Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.17/2957
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dc.contributor.authorMeier, J-
dc.contributor.authorFilipescu, D-
dc.contributor.authorKozek-Langenecker, S-
dc.contributor.authorLlau Pitarch, J-
dc.contributor.authorMallett, S-
dc.contributor.authorMartus, P-
dc.contributor.authorMatot, I-
dc.contributor.authorETPOS collaborators-
dc.date.accessioned2018-03-15T16:00:59Z-
dc.date.available2018-03-15T16:00:59Z-
dc.date.issued2016-02-
dc.identifier.citationBr J Anaesth. 2016 Feb;116(2):255-61pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/2957-
dc.description.abstractBACKGROUND: 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.pt_PT
dc.language.isoengpt_PT
dc.publisherElsevierpt_PT
dc.rightsopenAccesspt_PT
dc.subjectBlood Transfusionpt_PT
dc.subjectCohort Studiespt_PT
dc.subjectEuropept_PT
dc.subjectFemalept_PT
dc.subjectHospitalspt_PT
dc.subjectHumanspt_PT
dc.subjectIntraoperative Carept_PT
dc.subjectMalept_PT
dc.subjectMiddle Agedpt_PT
dc.subjectProspective Studiespt_PT
dc.subjectCHLC ANSpt_PT
dc.titleIntraoperative Transfusion Practices in Europept_PT
dc.typearticlept_PT
dc.peerreviewedyespt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
degois.publication.firstPage255pt_PT
degois.publication.lastPage261pt_PT
degois.publication.issue2pt_PT
degois.publication.titleBritish Journal of Anaesthesiapt_PT
degois.publication.volume116pt_PT
dc.identifier.doi10.1093/bja/aev456pt_PT
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