamics in neonates: a randomised controlled trial
Study objectivesWhat are the hemodynamic effects of different volumes of blood transfusion in newborn babies: effects on cardiac output, gut and cerebral flow?
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedNeonatal Diseases
InterventionAfter taking informed consent the Ultrasonographic and Doppler assessment of cerebral flow, gut flow and cardiac function, would be done 4 hours before, and 4 and 24-30 hours after transfusion. Block randomisation with stratification as per the gestation (less than and equal to and more than 30 weeks gestation) will be done.

Once eligible baby will be randomised into one of the 2 groups:
1. Volume of transfusion 20 ml per kg given over 4 hours
2. Volume of transfusion 10 ml per kg given over 2 hours and repeated with 10 ml per kg transfused over two hours from same donor, 24 hours apart

Each baby will act as control pre transfusion and case post transfusion. Each consented transfusion event will be enrolled as a subject.
Intervention typeProcedure/Surgery
Primary outcome measure(s)

1. Effect of blood transfusion
2. Change in cardiac output post transfusion

Key secondary outcome measure(s)

1. Change in gut flow
2. Change in cerebral flow
3. Effect on Hemoglobin concentration

Completion date28/02/2007

Eligibility

Participant type(s)Patient
Age groupNeonate
SexAll
Target sample size at registration70
Key inclusion criteriaBabies admitted to the neonatal intensive care unit and requiring blood transfusion (packed cells) as per the unit protocol and guidelines will be eligible for the study.
Key exclusion criteria1. Babies with pneumothorax, pneumomediastinum or pneumoperitoneum during study
2. Hypotension requiring changing ionotropic support at time of transfusion
3. Terminally ill babies
4. Complex congenital heart disease
5. Major congenital anomalies
Date of first enrolment01/10/2004
Date of final enrolment28/02/2007

Locations

Countries of recruitment

  • United Kingdom
  • England

Study participating centre

South Tees Hospital Trust
Cleveland
TS4 3BW
United Kingdom

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes