Study protocol and statistical analysis plan for the 20% Human Albumin Solution Fluid Bolus Administration Therapy in Patients after Cardiac Surgery-II (HAS FLAIR-II) trial

Date

2022

Authors

Wigmore, G.
Deane, A.M.
Anstey, J.
Bailey, M.
Bihari, S.
Eastwood, G.
Ghanpur, R.
Maiden, M.J.
Presneill, J.J.
Raman, J.

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Critical Care and Resuscitation, 2022; 24(4):309-318

Statement of Responsibility

Geoffrey Wigmore, Adam M Deane, James Anstey, Michael Bailey, Shailesh Bihari, Glenn Eastwood, Rashmi Ghanpur, Matthew J Maiden, Jeffrey J Presneill, Jaishankar Raman and Rinaldo Bellomo, for the HAS FLAIR-II trial investigators

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Abstract

Background: Fluid bolus therapy with 20% albumin may shorten the duration of vasopressor therapy in patients after cardiac surgery. Objective: To describe the study protocol and statistical analysis plan for the 20% Human Albumin Solution Fluid Bolus Administration Therapy in Patients after Cardiac Surgery-II (HAS FLAIR-II) trial. Design, Setting, Participants And Intervention: HAS FLAIR-II is a phase 2b, multicentre, parallel group, open-label, randomised controlled trial that will be conducted at six Australian intensive care units. Patients requiring fluid bolus therapy after cardiac surgery will be randomly assigned in a 1:1 ratio to the intervention of fluid bolus therapy with 20% albumin or a comparator of fluid bolus therapy with a crystalloid solution. Main Outcome Measures: The primary outcome measure is the cumulative duration of vasopressor therapy. Secondary outcomes include vasopressor use, service utilisation, and mortality. All analyses will be conducted on an intention-to-treat basis. Results And Conclusion: The study protocol and statistical analysis plan will guide the conduct and analysis of the HAS FLAIR-II trial, such that analytical and reporting biases are minimised.

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