Are autotransfusion drains effective for total knee arthroplasty? A randomised controlled trial

ISRCTN ISRCTN65166542
DOI https://doi.org/10.1186/ISRCTN65166542
Protocol serial number N0114126741
Sponsor Department of Health
Funder Colchester Hospital University NHS Foundation Trust (UK)
Submission date
30/09/2004
Registration date
30/09/2004
Last edited
16/05/2012
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Surgery
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Mr M Loeffler
Scientific

Colchester General Hospital
Department of Orthopaedics
Turner Road
Colchester
CO4 5JL
United Kingdom

Study information

Primary study designInterventional
Study designRandomised controlled trial
Secondary study designRandomised controlled trial
Study type Participant information sheet
Scientific title
Study objectivesDo autotransfusion drains obviate the need for formal blood transfusion with cross-matched blood after total knee arthroplasty?
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedSurgery: Knee arthroplasty
InterventionAt the pre-admission clinic the patients will be randomly allocated into one of two groups (50 patients in each group) after discussing the project with them, providing them with a patients information leaflet and consenting them. One group will receive all their post operatively drained wound blood back as an autotransfusion using the "Bellovac" autotransfusion drain system. The other group will have their wound blood discarded and be transfused according to preset criteria. The autotransfused patients may need additional transfusion with cross-matched blood if they fail to meet the preset criteria.
Transfusion criteria:
1. A loss of >1000 ml of blood in the collection drain;
2. A clinical need for transfusion (Tachycardia, hypotensive, ischaemic electrocardiogram [ECG] changes)
3. A haemoglobin blood level of <8.5 g/dl.
The data will be collated to determine by simple non-parametric statistical analysis whether autotransfusion drains are useful in obviating the need for conventional transfusion with cross-matched donated blood. A publication in the Journal of Bone and Joint Surgery is anticipated.
Intervention typeProcedure/Surgery
Primary outcome measure(s)

Post operative Haemoglobin levels (checked at 12, 24 and 72 hours)

Key secondary outcome measure(s)

Not provided at time of registration

Completion date31/12/2003

Eligibility

Participant type(s)Patient
Age groupNot Specified
SexNot Specified
Target sample size at registration100
Key inclusion criteria100 patients will be selected for this study. All patients will need total knee replacements.
Key exclusion criteriaPatients with bleeding disorders, Jehovah's witnesses and those not wishing to enter the study will be excluded.
Date of first enrolment01/07/2003
Date of final enrolment31/12/2003

Locations

Countries of recruitment

  • United Kingdom
  • England

Study participating centre

Colchester General Hospital
Colchester
CO4 5JL
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?
Results article results 01/04/2008 Yes No
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes