Intraoperative transfusion practices in Europe

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dc.contributor.authorMeier, J.
dc.contributor.authorFilipescu, D.
dc.contributor.authorKozek-Langenecker, S.
dc.contributor.authorLlau, Pitarch J.V.
dc.contributor.authorMallett, S.
dc.contributor.authorMartus, P.
dc.contributor.authorMatot, I.
dc.date.accessioned2024-07-12T21:40:02Z
dc.date.available2024-07-12T21:40:02Z
dc.date.issued2016en_US
dc.department[Belirlenecek]en_US
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). Conclusions: 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. © 2016 The Author. Published by Oxford University Press on behalf of the British Journal of Anaesthesia.en_US
dc.identifier.citationMeier, J., Filipescu, D.,Kozek-Langenecker, S.,Llau, Pitarch J.V., Mallett, S., Martus, P. ve Matot, I. (2016). Intraoperative transfusion practices in Europe, British Journal of Anaesthesia, 116 (2), s.: 255–261.
dc.identifier.doi10.1093/bja/aev456
dc.identifier.endpage261viiien_US
dc.identifier.issn0007-0912
dc.identifier.issue2en_US
dc.identifier.pmid26787795en_US
dc.identifier.scopus2-s2.0-84961917688en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage255en_US
dc.identifier.urihttps://doi.org/10.1093/bja/aev456
dc.identifier.urihttps://hdl.handle.net/20.500.12415/7092
dc.identifier.volume116en_US
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherElsevier Ltden_US
dc.relation.ispartofBritish Journal of Anaesthesiaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKY04665
dc.subjectAnaemiaen_US
dc.subjectAnesthesiaen_US
dc.subjectBlood Transfusionen_US
dc.subjectSurgeryen_US
dc.subjectTransfusion Triggeren_US
dc.titleIntraoperative transfusion practices in Europeen_US
dc.typeArticle
dspace.entity.typePublication

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