Publications F. Triposkiadis, J.
University of Michigan Health System Summary: The fewer the red blood cell transfusions, the less likely patients were to develop infections like pneumonia, a new study has illustrated.
Elderly patients undergoing hip or knee surgeries were most susceptible, with a 30 percent lower risk of infection when fewer transfusions were used. Overall, for every 38 hospitalized patients considered for a red blood cell transfusion RBCone patient would be spared a serious infection if fewer transfusions were used.
Transfusions are often used for anemia or during surgery to make up for blood loss. The authors evaluated all health care-associated infections that were reported after receiving donor blood in the randomized trials. These included serious infections such as pneumonia, bloodstream infections and wound infections.
Rohde, M. Transfusions may benefit patients with severe anemia or blood loss; however, for patients with higher red blood cell levels, the risks may magas vérnyomás és köszvény the benefits. Patients with sepsis were twice as likely to develop additional infections when they received more transfusions.
Approximately 14 million red blood cell units were used in the United States inmost often in the hospital. Lower hemoglobin thresholds are recommended by recent guidelines, but only 27 percent of hospitals that responded to the National Blood Collection and Utilization Survey reported using them after surgery.
Only 31 percent of hospitals reported having a blood management program that aims to optimize the care of patients researchers report might need a transfusion. A nationwide effort called the "Choosing Wisely" campaign recommends that patients planning for surgery or a hospital admission discuss transfusions and other common medical procedures with their physician ahead of time.
Senior author Mary A. Rogers, Ph. What are ways that blood loss can be minimized when I am hospitalized?
Would any of these options be available for me? What are the criteria that the hospital uses to decide whether or not I would need a blood transfusion?
American Heart Association Research Vision
Would you please keep me and my family informed during the hospitalization regarding these options, the number and types of transfusions that I was given, and let me know whether there is anything I can do to help? Note: Content may be edited for style and length.
Journal Reference: Jeffrey M. Rohde et al.