| Title: |
Intraoperative transfusion practices in Europe |
| Authors: |
Meier, Jens; Filipescu, Daniela; Kozek-Langenecker, Sibylle; Llau Pitarch, Juan Vicente; Mallett, Susan; Martus, Peter; Matot, Idit; Accurso, Giuseppe; Ahrens, Norbert; Akan, Mert; Åkeröy, Kristin; Aksoy, Omur; Alanoğlu, Zekeriyye; Merten, Alfredo; Alkis, Neslihan; Almeida, Valentina; Alousi, Mohammed; Alves, Claudia; Amaral, Joana; Ambrosi, Xavier; Ana, Izquierdo; Anastase, Denisa; Andersson, Mona; Andreou, Antonis; Anthopoulos, Georgios; Apanaviciute, Daiva; Arbelaez, Alejandro; Arcade, Anne-Laure; Arion-Balescu, Carmen; Arun, Oguzhan; Azenha, Marta; Bacalbasa, Nicolae; Baeten, Wannes; Balandin, Alina; Barquero López, Marta; Barsan, Victoria; Bascuas, Begoña; Basora, Misericordia; Baumann, Holger; Bayer, Andreas; Bell, Andrea; Belmonte Cuenca, Julio; Bengisun, Zuleyha Kazak; Bento, Carlos; Beran, Maud; Bermudez Lopez, Maria; Bernardino, Ana; Berthelsen, Kasper Gymoese; Bigat, Zekiye; Bilshiene, Diana; Bilska, Marcela; Bisbe Vives, Elvira; Biscioni, Tamara; Björn, Heyse; Blom, Tommi; Bogdan Prodan, Alexandru; Bogdanovic Dvorscak, Matea; Boisson, Matthieu; Bolten, Jens; Bona, Francesco; Borg, Francis; Boros, Cristian; Borys, Michal; Boveroux, Pierre; Boztug Uz, Neval; Brettner, Florian; Brisard, Laurent; Britta, De Waal; Browne, Gail; Budow, Kristin; Buerkle, Hartmut; Buggy, Donal; Cain, Alistair; Calancea, Esenia; Calarasu, Florenta; Calder, Verity; Camci, Ali Emre; Campiglia, Laura; Campos, Beatriz; Camps, Angela; Carlos, Delgado; Carreira, Claudia; Carrilho, Alexander; Carvalho, Peter; Cassinello, Concepcion; Cattan, Anat; Cenni, Leonardo; Cerny, Vladimir; Ceyda Meço, Başak; Chesov, Ion; Chishti, Ahmed; Chupin, Anne-Marie; Cikova, Andrea; Cindea, Iulia; Cintula, Daniel; Ciobanasu, Roxana; Clements, Deborah; Cobiletchi, Serghei; Coburn, Mark; Coghlan, Liz; Collyer, Thomas; Copotoiu, Sanda Maria; Copotoiu, Ruxandra; Corneci, Dan; Cortegiani, Aandrea; Coskunfirat, O. Koray; Costea, Dan; Czuczwar, Miroslaw; Davies, Katy; De Baerdemaeker, Luc; De Hert, Stefan; Debernardi, Felicino; Decagny, Sylvie; Deger Coskunfirat, Nesil; Diana, Toma; Gómez Martínez, Diana; Dias, Sandra; Dickinson, Matthew; Dobisova, Anna; Dragan, Anca; Droc, Gabriela; Duarte, Sonia; Dunk, Nigel; Ekelund, Kim; Ekmekçi, Perihan; Elena, Ciobanu; Ellimah, Tracey; Espie, Laura; Everett, Lynn; Ferguson, Andrew; Fernandes, Melissa; Fernández, Jose Anton; Ferner, Marion; Ferreira, Daniel; Ferrie, Rosemary; Flassikova, Zora; Fleischer, Andreas; Font Gual, Adrià; Galkova, Katarina; Garcia, Irene; Garner, Matt; Gasenkampf, Andrey; Gelmanas, Arunas; Gherghina, Viorel; Gilsanz, Fernando; Giokas, George; Goebel, Ulrich; Gomes, Piedade; Gonçalves Aguiar, Jose Manuel; Gonzalez Monzon, Veronica; Gottschalk, André; Gouraud, Jean-Pierre; Gramigni, Elena; Grintescu, Ioana; Grynyuk, Andriy; Grytsan, Alexey; Guasch, Emilia; Gustin, Denis; Hans, Grégory; Harazim, Hana; Hervig, Tore; Hidalgo, Francisco; Higham, Charley; Hirschauer, Nicola; Hoeft, Andreas; Innerhofer, Petra; Innerhofer-Pompernigg, Nicole; Jacobs, Stefan; Jakobs, Nicolas; Jamaer, Luc; James, Sarah; Jawad, Monir; Jesus, Joana; Jhanji, Shaman; Jipa Lavina, Nicoleta; Jokinen, Johanna; Jovanovic, Gordana; Jubera, Maria Pilar; Kahn, David; Karjagin, Juri; Kasnik, Darja; Katsanoulas, Konstantinos; Kelle, Hened; Kelleher, Mortimer; Kessler, Florian; Kirigin, Borana; Kiskira, Olga; Kivik, Peeter; Klimi, Pelagia; Klučka, Jozef; Koers, Lena; Kontrimaviciut, Egle; Koopman-Van Gemert, A.W.M.M.; Korfiotis, Demetrios; Kosinová, Martina; Koursoumi, Eygenia; Kranke, Peter; Kresic, Marina; Krobot, Renatas; Kropman, Lucienne; Kulikov, Alexander; Kvolik, Slavica; Kvrgic, Ivana; Kyttari, Aikaterini; Lagarto, Filipa; Lance, Marcus D.; Laufenberg, Rita; Lauwick, Severine; Lecoq, Jean-Pierre; Leech, Leech; Lidzborski, Lionel; Liliana, Henao; Linda, Filipe; Lopes, Ana; Lopez, Luis; Lopez Alvarez, Alexo; Lorenzi, Irene; Lorre, Gilbert; Lucian, Horhota; Lupis, Tamara; Lupu, Mary Nicoleta; Macas, Andrius; Macedo, Ana; Maggi, Genaro; Mallor, Thomas; Manoleli, Alexandra; Manolescu, Rely; Manrique, Susana; Maquoi, Isabelle; Marios-Konstantinos, Tasoulis; Markovic Bozic, Jasmina; Hollmann, Markus W.; Marques, Margarida; Martinez, Raul; Martinez, Ever; Martínez, Esther; Martinho, Helder; Martins, Diogo; Martires, Emilia; Matias, Francisco; Mauff, Susanne; Meale, Paula; Merz, Hannah; Meybohm, Patrick; Militello, Maria Grazia; Mincu, Natalia; Miranda, Maria Lina; Mirea, Liliana; Moghildea, Victoria; Moise, Alida; Molano Diaz, Pablo; Moltó, Luís; Monedero, P.; Moral, Victoria; Moreira, Zélia; Moret, Enrique; Mulders, Freya; Munteanu, Anna Maria; Kinast, Nadia Diana; Nair, Ashok; Neskovic, Vojislava; Ninane, Vincent; Nitu, Denisa; Oberhofer, Dagmar; Odeberg-Wernerman, Suzanne; Oganjan, Juri; Omur, Dilek; Orallo Moran, Marian Angeles; Ozkardesler, Sevda; Pacasová, Rita; Paklar, Nataša; Pandazi, Ageliki; Papaspyros, Fotios; Paraskeuopoulos, Tilemachos; Parente, Suzana; Paunescu, Marilena Alina; Pavičić Šarić, Jadranka; Pereira, Filipa; Pereira, Elizabete; Pereira, Luciane; Perry, Chris; Petri, Attila; Petrovic, Uros; Pica, Silvia; Pinheiro, Filipe; Pinto, José; Pinto, Fernando; Piwowarczyk, Pawel; Platteau, Sofie; Poeira, Rita; Popescu, Ravzan; Popica, Georgian; Poredos, Peter; Prasser, Christopher; Preckel, Benedikt; Prospiech, Audrey; Pujol Muncunill, Roger; Raimundo, Ana; Raineri, Santi Maurizio; Rakic, Dragana; Ramadan, Mohammed; Ramazanoğlu, Atilla; Rantis, Athanasios; Ferrandis, Raquel; Rätsep, Indrek; Real, Catia; Reikvam, Tore; Reis, Ligia; Rigal, Jean-Christophe; Rohner, Anne; Rokk, Alar; Roman Fernandez, Adriana; Rosenberger, Peter; Rossaint, Rolf; Rozec, Bertrand; Rudolph, Till; Saeed, Yousif; Safonov, Sergej; Saka, Esra; Samama, Charles Marc; Sánchez López, Óscar; Sanchez Perez, David; Sanchez Sanchez, Yvan Enrique; Sandeep, Varma; Sandu, Madalina Nina; Sanll, Suat; Saraiva, Alexandra; Scarlatescu, Ecaterina; Schiraldi, Renato; Schittek, Gregor; Schnitter, Bettina; Schuster, Michael; Seco, Carlos; Selvi, Onur; Senard, Marc; Serra, Sofia; Serrano, Helena; Shmigelsky, Alexander; Silva, Luisa; Simeson, Karen; Singh, Rita; Sipylaite, Jurate; Skitek, Kornel; Skok, Ira; Smékalová, Olga; Smirnova, Nadezda; Machado, Sofia; Soler Pedrola, Maria; Söndergaard, Sören; Sõrmus, Alar; Sørvoll, Ingrid Hausberg; Soumelidis, Christos; Spindler Yesel, Alenka; Stefan, Mihai; Stevanovic, Ana; Stevikova, Jordana; Stivan, Sabina; Štourač, Petr; Striteska, Jana; Strys, Lydia; Suljevic, Ismet; Moreno, Tania; Tareco, Gloria; Tena, Beatriz; Theodoraki, Kassiani; Tifrea, Marius; Tikuisis, Renatas; Tolós, Raquel; Tomasi, Roland; Tomescu, Dana; Tomkute, Gabija; Tormos, Pilar; Trepenaitis, Darius; Troyan, Galina; Unic-Stojanovic, Dragana; Unterrainer, Axel; Uranjek, Jasna; Valsamidis, Dimitrios; Van Dasselaar, Nick; Van Limmen, Jurgen; Van Noord, Peter; Van Poorten, J. F.; Vanderlaenen, Margot; Varela Garcia, Olalla; Velasco, Ana; Veljovic, Milic; Vera Bella, Jorge; Vercauteren, Marcel; Verdouw, Bas; Verenkin, Vladimir; Veselovsky, Tomas; Vieira, Helena; Villar, Tania; Visnja, Ikic; Voje, Minca; Von Dossow-Hanfstingl, Vera; Von Langen, Daniel; Vorotyntsev, Sergiy; Vujanovič, Vojislav; Vukovic, Rade; Watt, Philip; Werner, Eva; Wernerman, Jan; Wittmann, Maria; Wright, Margaret J.; Wunder, Christian; Wyffels, Piet; Yakymenko, Yevgen; Ylldlrlm, Çig˘dem; Yllmaz, Hakan; Zacharowski, Kai; Záhorec, Roman; Zarif, Maged; Zielinska-Skitek, Ewa; Zsisku, Lajos; Universitat Autònoma de Barcelona |
| Publication Year: |
2016 |
| Collection: |
Universitat Autònoma de Barcelona: Dipòsit Digital de Documents de la UAB |
| Subject Terms: |
Anaemia; Anesthesia; Blood transfusion; Surgery; Transfusion trigger |
| Description: |
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. 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. 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 and increased to 9.8 (1.8) g dl after transfusion. The mean number of intraoperatively transfused pRBC units was 2.5 (2.7) units (median 2). Although European Society of Anaesthesiology transfusion guidelines are moderately implemented in Europe with respect to Hb threshold for transfusion (7-9 g dl), there is still an urgent need for further educational efforts that focus on the number of pRBC units to be transfused at this threshold. |
| Document Type: |
article in journal/newspaper |
| File Description: |
application/pdf |
| Language: |
English |
| ISSN: |
14716771 |
| Relation: |
British journal of anaesthesia; Vol. 116 Núm. 2 (january 2016), p. 255-261viii; https://ddd.uab.cat/record/289656; urn:10.1093/bja/aev456; urn:oai:ddd.uab.cat:289656; urn:scopus_id:84961917688; urn:articleid:14716771v116n2p255; urn:pmid:26787795; urn:pmcid:PMC4718146; urn:oai:pubmedcentral.nih.gov:4718146 |
| Availability: |
https://ddd.uab.cat/record/289656 |
| Rights: |
open access ; Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. ; https://creativecommons.org/licenses/by-nc/4.0/ |
| Accession Number: |
edsbas.1D55F070 |
| Database: |
BASE |