Document Detail


Early changes in hemoglobin and hematocrit levels after packed red cell transfusion in patients with acute anemia.
MedLine Citation:
PMID:  9191816     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Equilibration of hemoglobin concentration after transfusion has been estimated to take about 24 hours, but some studies have shown that earlier measurements reflect steady-state values in persons who have not bled recently. This study was aimed at assessing the changes over time in hemoglobin concentration after transfusion in acutely anemic patients because of recent bleeding. STUDY DESIGN AND METHODS: Thirty-two normovolemic patients recovering from an acute bleeding episode who were no longer thought to be bleeding and who received a 2-unit red cell transfusion were studied. At baseline and 15, 30, 60, and 120 minutes and 24 hours after transfusion, hemoglobin concentration and hematocrit values were measured. RESULTS: The administration of 2 units of packed red cells elicited a 24-hour increase of 22.4 +/- 6.8 g per L in hemoglobin concentration. Hemoglobin values were not different at any of the defined posttransfusion times. Hematocrit levels experienced similar changes over time. Agreement between 15-minute and 24-hour values was excellent, as only 6 percent of patients exhibited a clinically significant difference (> 6 g/L) between the hemoglobin measurements. CONCLUSION: Hemoglobin and hematocrit values rapidly equilibrate after transfusion in normovolemic patients who are recovering from an acute bleeding episode. This fact would allow a rapid assessment of the effects of transfusion and of the recurrence of bleeding in patients remaining at risk.
Authors:
J I Elizalde; J Clemente; J L Marín; J Panés; B Aragón; A Mas; J M Piqué; J Terés
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Transfusion     Volume:  37     ISSN:  0041-1132     ISO Abbreviation:  Transfusion     Publication Date:  1997 Jun 
Date Detail:
Created Date:  1997-07-01     Completed Date:  1997-07-01     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0417360     Medline TA:  Transfusion     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  573-6     Citation Subset:  IM    
Affiliation:
Gastroenterology Department, Hospital Clínic i Provincial, University of Barcelona, Spain.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Anemia / blood,  therapy*
Erythrocyte Transfusion*
Gastrointestinal Hemorrhage / therapy
Hematocrit*
Hemoglobins / metabolism*
Humans
Time Factors
Chemical
Reg. No./Substance:
0/Hemoglobins

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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