Document Detail

Low degree of regionalization and high transfusion rates in very low birthweight infants: a survey in Germany.
MedLine Citation:
PMID:  9595366     Owner:  NLM     Status:  MEDLINE    
Although anemia is common in very low birthweight (VLBW) infants, widely accepted guidelines for red blood cell transfusions are lacking. Questionnaires regarding transfusion policy in VLBW infants in 1994 were sent to 391 German pediatric departments. 208 questionnaires were returned. 51 departments reported not to admit VLBW infants. Thus, results are based on 157 completed questionnaires. 54% of the respondents admitted less than 30 VLBW infants per year and 52% of the VLBW infants were admitted to departments with less than 50 VLBW infants per year. Overall transfusion rate ranged from 0 to 100% (median 65%). This range narrowed with the departments' size indicating stricter guidelines with less variation. Indication for transfusion varied considerably depending on the infants' postnatal age and need for ventilatory support. 34% of the respondents applied directed transfusions, most frequently from the infant's father. 70% used satellite packs. 51% stored the packs up to 7 days, 10% longer than 14 days. Red cells were irradiated in 35%, and washed in 23% of the departments. Median single transfusion volume was 12 ml/kg. We conclude that regionalization of VLBW infants in Germany is far from completeness and that hospital policies for transfusion show large variety especially in small departments.
R F Maier; B Metze; M Obladen
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of perinatal medicine     Volume:  26     ISSN:  0300-5577     ISO Abbreviation:  J Perinat Med     Publication Date:  1998  
Date Detail:
Created Date:  1998-08-05     Completed Date:  1998-08-05     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0361031     Medline TA:  J Perinat Med     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  43-8     Citation Subset:  IM    
Department of Neonatology, Virchow-Hospital, Humboldt-University, Berlin, Germany.
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MeSH Terms
Blood Transfusion*
Health Care Surveys*
Hospitals, Pediatric
Infant, Newborn
Infant, Very Low Birth Weight*

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