The Effect of Liberal vs. Restrictive Transfusion Strategies on Rehabilitation After Hip Fracture Surgery
Recruitment status was Active, not recruiting
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Purpose
To examine the effect of two different transfusion regimens on rehabilitation after hip fracture surgery.
| Condition | Intervention | Phase |
|---|---|---|
|
Hip Fracture |
Drug: Red blood cell transfusion |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double-Blind Primary Purpose: Treatment |
| Official Title: | The Effect of Liberal vs. Restrictive Transfusion Strategies on Rehabilitation After Hip Fracture Surgery |
- Postoperative Functional mobility
- Restricting factors for functional mobility
- Length of stay
- Complications
- Dizziness
- Exhaustion
- Haematoma (leg swelling)
| Estimated Enrollment: | 120 |
| Study Start Date: | January 2004 |
| Estimated Study Completion Date: | March 2006 |
The effect of liberal vs restrictive transfusion regimens after hip fracture surgery is unresolved. Liberal transfusion regimens (transfusion trigger hgb. 6.25 mmol/l) leads to an increased use of blood products but may impact positively on rehabilitation outcome, a restrictive transfusion trigger (hbg. 5.0 mmol/l) saves blood products but may also impair postoperative rehabilitation and outcome. the study randomizes 120 elderly patients with hip fractures to either a restrictive or a liberal perioperative transfusion therapy and measures postoperative rehabilitation outcomes within a well defined multimodal rehabilitation regimen.
Eligibility| Ages Eligible for Study: | 65 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Primary hip fracture
- capable of informed consent
- independently dwelling
- able to ambulate independent of human assistance
- no active heart condition defined as no AMI within 3 months, no unstable angina or present incompensation/pulmonary oedema
- no regular transfusion demand or terminal disease.
Exclusion Criteria:
- Multiple fractures
- postop. immobilization due to to surgical reasons
- patient refusal to participate in relevant rehabilitation
- reoperation within 4. postoperative day.
Contacts and Locations
More Information
No publications provided by Hvidovre University Hospital
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| ClinicalTrials.gov Identifier: | NCT00162617 History of Changes |
| Other Study ID Numbers: | HHSG-RCT-03 |
| Study First Received: | September 8, 2005 |
| Last Updated: | August 29, 2011 |
| Health Authority: | Denmark: National Board of Health |
Keywords provided by Hvidovre University Hospital:
|
Hip fracture Rehabilitation Transfusion Outcome |
Additional relevant MeSH terms:
|
Fractures, Bone Hip Fractures Wounds and Injuries |
Femoral Fractures Hip Injuries Leg Injuries |
ClinicalTrials.gov processed this record on May 23, 2013