Abstract:
:Objective: To determine blood transfusion practices, risk factors, and outcomes associated with the use of blood products in the setting of the acute management of burn patients at the Victorian Adult Burn Service. Background: Patients with burn injuries have variable transfusion requirements, based on a multitude of factors. We reviewed all acute admissions to the Victorian Adult Burns Service (VABS) between 2011 and 2017: 1636 patients in total, of whom 948 had surgery and were the focus of our analysis. Method and results: Patient demographics, surgical management, transfusion details, and outcome parameters were collected and analyzed. A total of 175 patients out of the 948 who had surgery also had a blood transfusion, while 52% of transfusions occurred in the perioperative period. The median trigger haemoglobin in perioperative was 80mg/dL (IQR = 76-84.9 mg/dL), and in the non-perioperative setting was 77 mg/dL (IQR = 71.61-80.84 mg/dL). Age, gender, % total body surface area (TBSA) burn, number of surgeries, and intensive care unit and hospital length of stay were associated with transfusion. Conclusions: The use of blood transfusions is an essential component of the surgical management of major burns. As observed in our study, half of these transfusions are related to surgical procedures and may be influenced by the employment of blood conserving strategies. Furthermore, transfusion trigger levels in stable patients may be amenable to review and reduction. Risk adjusted analysis can support the implementation of blood transfusion as a useful quality indicator in burn care.
journal_name
J Clin Medjournal_title
Journal of clinical medicineauthors
Tichil I,Rosenblum S,Paul E,Cleland Hdoi
10.3390/jcm10030476subject
Has Abstractpub_date
2021-01-27 00:00:00issue
3issn
2077-0383pii
jcm10030476journal_volume
10pub_type
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更新日期:2020-01-08 00:00:00
abstract::* Correspondence: kasiajanda@op [...]. ...
journal_title:Journal of clinical medicine
pub_type: 杂志文章,评审
doi:10.3390/jcm9061652
更新日期:2020-05-31 00:00:00