CClinicalTrials.gg
CompletedNCT07603999Updated May 22, 2026

Trends in Transfusion Strategies and Outcomes in Trauma

An observational study in Transfusion, Trauma Coagulopathy and Mortality, sponsored by Mariah Arif. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-05-22.

Sponsored by Mariah Arif · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
137
Ages
18 Years and older
Sex
All
01

Study summary

This retrospective cohort study evaluated transfusion practices and outcomes in 137 severely injured trauma patients requiring massive transfusion at a Level I trauma center (2020-2025). This study analyzed balanced transfusion ratios, whole blood (WB) use, thromboelastography (TEG), and adjunctive hemostatic therapies to determine their impact on 30-day mortality and other clinical outcomes.

02

Conditions studied

  • Transfusion
  • Trauma Coagulopathy
  • Mortality
  • Blood Transfusion
03

In context

Lead sponsor

Mariah Arif is the lead sponsor of 3 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adult trauma patients (≥18 years) presenting directly to the trauma center were eligible for inclusion if they met at least one of the following criteria:

  1. Injury Severity Score (ISS) ≥16, or
  2. requirement for massive transfusion, defined as >10 units of packed red blood cells (PRBC) within the first 24 hours.

Inclusion criteria

Adult trauma patients (≥18 years) presenting directly to the trauma center were eligible for inclusion if they met at least one of the following criteria:

  1. Injury Severity Score (ISS) ≥16, or
  2. requirement for massive transfusion, defined as >10 units of packed red blood cells (PRBC) within the first 24 hours.

Exclusion criteria

Exclusion Criteria:

  • Death on arrival,
  • Transfer from external institutions after initial resuscitation
  • Incomplete transfusion or outcome data
  • Significant pre-existing comorbidities (including advanced heart failure, end-stage renal disease, cirrhosis with portal hypertension, chronic oxygen dependence, or non-reversible anticoagulation therapy).
  • Patients with isolated minor injuries not requiring trauma team activation were also excluded.
05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
137 participants (actual)
Patient registry
No

Groups and cohorts

  • Whole blood

    Patients who received whole blood

  • Not whole blood

    Patients who did not receive whole blood and instead only blood components

06

What researchers measure

Primary outcomes

  1. 30-day all cause mortality

    Time frame: 30 days post-transfusion

Secondary outcomes

  1. in-hospital mortality

    Time frame: From date of hospital admission until date of death, assessed up to 60 months

  2. ICU length of stay

    Time frame: from date of ICU admission until date of ICU discharge, assessed up to 60 months

  3. Hospital length of stay

    Time frame: from admission till discharge or death

  4. Ventilator-free days

    Time frame: Within 28 days post-ventilator use

  5. Acute kidney injury

    Time frame: Increase in serum creatinine by ≥0.3 mg/dL within 48 hours, or Increase in serum creatinine to ≥1.5 times baseline within 7 days, or Urine output <0.5 mL/kg/hour for 6 hours.

  6. thromboembolic events

    deep vein thrombosis, pulmonary embolism, stroke

    Time frame: from date of admission up till date of discharge, assessed up to 60 months

  7. Number of participants with multiorgan failure

    Multiorgan failure (MOF) was defined as dysfunction or failure of two or more organ systems as assessed by the Sequential Organ Failure Assessment (SOFA) score.

    Time frame: From date of hospital admission until date of documented organ failure, assessed unto 60 months

  8. Transfusion related complications

    Transfusion related acute lung injury, Transfusion associated circulatory overload

    Time frame: Within 6 hours of transfusion

07

Study locations

1 site
  • University of Florida Health Trauma One Center
    Gainesville, Florida 32611, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 22, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07603999
Lead sponsor
Mariah Arif
Responsible party
Mariah Arif (Principal Investigator, Hamad General Hospital) — Sponsor-investigator
First posted
May 22, 2026
Start date
Jan 1, 2020
Primary completion
Dec 31, 2025
Completion
Dec 31, 2025
Last update
May 22, 2026

Study contacts

Ayten Saracoglu
principal investigator · University of Florida

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion