Please use this identifier to cite or link to this item: http://hdl.handle.net/10400.17/2957
Title: Intraoperative Transfusion Practices in Europe
Author: Meier, J
Filipescu, D
Kozek-Langenecker, S
Llau Pitarch, J
Mallett, S
Martus, P
Matot, I
ETPOS collaborators
Keywords: Blood Transfusion
Cohort Studies
Europe
Female
Hospitals
Humans
Intraoperative Care
Male
Middle Aged
Prospective Studies
CHLC ANS
Issue Date: Feb-2016
Publisher: Elsevier
Citation: Br J Anaesth. 2016 Feb;116(2):255-61
Abstract: 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.
Peer review: yes
URI: http://hdl.handle.net/10400.17/2957
DOI: 10.1093/bja/aev456
Appears in Collections:ANS - Artigos

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