Patient blood management knowledge and practice among clinicians from seven European university hospitals: a multicentre survey

Autor: Michael F. Murphy, G. Folléa, Jørgen Georgsen, K. Pendry, Agneta Wikman, Kari Aranko, Mie Topholm Bruun, John Grant-Casey, Denise Borg-Aquilina, Dania Fischer, E. C. M. van Pampus, A. M. Dall'Omo, Stefan Laspina, Paola Manzini, M. van Kraaij, Paul Singh Babra, Sergio D'Antico, Adriano Valfrè
Rok vydání: 2017
Předmět:
medicine.medical_specialty
Pediatrics
Blood management
Red Blood Cell Transfusion
Erythrocyte Transfusion/methods
Other Research Radboud Institute for Molecular Life Sciences [Radboudumc 0]
Transfusion medicine (in general)
030204 cardiovascular system & hematology
Red cell transfusion
Hospitals
University
03 medical and health sciences
Postoperative Complications
All institutes and research themes of the Radboud University Medical Center
0302 clinical medicine
Blood loss
Patient blood management
medicine
Humans
030212 general & internal medicine
Disease management (health)
business.industry
Transfusion strategy
Disease Management
Anemia
Hematology
General Medicine
Perioperative
University hospital
Europe
Health Care Surveys
Emergency medicine
Anemia/complications
Postoperative Complications/etiology
Clinical Competence
Clinical competence
Erythrocyte Transfusion
business
Zdroj: Vox Sanguinis, 113, 60-71
Manzini, P M, Dall'Omo, A M, D'Antico, S, Valfrè, A, Pendry, K, Wikman, A, Fischer, D, Borg-Aquilina, D, Laspina, S, van Pampus, E C M, van Kraaij, M, Bruun, M T, Georgsen, J, Grant-Casey, J, Babra, P S, Murphy, M F, Folléa, G & Aranko, K 2018, ' Patient blood management knowledge and practice among clinicians from seven European university hospitals : A multicentre survey ', Vox Sanguinis, vol. 113, no. 1, pp. 60–71 . https://doi.org/10.1111/vox.12599
Vox Sanguinis, 113, 1, pp. 60-71
ISSN: 0042-9007
DOI: 10.1111/vox.12599
Popis: Background and Objectives: The aim of this survey was to evaluate the knowledge about Patient Blood Management (PBM) principles and practices amongst clinicians working in seven European hospitals participating in a European Blood Alliance (EBA) project. Materials and Methods: A web-based questionnaire was sent to 4952 clinicians working in medical, surgery and anaesthesiology disciplines. The responses were analysed, and the overall results as well as a comparison between hospitals are presented. Results: A total of 788 responses (16%) were obtained. About 24% of respondents were not aware of a correlation between preoperative anaemia (POA) and perioperative morbidity and mortality. For 22%, treatment of POA was unlikely to favourably influence morbidity and mortality even before surgery with expected blood loss. More than half of clinicians did not routinely treat POA. 29%, when asked which is the best way to treat deficiency anaemia preoperatively, answered that they did not have sufficient knowledge and 5% chose to 'do nothing'. Amongst those who treated POA, 38% proposed red cell transfusion prior to surgery as treatment. Restrictive haemoglobin triggers for red blood cell transfusion, single unit policy and reduction of number and volumes of blood samples for diagnostic purposes were only marginally implemented. Conclusion: Overall, the responses indicated poor knowledge about PBM. Processes to diagnose and treat POA were not generally and homogeneously implemented. This survey should provide further impetus to implement programmes to improve knowledge and practice of PBM. Vox Sanguinis
Databáze: OpenAIRE
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