Bleeding, Hemorrhage
Conditions
Keywords
TRAUMA, HAEMORRHAGIC, rVIIa, Complication of Trauma hemorrhage, bleeding, rFVIIa administration for hemorrhage after trauma
Brief summary
The rFVIIa (Novoseven) has been tested in traumatic hemorrhage but its efficiency has not been proven yet in this context. A national register has been set up in France identifying the patients which received rFVIIa. Those patients had persistent and active bleeding after severe trauma despite surgery and/or interventional radiology embolization. The aim of this present study is to report the first clinical results in those situations of patients treated with rFVIIa.
Detailed description
It consists of a study of a prospective cohort in 36 centers, for 3 years, from April 1st 2008. The data of all patients who received rFVIIa in traumatic situation were collected. The investigators colligated clinical and biological parameters; have been analyzed treatment received during initial care, in intensive care before and after they received rFVIIa, length of stay in ICU, secondary effects, complications and patients outcome. ISS and TRISS score were calculated to predict mortality.
Interventions
data collected by investigators
Sponsors
Study design
Eligibility
Inclusion criteria
* people affiliated to social security * patients admitted in ISU for haemorrhagic trauma * patients received rFVIIa after the other treatment for bleeding control
Exclusion criteria
* allergy or hypersensitivity to rVIIa or one of its component
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| use of rFVIIa in haemorrhagic trauma compared to guidelines | twenty four hours | Deviations with European guidelines use of rFVIIa |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| medico economic evaluation | one year | number of patients receiving rFVIIa by year and posology by patient |
| security and efficiency use of rFVVa | thirty days | Mandatory treatments after first dose administration of rFVIIa. Patients with serious adverse events (type) and incidence |
Countries
France