Publication Date:
2009-11-20
Description:
Abstract 2111 Poster Board II-88 Introduction: Since the 1990s, there has been increasing evidence to support a restrictive transfusion strategy in the intensive care unit. While prior studies have evaluated transfusion practice in the short term, the impact of the Transfusion Requirements in Critical Care (TRICC) recommendations and related guidelines over the course of a prolonged time period has not been evaluated. We describe and assess transfusion practice during the period 1997-2007 in a large, academic medical center medical intensive care unit (MICU). Patients and Methods: We conducted a single center, retrospective, observational study of 3533 patients with single admissions to the University of Maryland Medical Center MICU between 1997 and 2007. Patients with acute coronary syndromes, hemorrhage and hemoglobinopathies were excluded, as were patients less than 13 years of age. Baseline characteristics of transfused and non-transfused patients were compared. We described the mean MICU admission hemoglobin (Hgb) levels, percentages of patients transfused as a whole and by MICU admission Hgb strata, mean pre-transfusion Hgb levels in transfused patients and nadir Hgb in the non-transfused, proportion of patients transfused with pre-transfusion Hgb
Print ISSN:
0006-4971
Electronic ISSN:
1528-0020
Topics:
Biology
,
Medicine
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