Blood product transfusion in emergency department patients: a case-control study of practice patterns and impact on outcome

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• 作者：Alexander Beyer ; Ryan Rees…
• 关键词：Emergency department ; Blood transfusion ; ARDS
• 刊名：International Journal of Emergency Medicine
• 出版年：2017
• 出版时间：December 2017
• 年：2017
• 卷：10
• 期：1
• 全文大小：466KB
• 刊物主题：Emergency Medicine; Pediatrics; Internal Medicine; Angiology; Cardiology;
• 出版者：Springer Berlin Heidelberg
• ISSN：1865-1380
• 卷排序：10

文摘

BackgroundBlood product transfusion occurs in a significant percentage of intensive care unit (ICU) patients. Pulmonary complications, such as acute respiratory distress syndrome (ARDS), occurring in the setting of transfusion, are associated with increased morbidity and mortality. Contrary to the ICU setting, there is little evidence describing the epidemiology of transfusion in the emergency department (ED) or its potential impact on outcome. The objectives of this study were to: (1) characterize transfusion practices in the ED with respect to patient characteristics and pre-transfusion laboratory values; and (2) investigate the effect of ED blood product transfusion on the incidence of pulmonary complications after admission. We hypothesized that blood product transfusion would increase the event rate for pulmonary complications, and have a negative impact on other clinically significant outcomes.