A survey of physicians' attitudes to transfusion practice in critically ill patients in the UK |
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Authors: | Boraless Harsha Rao M P Morgan C Soni N Goldhill D R Brett S J Boralessi Hari Contreras M |
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Affiliation: | Havering Hospital, Romford, Essex, UK. harshibora@compuserve.com |
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Abstract: | This study aimed to examine the attitudes of intensivists and haematologists to the use of blood and blood products using a scenario-based postal questionnaire. One hundred and sixty-two intensivists and 77 haematologists responded to the survey. In four scenarios, the baseline haemoglobin thresholds for red cell transfusion ranged from 6 to 12 g.dl(-1). There was significant variation between scenarios (p <0.005). Increasing age, high Acute Physiology and Chronic Health Status II score, surgery, acute respiratory distress syndrome, septic shock and lactic acidosis significantly (p <0.005) modified the transfusion threshold. There were greater variations in the baseline threshold for platelet transfusion. The majority of respondents (72.3%) selected a baseline haemoglobin threshold between 9 and 10 g.dl(-1). The thresholds for platelet transfusion were far less consistent. |
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