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
Secondary identifying numbers N0227163238
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

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient 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 measure1. Effect of blood transfusion
2. Change in cardiac output post transfusion
Secondary outcome measures1. Change in gut flow
2. Change in cerebral flow
3. Effect on Hemoglobin concentration
Overall study start date01/10/2004
Completion date28/02/2007

Eligibility

Participant type(s)Patient
Age groupNeonate
SexBoth
Target number of participants70, 57 recruited as of September 2006
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

  • England
  • United Kingdom

Study participating centre

South Tees Hospital Trust
Cleveland
TS4 3BW
United Kingdom

Sponsor information

Record Provided by the NHSTCT Register - 2006 Update - Department of Health
Government

The Department of Health, Richmond House, 79 Whitehall
London
SW1A 2NL
United Kingdom

Phone +44 (0)20 7307 2622
Email dhmail@doh.gsi.org.uk
Website http://www.dh.gov.uk/Home/fs/en

Funders

Funder type

Government

South Tees Hospitals NHS Trust (UK), NHS R&D Support Funding

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan