Patient blood management knowledge and practice among clinicians from seven European university hospitals: amulticentre survey

被引：20

作者：

Manzini, P. M. ^{[1
]}

Dall'Omo, A. M. ^{[1
]}

D'Antico, S. ^{[1
]}

Valfre, A. ^{[1
]}

Pendry, K. ^{[2
]}

Wikman, A. ^{[3
]}

Fischer, D. ^{[4
]}

Borg-Aquilina, D. ^{[5
]}

Laspina, S. ^{[5
]}

van Pampus, E. C. M.

van Kraaij, M. ^{[6
,7
]}

Bruun, M. T. ^{[6
,8
]}

Georgsen, J. ^{[8
]}

Grant-Casey, J. ^{[9
]}

Babra, P. S. ^{[9
]}

Murphy, M. F. ^{[9
]}

Follea, G. ^{[10
]}

Aranko, K. ^{[11
]}

机构：

[1] Citta Salute & Sci Torino, Banca Sangue & Plasma, Corso Bramante 88, I-10126 Turin, Italy

[2] Cent Manchester Univ Hosp NHS Fdn Trust, Dept Transfus, Manchester, Lancs, England

[3] Karolinska Univ Hosp, Dept Clin Immunol & Transfus Med, Stockholm, Sweden

[4] Univ Hosp Frankfurt, Dept Anesthesiol Intens Care Med & Pain Therapy, Frankfurt, Germany

[5] Mater Dei Univ Hosp, Hosp Blood Bank, Msida, Malta

[6] Radboud Univ Nijmegen, Lab Med Immunol, Med Ctr, Nijmegen, Netherlands

[7] Sanquin Blood Bank, Dept Transfus Med & Donor Affairs, Amsterdam, Netherlands

[8] Odense Univ Hosp, Dept Clin Immunol, Odense, Denmark

[9] NHS Blood & Transplant, Oxford Blood Ctr, Oxford, England

[10] French Blood Estab, St Denis, Reunion, France

[11] European Blood Alliance, Amsterdam, Netherlands

来源：

VOX SANGUINIS | 2018年 / 113卷 / 01期

关键词：

patient blood management; transfusion medicine (in general); transfusion strategy; PREOPERATIVE ANEMIA; RESTRICTIVE TRANSFUSION; NONCARDIAC SURGERY; KNEE ARTHROPLASTY; DECISION-SUPPORT; IRON-DEFICIENCY; IMPLEMENTATION; HYPOTHERMIA; COHORT; RISK;

D O I：

10.1111/vox.12599

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background and ObjectivesThe aim of this survey was to evaluate the knowledge about Patient Blood Management (PBM) principles and practices amongst clinicians working in seven European hospitals participating in a European Blood Alliance (EBA) project. Materials and MethodsA web-based questionnaire was sent to 4952 clinicians working in medical, surgery and anaesthesiology disciplines. The responses were analysed, and the overall results as well as a comparison between hospitals are presented. ResultsA total of 788 responses (16%) were obtained. About 24% of respondents were not aware of a correlation between preoperative anaemia (POA) and perioperative morbidity and mortality. For 22%, treatment of POA was unlikely to favourably influence morbidity and mortality even before surgery with expected blood loss. More than half of clinicians did not routinely treat POA. 29%, when asked which is the best way to treat deficiency anaemia preoperatively, answered that they did not have sufficient knowledge and 5% chose to do nothing'. Amongst those who treated POA, 38% proposed red cell transfusion prior to surgery as treatment. Restrictive haemoglobin triggers for red blood cell transfusion, single unit policy and reduction of number and volumes of blood samples for diagnostic purposes were only marginally implemented. ConclusionOverall, the responses indicated poor knowledge about PBM. Processes to diagnose and treat POA were not generally and homogeneously implemented. This survey should provide further impetus to implement programmes to improve knowledge and practice of PBM.

引用

页码：60 / 71

页数：12

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