Non-anaemic iron deficiency Nutritional, Metabolic, Endocrine Non-anaemic iron deficiency
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Undergoing primary knee or hip replacement surgery 2. Aged over 18 years 3. Non-anaemic iron deficiency, diagnosed using the following criteria: 3.1. Haemoglobin levels >12 for women and >13 for men 3.2. Ferritin levels <50 4. Not already be taking regular oral iron 5. Provide informed consent
Exclusion criteria
Exclusion criteria: 1. Lack capacity to consent to inclusion in the trial 2. Refusal to participate 3. Known allergy/intolerance to any iron supplementation treatment option 4. Pregnancy 5. Listed for surgery within four weeks of commencing iron supplementation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Haemoglobin recovery, assessed using blood samples taken at the baseline and 3 weeks after surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Length of hospital stay, determined using the patient administration system throughout the study 2. Transfusion rate and number of units transfused, assessed using the transfusion database after 30 days 3. Adverse events (including all cause morbidity and mortality, assessed using patient clinical notes after 30 and 90 days 4. Full blood count (FBC), C-reactive protein (CRP) and ferritin levels, assessed using a blood test every 4 weeks throughout the 6 month trial 5. Readmission within 30 days of surgery, assessed using the patient administration system up to 30 days after surgery 6. Inpatient deep vein thrombosis (DVT) or pulmonary embolism (PE) within 30 days of surgery, assessed using patient clinical notes up to 30 days after surgery 7. Pneumonia within 30 days of surgery, assessed using patient clinical notes up to 30 days after surgery 8. Cerebrovascular incident within 30 days of surgery, assessed using patient clinical notes up to 30 days after surgery 9. Myocardial infarction within 30 days?, assessed using patient clinical notes up to 30 days after surgery 10. Fatigue, assessed using the FACIT Fatigue Scale 4 weeks after surgery 11. Quality of life, assessed using the EQ-5D-5L questionnaire 3 months after surgery | — |
Countries
United Kingdom