Intraoperative transfusion practices in Europe
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Intraoperative transfusion practices in Europe. / Meier, J; Filipescu, D; Kozek-Langenecker, S; Llau Pitarch, J; Mallett, S; Martus, P; Matot, I; Accurso, G; Adelmann, D; Ahrens, N; Akan, M; Åkeröy, K; Aksoy, O; Alanoglu, Z; Alfredo, M; Alkis, N; Almeida, V; Ekelund, Kim; ETPOS collaborators.
I: British Journal of Anaesthesia, Bind 116, Nr. 2, 2016, s. 255-261.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Intraoperative transfusion practices in Europe
AU - Meier, J
AU - Filipescu, D
AU - Kozek-Langenecker, S
AU - Llau Pitarch, J
AU - Mallett, S
AU - Martus, P
AU - Matot, I
AU - Accurso, G
AU - Adelmann, D
AU - Ahrens, N
AU - Akan, M
AU - Åkeröy, K
AU - Aksoy, O
AU - Alanoglu, Z
AU - Alfredo, M
AU - Alkis, N
AU - Almeida, V
AU - Ekelund, Kim
AU - ETPOS collaborators
N1 - © The Author 2016. Published by Oxford University Press on behalf of the British Journal of Anaesthesia.
PY - 2016
Y1 - 2016
N2 - BACKGROUND: Transfusion of allogeneic blood influences outcome after surgery. Despite widespread availability of transfusion guidelines, transfusion practices might vary among physicians, departments, hospitals and countries. Our aim was to determine the amount of packed red blood cells (pRBC) and blood products transfused intraoperatively, and to describe factors determining transfusion throughout Europe.METHODS: We did a prospective observational cohort study enrolling 5803 patients in 126 European centres that received at least one pRBC unit intraoperatively, during a continuous three month period in 2013.RESULTS: The overall intraoperative transfusion rate was 1.8%; 59% of transfusions were at least partially initiated as a result of a physiological transfusion trigger- mostly because of hypotension (55.4%) and/or tachycardia (30.7%). Haemoglobin (Hb)- based transfusion trigger alone initiated only 8.5% of transfusions. The Hb concentration [mean (sd)] just before transfusion was 8.1 (1.7) g dl(-1) and increased to 9.8 (1.8) g dl(-1) after transfusion. The mean number of intraoperatively transfused pRBC units was 2.5 (2.7) units (median 2).CONCLUSION: Although European Society of Anaesthesiology transfusion guidelines are moderately implemented in Europe with respect to Hb threshold for transfusion (7-9 g dl(-1)), there is still an urgent need for further educational efforts that focus on the number of pRBC units to be transfused at this threshold.CLINICAL TRIAL REGISTRATION: NCT 01604083.
AB - BACKGROUND: Transfusion of allogeneic blood influences outcome after surgery. Despite widespread availability of transfusion guidelines, transfusion practices might vary among physicians, departments, hospitals and countries. Our aim was to determine the amount of packed red blood cells (pRBC) and blood products transfused intraoperatively, and to describe factors determining transfusion throughout Europe.METHODS: We did a prospective observational cohort study enrolling 5803 patients in 126 European centres that received at least one pRBC unit intraoperatively, during a continuous three month period in 2013.RESULTS: The overall intraoperative transfusion rate was 1.8%; 59% of transfusions were at least partially initiated as a result of a physiological transfusion trigger- mostly because of hypotension (55.4%) and/or tachycardia (30.7%). Haemoglobin (Hb)- based transfusion trigger alone initiated only 8.5% of transfusions. The Hb concentration [mean (sd)] just before transfusion was 8.1 (1.7) g dl(-1) and increased to 9.8 (1.8) g dl(-1) after transfusion. The mean number of intraoperatively transfused pRBC units was 2.5 (2.7) units (median 2).CONCLUSION: Although European Society of Anaesthesiology transfusion guidelines are moderately implemented in Europe with respect to Hb threshold for transfusion (7-9 g dl(-1)), there is still an urgent need for further educational efforts that focus on the number of pRBC units to be transfused at this threshold.CLINICAL TRIAL REGISTRATION: NCT 01604083.
KW - Blood Transfusion
KW - Cohort Studies
KW - Europe
KW - Female
KW - Hospitals
KW - Humans
KW - Intraoperative Care
KW - Male
KW - Middle Aged
KW - Prospective Studies
KW - Journal Article
KW - Observational Study
KW - Research Support, Non-U.S. Gov't
U2 - 10.1093/bja/aev456
DO - 10.1093/bja/aev456
M3 - Journal article
C2 - 26787795
VL - 116
SP - 255
EP - 261
JO - British Journal of Anaesthesia
JF - British Journal of Anaesthesia
SN - 0007-0912
IS - 2
ER -
ID: 180966856