Red Blood Cell Transfusion Practices
| Autor: | Frantz Pierre-Louis, Edwin Annan, Nirav Jasani, Kristin Fless, Paul Yodice, Fariborz Rezai |
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| Rok vydání: | 2012 |
| Předmět: | |
| Zdroj: | ICU Director. 4:11-14 |
| ISSN: | 1944-4524 1944-4516 |
| DOI: | 10.1177/1944451612467534 |
| Popis: | Background and Objectives. High-intensity ICU staffing model is associated with quality and outcome improvements. Restrictive red blood cell (RBC) transfusion strategies have been shown to have equivalent mortality to a more liberal strategy in the ICU. We examined the effect of high-intensity staffing on pretransfusion hemoglobin levels, RBC transfusion rates and length of ICU stay. Materials and Methods. The study was a retrospective chart review (n = 196) of all patients admitted to the adult medical/surgical ICU for more than 24 hours one year prior to and after institution of the high-intensity staffing model. Results. Matched for demographics and diagnosis, RBC transfusion rates pre- versus postinstitution of the high-intensity staffing model was 42% versus 27%, respectively, and pretransfusion hemoglobin levels were lower (8.94 to 7.39 g/dL). Length of stay was 4.1 days pre–high-intensity staffing and 4.0 days post–high-intensity staffing. Conclusions. High-intensity ICU staffing resulted in fewer RBC transfusions and lower transfusion thresholds. This restrictive RBC transfusion strategy had no adverse effects on patient ICU length of stay. |
| Databáze: | OpenAIRE |
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