Van Tıp Dergisi (Jan 2021)

Erythrocyte Suspension Transfusion Assessment in a University Intensive Care Unit: A Retrospective Study

  • Arzu Esen Tekeli,
  • Mehmet Emin Keskin

DOI
https://doi.org/10.5505/vtd.2021.56887
Journal volume & issue
Vol. 28, no. 1
pp. 146 – 150

Abstract

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INTRODUCTION: One-year erythrocyte suspension transfusions were examined in our intensive care unit. It was aimed to reveal transfusion application decisions and the criteria behind these decisions. METHODS: 188 patients in the intensive care unit of the Anesthesiology and Reanimation clinic between 2017 -2018 January and underwent transfusion of erythrocyte suspension for any reason were included in the study. Patients were divided into those who underwent erythrocyte suspension replacement due to active bleeding (Group K) and those who had a replacement without active bleeding (Group NK). Demographic data of the patients, hospitalization diagnoses, APACHE values in the first 24 hours of intensive care admission, comorbid diseases, available hemoglobin (Hb) value and length of stay in the intensive care unit were noted. RESULTS: The ages of the patients in Group K were significantly lower (p <0.05) Tthe rate of comorbidity in Group K was significantly lower (p <0.05).APACHE values measured during intensive care admission were significantly lower (p <0.05) in Group K. Group K Hb values were found to be significantly higher (p <0.05) in the comparison made in terms of Hb values when the replacement decision was made. Group NK was significantly ahead (p <0.05) during the ICU stay. DISCUSSION AND CONCLUSION: Tthe main determinant was the Hb value and other factors were also effective. In patients without active bleeding, evidence suggests a more conservative approach with blood transfusions. We believe that more research is needed to personalize transfusion strategies in intensive care patients and to measure the common effects of different combinations of factors.

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