Avoiding unnecessary blood transfusions in women with profound anaemia.
Aust N Z J Obstet Gynaecol
; 55(3): 262-7, 2015 Jun.
Article
em En
| MEDLINE
| ID: mdl-26044165
ABSTRACT
BACKGROUND:
Blood transfusions may be associated with risks and the risk benefit ratio is not always clear, even in the setting of haemorrhage.AIMS:
To describe the management practices and outcomes in women with profound anaemia who refused blood transfusion. MATERIALS ANDMETHODS:
Retrospective analysis over a 10-year time frame of severely anaemic women (Hb <50 g/L) with benign conditions who had requested not to receive a blood transfusion. Demographic data, clinical presentation, anaemia management practice and serious adverse events were collected from the medical record charts. Women were analysed in two groups a gynaecologic (Gyn) and an obstetric (Ob) population.RESULTS:
A total of 19 women (12 Gyn and 7 Ob) met the inclusion criteria with a mean age of 35.8 ± 10.2 years. The lowest mean Hb concentration was 41.3 ± 9.7 g/L (Gyn Group) and 36.0 ± 8.9 g/L (Ob Group) which increased, to 67.3 ± 14.3 g/L and 73.1 ± 6.9 g/L, respectively, by the time of hospital discharge. Anaemia management initially addressed the underlying etiology and was followed by intravenous iron (all cases) plus erythropoiesis stimulating agents, haemocoagulase and/or fluids. The mean length of hospital stay was 10.5 ± 4.4 and 13.7 ± 4.1 days for the Gyn and Ob groups, respectively. No deaths or other serious complications occurred.CONCLUSION:
These findings suggest that young and otherwise healthy women can tolerate profound anaemia (Hb <50 g/L) permitting corrective strategies to be successfully implemented without the need for blood transfusion.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Transfusão de Sangue
/
Recusa do Paciente ao Tratamento
/
Anemia
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Adult
/
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
Aust N Z J Obstet Gynaecol
Ano de publicação:
2015
Tipo de documento:
Article