About this trial
Anemia poses risks during coronary artery bypass grafting (CABG), increasing complications and mortality rates. Blood transfusions in cardiac surgery have negative outcomes, prompting the use of erythropoietin in Patient Blood Management (PBM) to limit transfusion needs and enhance postoperative recovery. EPO can reduce blood component requirements, adverse events, and inflammation in anemic CABG patients. A study aims to minimize transfusions through a PBM anemia treatment protocol for CABG patients, comparing outcomes in three groups: a Control Group (CG), a Non-PBM Group (NPBMG) treated with blood components, and a PBM Group (GPBM) treated with EPO. Parameters include post-op stay, mortality, cardiovascular events, non-cardiovascular events, ICU time, mechanical ventilation duration, vasoactive drug use, inflammatory responses, and cardiac cell death. Analysis will consider demographic and clinical factors, with expectations that GPBM will yield superior results compared to NPBMG and similar or better outcomes than CG.
Eligibility criteria
Qualifiers
Eletive surgery;
Only CABG as procedure;
Off pump CABG candidate.
Disqualifiers
Age > 80 years;
Chronic dialytic kidney disease;
Chronic rheumatologic disease;
Men with Hb levels > 13 g/dl and < 8g/dl;
Trial design
Treatments tested in this trial
- Erythropoietin
- blood transfusion
Treatment groups
Sponsors and collaborators
Federal University of São Paulo
Lead sponsor
Fundação de Amparo à Pesquisa do Estado de São Paulo
Collaborator