Cardiovascular disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: The inclusion criteria will be adults scheduled for elective cardiac surgery within 3-10 weeks with written informed consent, irrespective of their haemoglobin and iron status. We will recruit 460 consecutive patients undergoing major elective coronary artery bypass graft and/or valve surgery of anticipated duration of more than three hours.
Exclusion criteria
Exclusion criteria: We will exclude patients undergoing aortic dissection repair due to the intrinsic high risk of bleeding with this type of operation; emergency cardiac surgery; family or personal history of haemochromatosis; known reasons for anaemia, such as vitamin B12 or folate deficiency, haemoglobinopathy, thalassemia, chronic renal failure; previous intravenous iron therapy or blood transfusion in last 12 weeks; known hypersensitivity to intravenous iron therapy; body temperature more than 37.5°C or receiving non-prophylactic antibiotics; chronic liver disease and/or alanine aminotransferase or aspartate aminotransferase concentration above three times the upper limit of normal; history of asthma, allergic eczema or other atopic allergy; and rheumatoid arthritis with symptoms or signs of active inflammation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Prevalence of anaemia and iron deficiency;Exercise performance;Days (alive and) at home within 30 days of surgery; | — |
Secondary
| Measure | Time frame |
|---|---|
| Units of perioperative allogenic blood transfused;Chinese Veterans Specific Activity Questionnaire ;Cardiac Postoperative Morbidity Survey ;Quality of Recovery-15 item ;World Health Organization Disability Assessment Schedule 2.0; | — |
Countries
China
Contacts
Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong