Appropriateness of Hemostatic Agent Use in Cardiovascular Surgery (HAEMOVAX)
Recruiting now
Conditions studied: Hemostasis, Perioperative Bleeding, Cardiovascular Surgery, Cardiac Surgery, Vascular Surgery
In brief
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.
Key facts
- Study ID
- NCT07699016
- Run by
- University of Milan
- People needed
- 15
- Starts
- 2026-07-01
- Expected to finish
- 2026-08-15
- Last updated by the study team
- 2026-07-13
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: accepted.
You may qualify if…
- Physicians with a surgical role in the Departments of Cardiac Surgery or Vascular Surgery at IRCCS Galeazzi-Sant'Ambrogio, Milan Including attending surgeons, consultant surgeons, and surgical residents
- Active participation in cardiovascular operative procedures during the study period (or within the preceding 12 months)
- Employment at the study institution at the time of survey administration Willingness to participate and complete the anonymous structured questionnaire
You may not qualify if…
- Non-surgical healthcare personnel (e.g., nurses, anesthesiologists, administrative staff, or allied health professionals)
- Surgeons not involved in operative cardiovascular practice during the study period
- External collaborators or visiting surgeons without regular clinical activity at the institution
- Individuals who do not provide informed consent for participation in the anonymous survey
- Questionnaires with missing or incomplete vignette responses preventing calculation of the KPA-Score
Where it is running
- IRCCS Galeazzi Sant'Ambrogio Hospital — Milan, MI, Italy (enrolling)
Full record on ClinicalTrials.gov
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