Liver Transplant, Transfusion Related Complication
Conditions
Brief summary
We will study 40 matched patients. 20 patients will receive leukoreduced whole blood from the solid organ donor. These 20 patients will be compared to 20 historical matched controls with regards to allogenic blood product usage and other physiologic markers
Interventions
Up to 4 units (each unit contains 350mL) of leukoreduced donor whole blood
Up to 350mL of Allogenic banked component blood transfusion in a 1:1:1 manner (packed red blood cells : plasma : platelets)
Sponsors
Study design
Intervention model description
20 recipients receive donor whole blood 20 historic match controls are compared to the 20 study participants
Eligibility
Inclusion criteria
* \- Recipients 18 years or older. * Deceased donor whole graft liver transplant recipients undergoing liver transplant starting 07/01/2020 and onwards at VUMC. * ABO-matched recipient and donor. * Donor Hb level \>/= 8 g/dL * Recipients with negative ABO antibody screen
Exclusion criteria
* \- Pediatric recipient. * HBS Antigen+ donors * HCV NAT+ donors * Donors of A2 blood type * Donors on oral anticoagulants (except for aspirin) over the past 3 days before organ procurement
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Use of allogenic banked blood products | perioperative up to 72 hours post operative | Measured by the number of allogenic banked blood products used |
| Economic cost | perioperative up to 72 hours post operative | Total cost of perioperative transfusions |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of Serious Adverse Events (SAEs) | Baseline to discharge (approximately 4-5 days) | Number of deaths, life-threatening events, hospitalizations, disabilities or permanent damage, or congenital anomalies |
Countries
United States