Platelet Transfusion in Sepsis Trial
Study Details
Study Description
Brief Summary
Platelets are important mediators of an inflammatory response and a key component of the innate immune system to defend the human body against invading pathogens. However, little evidence exists regarding the number of platelets that should be used als transfusion threshold in septic patients. In this trial platelet transfusion will be performed with either <50000/µl or <20000/µl as a trigger.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: <50.000/µl Transfusion of platelets starting with a platelet count <50.000/µl |
Biological: platelet transfusion
Transfusion of platelets
|
Experimental: <20.000/µl Transfusion of platelets starting with a platelet count <20.000/µl |
Biological: platelet transfusion
Transfusion of platelets
|
Outcome Measures
Primary Outcome Measures
- Overall survival in 90 day follow-up period [90 days]
overall survival at 90 days
Secondary Outcome Measures
- all cause mortality at 6 months [6 months]
overall survival at 6 months
- resolution of shock [5 days]
time to normalization of lactate levels and end of vasopressor therapy
- ICU length of stay [28 days]
length of stay on ICU ward
- duration of mechanical ventilation support [28 days]
time to extubation
- renal replacement therapy [28 days]
frequency and duration of renal replacement therapy
- bleeding events [28 days]
bleeding events requiring transfusion during ICU stay
- SOFA score [28 days]
Sepsis-related organ failure assessment score
- discharge location [90 days]
discharge to home, ward, rehabilitation unit, nursing home
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Sepsis defined as alteration of SOFA score (Sepsis-related organ failure assessment score) >2 points (Sepsis-3 definition)
-
platelet count <50.000/µl
Exclusion Criteria:
-
Age less than 18 years
-
patients with immune thrombocytopenia
-
major bleeding in the last 72 hours or ongoing major bleeding
-
patient, surrogate or physician not committed to full intensive care support
-
pregnancy
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- University Hospital Tuebingen
Investigators
- Principal Investigator: Peter Rosenberger, Prof., University hospital Tübingen
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- PlaTiSep