The purpose of this study is to find out if burn injured patients do better receiving fewer blood transfusions than what is traditionally given. We traditionally provide blood transfusions to maintain a hemoglobin level, which is an indicator of the level of red blood cells that carry oxygen in your body, to above 10 g/dl (g/dl stands for grams per deciliter and is the standard measurement used to indicate the level of red blood cells in your blood). However, a preliminary study indicated that maintaining the hemoglobin level to above 7-8 g/dl with less blood transfusion, as compared to a hemoglobin level of 10 g/dl and above, would reduce the occurrence of blood infection, duration on the respirator and length of hospital stay, yet would achieve similar survival in both groups.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
347
maintain hemoglobin at 7-8 g/dL
Maintain hemoglobin at 10-11 g/dL
Maricopa Integrated Health System (Arizona Burn Center)
Phoenix, Arizona, United States
Arrowhead Regional Medical Center
Colton, California, United States
Community Regional Medical Center
Fresno, California, United States
University of California Davis Medical Center-Regional Burn Center
Sacramento, California, United States
University of California, San Diego
San Diego, California, United States
Washington Hospital Burn Center
Washington D.C., District of Columbia, United States
University of Florida Health Science
Gainesville, Florida, United States
Doctors Hospital-Joseph M Still Burn Center
Augusta, Georgia, United States
University of Kansas Medical Center
Kansas City, Kansas, United States
University of North Carolina at Chapel Hill (Jaycee Burn Center)
Chapel Hill, North Carolina, United States
...and 8 more locations
Incidence of Blood Stream Infection
Time frame: 1 week after randomization and weekly thereafter through discarge from hospital
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