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Hospital audit of delayed transfusion after orthopaedic surgery
- Source :
- Anaesthesia Critical Care & Pain Medicine. 34:321-325
- Publication Year :
- 2015
- Publisher :
- Elsevier BV, 2015.
-
Abstract
- To understand the mechanisms related to both the onset and correction of severe anaemia after orthopaedic surgery, we analysed all the full blood counts (FBCs) for patients on one orthopaedic ward during a one-year period in an academic hospital.FBCs were screened and the medical records of those patients for whom a postoperative haemoglobin (Hb) concentration below 8 g/dL was recorded at least once were reviewed. The onset of postoperative anaemia was determined by calculating the various time intervals delineated by surgery, the time at which the transfusion threshold was reached and the time at which the lowest Hb level (nadir) and transfusion (if any) occurred.A total of 6573 FBCs drawn from 1255 patients were screened. The medical records of 74 consecutive patients with at least one Hb value8 g/dL were analysed. The postoperative Hb nadir was 7.4 (± 0.6) g/dL (mean - SD). The medians (IQR 25-75) of the calculated intervals were: (surgery - nadir): 72 (48-144) h, (nadir - transfusion): 7 (5-21) h and (transfusion threshold - transfusion): 26 (11-51) h.Delayed transfusion (defined as12 hours between the time at which the transfusion threshold was reached and actual transfusion) was observed in 57% of severely anaemic patients after orthopaedic surgery.
- Subjects :
- Adult
Male
Emergency Medical Services
medicine.medical_specialty
Blood transfusion
Critical Care
Anemia
medicine.medical_treatment
Time to treatment
Blood count
Critical Care and Intensive Care Medicine
Risk Assessment
Time-to-Treatment
Hemoglobins
medicine
Emergency medical services
Humans
Blood Transfusion
Orthopedic Procedures
Aged
Aged, 80 and over
Postoperative Care
Medical Audit
business.industry
Medical record
General Medicine
Middle Aged
medicine.disease
Surgery
Anesthesiology and Pain Medicine
Anesthesia
Orthopedic surgery
Female
business
Severe anaemia
Subjects
Details
- ISSN :
- 23525568
- Volume :
- 34
- Database :
- OpenAIRE
- Journal :
- Anaesthesia Critical Care & Pain Medicine
- Accession number :
- edsair.doi.dedup.....e32b00efbed8b8af0f08fe762c0e3e5f
- Full Text :
- https://doi.org/10.1016/j.accpm.2015.02.006