Condition: Hemostasis · Perioperative Bleeding · Cardiovascular Surgery · Sponsor: University of Milan
Hemostatic agents are widely used in cardiac and vascular surgery to support intraoperative bleeding control. Despite their clinical relevance and substantial economic impact, little is known about real-world patterns of use, adherence to evidence-based recommendations, and the alignment between clinicians' perceived knowledge and actual decision-making. HAEMOVAX is a single-center mixed-methods observational study conducted at IRCCS Galeazzi-Sant'Ambrogio Hospital, Milan, Italy. The study combines an anonymous survey of cardiovascular surgeons with a retrospective audit of institutional hemostatic agent consumption. The primary objective is to evaluate the appropriateness of hemostatic agent selection using a Knowledge-Practice Alignment Score (KPA-Score) derived from standardized clinical vignettes based on current EACTS and ESA recommendations. Secondary objectives include assessment of usage patterns, barriers to appropriate use, concordance between declared practice and real-world consumption, and opportunities for evidence-based standardization.
This description comes directly from the study's public registry record.
Luca Galassi, MD · +393458013083 · luca.galassi@unimi.it
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| IRCCS Galeazzi Sant'Ambrogio Hospital | Milan, MI, Italy | Recruiting |
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Source record: clinicaltrials.gov/study/NCT07699016