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>Journals >Medicina Crítica >Year 2011, Issue 3

Flores MP, Gartz TG, Treviño FRJ, Ramírez RA
Incidencia de complicaciones en pacientes críticos relacionadas a transfusiones
Rev Asoc Mex Med Crit y Ter Int 2011; 25 (3)

Language: Español
References: 26
Page: 160-168
PDF: 373.44 Kb.

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Despite the high incidence of anemia in critical ill patients, there is a lack of criteria for appropriate use of transfusions. This work provides an overview of blood transfusion practices and describes its complications.
Objective: To recognize the characteristics of blood transfusion practices and the incidence of complications.
Study design and methods: Prevalence study, non-probabilistic sampling with a total of 90 intensive care unit patients during the period (2004-2009).
Results: Mean hemoglobin at admission 10.8 g/dL, with mean pretransfusion hemoglobin of 9.6 g/dL, with 32.2% transfusions without adherence to recommendations. There was no impact in the use of restrictive blood transfusion with severe complications and mortality (RR 1.15 IC95% 0.68-1.85, RR 0.61 IC 95% 0.26-1.30), but with the use of › 5 blood cells concentration led to major complications and mortality (RR 2.06 IC 95% 1.27-3.25) (RR 2.96 IC 95% 1.53-5.81), as with the use of › 7 platelet concentrates resulting major complications and mortality (RR 2.305 IC95% 1.41-3.63) (RR 5.23 IC95% 2.5-11.49).
Conclusions: The observation with the worst results concurred with the previous statement, given the high proportion of liberal transfusion, justifies establishing restrictive policies in our hospital.

Key words: Critical care, restrictive transfusion vs liberal, severe complications, mortality.


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>Journals >Medicina Crítica >Year 2011, Issue 3

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