Title: Restrictive Transfusion Policy On Anemia - An Ideal Strategy In Critically Ill Patient
Authors: Dr Pradipta Kumar Patel, Dr Arata Kumar Swain
DOI: http://dx.doi.org/10.18535/jmscr/v3i10.25
A total of 100 patients were included for three years in the study from 2012 Mach to 2015 March. This study aims to assess the prevalence of Anemia in critically ill patients and studies the association of blood transfusion and mortality in critically ill patients. It also compares restrictive transfusion policy (Hb < 7 g/dl) and liberal transfusion policy (Hb < 10 g/dl). Out of the 100 patients studied, 38 patients were given blood transfusion and matching control patients were identified for 36 patients. The mortality in the transfusion group was 58.33% when compared to 25.0% in the non transfusion group (P 0.005). The attributable mortality was 33.33% with a relative rish of 2.33. 1. Pearl RG, pohlman A. understanding and managing anemia in critically ill patients, Crit Care Nurse Dec 2002; Suppl:1-14 2. Vincent JL, Baron JF, Reinhart K, Gattinoni L, Thijs L, Webb A, et al. Anemia and blood transfusion in critically ill patients. JAMA 2002;288:1499-507. 3. Civetta JM, Taylar RW, Kirby RR. Transfusion therepy. Crit Care 1996; Vol 3rd Edition:639-52. 4. Shoemaker, Ayers Granvik Holbrook, Thompson : Text book of critical care. P. 903-18. 5. Jesse B Hay, Gregory A Schmidt, Laurence DH Wood. Principles of critical care 1992. P. 1807-17. 6. Evans TW, (2001) Hemodynamic and metabolic therapy in critically ill patients, NEJM 345:1368-77. 7. Herbrt PC, Well G, Tweeddale M, Martin C, Marshall J, Pham B, et al. Does transfusion practice affect mortality in critically ill patients? Am J. Respir Crit Care Med 1997;155:1618-23.Abstract
References