Severe anaemia Haematological Disorders Anaemia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Children aged 12 years or less, either sex 2. Children with severe anaemia for whom a blood transfusion is indicated (aged less than three months, Haemoglobin [Hb] less than or equal to 10 g/dL; aged greater than three months, Hb less than or equal to 4 g/dL)
Exclusion criteria
Exclusion criteria: 1. Coma (Blantyre Coma Scale less than or equal to 2) 2. Prostration (if unable to sit when well, inability to take enteral feeds; if able to sit when well, inability to sit unsupported) 3. Uncompensated shock 4. Compensated shock (capillary refill time greater than 3 seconds; temperature gradient) 5. Respiratory distress (deep breathing) 6. Neonatal hyperbilirubinaemia requiring exchange transfusion 7. Any other marker of clinical severity considered to preclude the child from recruitment into the study 8. Enrolment in another intervention trial 9. Children for whom informed consent to enter the study is not possible or not given
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Amended as of 16/02/2009: 1. Serious adverse events 2. Suspected unexpected serious adverse reactions 3. Adverse events Initial information at time of registration: 1. Serious adverse events 2. Suspected unexpected serious adverse reactions Monitored throughout in-patient stay with formal assessments at the following times: 1. Pre-transfusion 2. During transfusion 3. Two hours post transfusion 4. 24 hours post transfusion 5. At hospital discharge 6. 28 days post transfusion | — |
Secondary
| Measure | Time frame |
|---|---|
| Rise in haemoglobin at 24 hours and 28 days. | — |
Countries
Kenya