e-Article
Intraoperative transfusion practices in Europe
Document Type
Academic Journal
Author
Meier, J.; Filipescu, D.; Kozek-Langenecker, S.; Llau Pitarch, J.; Mallett, S.; Martus, P.; Matot, I.; Accurso, Giuseppe; Ahrens, Norbert; Akan, Mert; Åkeröy, Kristin; Aksoy, Omur; Alanoğlu, Zekeriyye; Alfredo, Merten; 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, Begona; 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, Michał; 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, Alexandre; 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, Andrea; Coskunfirat, O.Koray; Costea, Dan; Czuczwar, Mirosław; Davies, Katy; De Baerdemaeker, Luc; De Hert, Stefan; Debernardi, Felicino; Decagny, Sylvie; Deger Coskunfirat, Nesil; Diana, Toma; Diana, Gómez Martinez; 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, J.A.; Ferner, Marion; Ferreira, Daniel; Ferrie, Rosemary; Filipescu, Daniela; Flassikova, Zora; Fleischer, Andreas; Font, A.; Galkova, Katarina; Garcia, Irene; Garner, Matt; Gasenkampf, Andrey; Gelmanas, Arunas; Gherghina, Viorel; Gilsanz, Fernando; Giokas, George; Goebel, Ulrich; Gomes, Piedade; Gonçalves Aguiar, José 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; Kozek Langenecker, Sibylle; 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; Llau Pitarch, Juan Vicente; Lopes, Ana; Lopez, Luis; Lopez Alvarez, Alexo; Lorenzi, Irene; Lorre, Gilbert; Lucian, Horhota; Lupis, Tamara; Lupu, Mary Nicoleta; Macas, Andrius; Macedo, Ana; Maggi, Genaro; Mallett, Susan; Mallor, Thomas; Manoleli, Alexandra; Manolescu, Rely; Manrique, Susana; Maquoi, Isabelle; Marios-Konstantinos, Tasoulis; Markovic Bozic, Jasmina; Markus W., Hollmann; Marques, Margarida; Martinez, Raul; Martinez, Ever; Martínez, Esther; Martinho, Helder; Martins, Diogo; Martires, Emilia; Martus, Peter; Matias, Francisco; Matot, Idit; Mauff, Susanne; Meale, Paula; Meier, Jens; Merz, Hannah; Meybohm, Patrick; Militello, Maria Grazia; Mincu, Natalia; Miranda, Maria Lina; Mirea, Liliana; Moghildea, Victoria; Moise, Alida; Molano Diaz, Pablo; Moltó, Luís; Monedero, Pablo; Moral, Victoria; Moreira, Zélia; Moret, Enrique; Mulders, Freya; Munteanu, Anna Maria; Nadia Diana, Kinast; 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, Paweł; Platteau, Sofie; Poeira, Rita; Popescu, Ravzan; Popica, Georgian; Poredos, Peter; Prasser, Christopher; Preckel, Benedikt; Prospiech, Audrey; Pujol, Roger; Raimundo, Ana; Raineri, Santi Maurizio; Rakic, Dragana; Ramadan, Mohammed; Ramazanoğlu, Atilla; Rantis, Athanasios; Raquel, Ferrandis; 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; Sanl, 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; Sofia, Machado; Soler Pedrola:, Maria; Söndergaard, Sören; Sõrmus, Alar; Sørvoll, Ingvild Hausberg; Soumelidis, Christos; Spindler Yesel, Alenka; Stefan, Mihai; Stevanovic, Ana; Stevikova, Jordana; Stivan, Sabina; Štourač, Petr; Striteska, Jana; Strys, Lydia; Suljevic, Ismet; Tania, Moreno; 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; Wunder, Christian; Wyffels, Piet; Yakymenko, Yevgen; Yldrm, Çiğdem; Ylmaz, Hakan; Zacharowski, Kai; Záhorec, Roman; Zarif, Maged; Zielinska-Skitek, Ewa; Zsisku, Lajos
Source
BJA: British Journal of Anaesthesia. Feb 01, 2016 116(2):255-261
Subject
Language
English
ISSN
0007-0912
Abstract
Background. 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.Methods. 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.Results. 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).Conclusion. 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.Clinical trial registration. NCT 01604083.