Document Detail


Transfusion of red blood cells: no impact on length of hospital stay in moderately anaemic parturients.
MedLine Citation:
PMID:  17430317     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: In a search for information to improve decision making on red blood cell (RBC) transfusion, we examined the impact of RBC transfusion on the length of hospital stay for delivery in moderately anaemic women (haemoglobin, 7-10 g/dl). METHODS: This was a retrospective, observational study covering 2 years (2002 and 2003), and included major blood-transfusing hospitals from four university and five central hospital districts managing 67.5% of Finnish in-hospital deliveries. The impact of the transfusion of 1-2 RBC units vs. no transfusion on the length of hospital stay was evaluated for three different haemoglobin levels: 7-7.9, 8-8.9 and 9-10 g/dl. RESULTS: Of the 1954 moderately anaemic mothers in hospital for delivery, 13.3% were transfused with RBC. The mean length of hospital stay was 5.2 days vs. the average Finnish hospital delivery stay of 3.5 days. No differences in stay were found between patients with comparable anaemia transfused with 1-2 RBC units or none (at the three haemoglobin levels: P= 0.50, P= 0.07 and P= 0.54, respectively). The final haemoglobin value was higher (P < 0.001) in transfused patients. CONCLUSION: The duration of admission for delivery in moderately anaemic parturients was longer than the average length of hospital stay in Finnish parturients. However, 1-2 RBC units had no impact on the length of stay, suggesting that unnecessary RBCs are transfused after delivery. Thus, transfusion practices in obstetrics are not always optimal.
Authors:
R Palo; J Ahonen; H Salo; M Salmenperä; T Krusius; T Mäki
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Publication Detail:
Type:  Journal Article; Multicenter Study    
Journal Detail:
Title:  Acta anaesthesiologica Scandinavica     Volume:  51     ISSN:  0001-5172     ISO Abbreviation:  Acta Anaesthesiol Scand     Publication Date:  2007 May 
Date Detail:
Created Date:  2007-04-13     Completed Date:  2007-07-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370270     Medline TA:  Acta Anaesthesiol Scand     Country:  England    
Other Details:
Languages:  eng     Pagination:  565-9     Citation Subset:  IM    
Affiliation:
Hospital District of Helsinki and Uusimaa, Department of Anaesthesia and Intensive Care, Helsinki University Hospital (Meilahti Hospital), Haartmaninkatu 4, FI 00029 HUS, Helsinki, Finland. riikka.palo@hus.fi
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Anemia / blood,  therapy*
Erythrocyte Transfusion / utilization*
Female
Finland / epidemiology
Guideline Adherence
Hemoglobins / metabolism
Humans
Length of Stay*
Parturition / blood
Pregnancy
Pregnancy Complications, Hematologic / blood,  therapy*
Retrospective Studies
Treatment Outcome
Chemical
Reg. No./Substance:
0/Hemoglobins

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


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