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COVID-19 trials gained priority
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Platelets are important mediators of an inflammatory response and a key component of the innate immune system to defend the human body against invading pathogens. However, little evidence exists regarding the number of platelets that should be used als transfusion threshold in septic patients. In this trial platelet transfusion will be performed with either <50000/µl or <20000/µl as a trigger.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| <50.000/µl | Experimental | Transfusion of platelets starting with a platelet count <50.000/µl |
|
| <20.000/µl | Experimental | Transfusion of platelets starting with a platelet count <20.000/µl |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| platelet transfusion | Biological | Transfusion of platelets |
|
| Measure | Description | Time Frame |
|---|---|---|
| Overall survival in 90 day follow-up period | overall survival at 90 days | 90 days |
| Measure | Description | Time Frame |
|---|---|---|
| all cause mortality at 6 months | overall survival at 6 months | 6 months |
| resolution of shock | time to normalization of lactate levels and end of vasopressor therapy |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Peter Rosenberger, Prof. | University Hospital Tübingen | Principal Investigator |
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| ID | Term |
|---|---|
| D018805 | Sepsis |
| D013921 | Thrombocytopenia |
| ID | Term |
|---|---|
| D007239 | Infections |
| D018746 | Systemic Inflammatory Response Syndrome |
| D007249 | Inflammation |
| D010335 | Pathologic Processes |
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| ID | Term |
|---|---|
| D017713 | Platelet Transfusion |
| ID | Term |
|---|---|
| D016913 | Blood Component Transfusion |
| D001803 | Blood Transfusion |
| D001691 | Biological Therapy |
| D013812 | Therapeutics |
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| 5 days |
| ICU length of stay | length of stay on ICU ward | 28 days |
| duration of mechanical ventilation support | time to extubation | 28 days |
| renal replacement therapy | frequency and duration of renal replacement therapy | 28 days |
| bleeding events | bleeding events requiring transfusion during ICU stay | 28 days |
| SOFA score | Sepsis-related organ failure assessment score | 28 days |
| discharge location | discharge to home, ward, rehabilitation unit, nursing home | 90 days |
| D013568 |
| Pathological Conditions, Signs and Symptoms |
| D001791 | Blood Platelet Disorders |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D000095542 | Cytopenia |