A survey of physicians' attitudes to transfusion practice in critically ill patients in the UK.

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.

journal_name

Anaesthesia

journal_title

Anaesthesia

authors

Boraless H,Rao MP,Morgan C,Soni N,Goldhill DR,Brett SJ,Boralessi H,Contreras M

doi

10.1046/j.1365-2044.2002.02509_1.x

subject

Has Abstract

pub_date

2002-06-01 00:00:00

pages

584-8

issue

6

eissn

0003-2409

issn

1365-2044

journal_volume

57

pub_type

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