Predictive indicators for determining red blood cell transfusion strategies in the emergency department.
Eur J Emerg Med
; 30(4): 260-266, 2023 Aug 01.
Article
en En
| MEDLINE
| ID: mdl-37115971
BACKGROUND AND IMPORTANCE: Appropriate decision-making is critical for transfusions to prevent unnecessary adverse outcomes; however, transfusion in the emergency department (ED) can only be decided based on sparse evidence in a limited time window. OBJECTIVES: This study aimed to identify factors associated with appropriate red blood cell (RBC) transfusion in the ED by analyzing retrospective data of patients who received transfusions at a single center. OUTCOME MEASURES AND ANALYSIS: This study analyzed associations between transfusion appropriateness and sex, age, initial vital signs, an ED triage score [the Korean Triage and Acuity Scale (KTAS)], the length of stay, and the hemoglobin (Hb) concentration. MAIN RESULTS: Of 10â
490 transfusions, 10â
109 were deemed appropriate, and 381 were considered inappropriate. A younger age ( P â
<â
0.001) and a KTAS level of 3-5 ( P â
=â
0.028) were associated with inappropriate transfusions, after adjusting for O 2 saturation and the Hb level. CONCLUSIONS: In this single-center retrospective study, younger age and higher ED triage scores were associated with the appropriateness of RBC transfusions.
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Transfusión de Eritrocitos
/
Servicio de Urgencia en Hospital
Tipo de estudio:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Idioma:
En
Revista:
Eur J Emerg Med
Asunto de la revista:
MEDICINA DE EMERGENCIA
Año:
2023
Tipo del documento:
Article