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Donor Lifestyle and Nutritional Status, Blood Component Quality, and Patient Safety (ESENCIA) (ESENCIA)

23. april 2026 oppdatert av: María Eugenia Flores Quijano, Instituto Nacional de Perinatologia

Lifestyle of Blood Donors and Its Impact on the Quality of Blood Components During Storage and Patient Safety

The goal of this observational study is to evaluate how blood donors' lifestyle and nutritional status influence the quality of packed red blood cells (pRBCs) during storage and their impact on patient safety in transfused neonates and postpartum women. The main questions it aims to answer are:

  1. Are donor lifestyle and nutritional profiles associated with the development of storage lesions in pRBCs?
  2. Do these donor-related factors influence clinical outcomes after transfusion in neonates and postpartum women?
  3. Are storage lesion in pRBCs associated with clinical outcomes in transfused neonates and postpartum women?

Researchers will compare pRBC units stratified according to donor lifestyle and nutritional profiles to determine differences in storage lesion biomarkers and post-transfusion clinical outcomes.

Studieoversikt

Status

Har ikke rekruttert ennå

Detaljert beskrivelse

Lifestyle and nutritional status of blood donors impact the quality of packed red blood cells (pRBCs) during storage and influence patient safety. Our study proposes a prospective cohort to profile pRBCs based on blood donors' lifestyle and nutritional assessments. We will use causal and statistical models to associate these profiles with storage lesions and adverse clinical outcomes in transfused neonates and postpartum women.

Studietype

Observasjonsmessig

Registrering (Antatt)

1014

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

    • Mexico City
      • Mexico City, Mexico City, Mexico, 11000
        • Instituto Nacional de Perinatología
        • Ta kontakt med:
        • Hovedetterforsker:
          • Edgar Barrientos-Galeana, MSc

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

  • Voksen

Tar imot friske frivillige

Ja

Prøvetakingsmetode

Ikke-sannsynlighetsprøve

Studiepopulasjon

The study population consists of candidates for whole blood donation at the Blood Bank (BDS) of the National Institute of Perinatology (INPer). All candidates must first complete standard Blood Bank procedures, including medical interview, complete blood count screening, blood collection, and infectious disease testing, in accordance with institutional protocols. Candidates deemed eligible for donation following routine evaluation will be invited to participate in the study.

Those who agree will provide study-specific informed consent. Participation involves additional assessments beyond standard Blood Bank procedures.

Beskrivelse

Inclusion Criteria:

  • Eligible candidates according to Mexican regulatory standards for blood donation (NOM-253-SSA1-2012)

Exclusion Criteria:

- Refusal to provide specific informed consent for participation in the research

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Antioxidant capacity in stored blood units
Tidsramme: From donation (baseline) to transfusion or end of storage (up to 42 days)

Quantification of total antioxidant capacity, including hydrophilic and lipophilic antioxidants (vitamins, proteins, lipids, glutathione, and uric acid), reflecting the ability to neutralize free radicals.

Unit of Measure: mmol (Trolox equivalents)

From donation (baseline) to transfusion or end of storage (up to 42 days)
Oxidative damage in stored blood units
Tidsramme: From donation (baseline) to transfusion or end of storage (up to 42 days)

Measurement of lipid peroxidation products, including malondialdehyde (MDA), quantified as thiobarbituric acid reactive substances (TBARS) using colorimetric assays.

Unit of Measure: µM MDA

From donation (baseline) to transfusion or end of storage (up to 42 days)
Red blood cell membrane changes
Tidsramme: From donation (baseline) to transfusion or end of storage (up to 42 days)

Assessment of erythrocyte membrane integrity based on phosphatidylserine externalization, quantified by flow cytometry.

Percentage of phosphatidylserine-positive cells (%)

From donation (baseline) to transfusion or end of storage (up to 42 days)
Hemolysis in stored blood units
Tidsramme: From donation (baseline) to transfusion or end of storage (up to 42 days)

Determination of hemolysis as the percentage of free hemoglobin in the supernatant, quantified using HemoCue Plasma/Low Hb system.

Unit of Measure: % hemolysis

From donation (baseline) to transfusion or end of storage (up to 42 days)
Patient safety
Tidsramme: Within the first 24 hours post-transfusion and throughout hospitalization
Occurrence of transfusion-related adverse events, including multiorgan dysfunction, infections, hemolytic reactions, transfusion-associated circulatory overload (TACO), transfusion-related acute lung injury (TRALI), length of hospital stay (days), and all-cause mortality.
Within the first 24 hours post-transfusion and throughout hospitalization

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Antatt)

1. juli 2026

Primær fullføring (Antatt)

1. juli 2028

Studiet fullført (Antatt)

1. juli 2029

Datoer for studieregistrering

Først innsendt

8. april 2026

Først innsendt som oppfylte QC-kriteriene

23. april 2026

Først lagt ut (Faktiske)

30. april 2026

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

30. april 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

23. april 2026

Sist bekreftet

1. april 2026

Mer informasjon

Begreper knyttet til denne studien

Andre studie-ID-numre

  • 2026-1-7 (Annet stipend/finansieringsnummer: Instituto Nacional de Perinatología)

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

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