Studies

Interventional Recruiting

NCT05698134 on ClinicalTrials.gov

Rotational Thromboelastometry (ROTEM™) Guided Transfusion for Elective Procedures in Patients With Cirrhosis (REduCe): An Open Label Randomized Controlled Trial.

  • Sponsor: Changi General Hospital
  • Enrollment: 74 (Estimated)
  • Study start: 2021-08-01 (Actual)
  • Primary completion: 2023-05-28 (Estimated)
  • Study completion: 2023-05-28 (Estimated)
  • Allocation: Randomized
  • InterventionModel: Parallel
  • InterventionModelDescription: Participants will be randomized into two parallel groups: First group will receive standard of care based on institutional protocol for blood product transfusion Second group will receive ROTEM guided protocol for blood product transfusion
  • Masking: Double (Participant, Care Provider)
  • PrimaryPurpose: Treatment

Brief Summary

REDuCe is designed to evaluate the role of ROTEM™ in determining the need and the amount of pre-emptive blood products use in patients with cirrhosis undergoing elective procedures compared to the current standard of care. The secondary aim of this study is to evaluate ROTEM™ parameters in patients with acute decompensation, acute on chronic liver failure and acute liver failure and to co-relate it with the conventional coagulation tests.

Conditions

  • Cirrhosis, Liver

Intervention / Treatment

  • Diagnostic Test: ROTEM
  • Other: Standard of care

Primary Outcome Measures

  • Difference in amount of blood products transfused (24 months)
    The difference in amount/volume of blood products used(fresh frozen plasma in mls, cryoprecipitate in units and platelets in units) used in patients with cirrhosis undergoing elective procedure.

Countries

Singapore

Locations and Investigators

  • Changi General Hospital, Singapore, Singapore (Recruiting)
    • Rahul Kumar, MBBS
    • Rahul Kumar, MBBS (Principal Investigator)
    • Chin Kimg Tan, MD