Blood transfusion in a random sample of hospitals in France

Mathoulin‐Pélissier, Simone; Salmi, Louis Rachid; Verret, Catherine; Demoures, Bruno

doi:10.1046/j.1537-2995.2000.40091140.x

Cited by 60 publications

(69 citation statements)

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“…Excluding blood use in obstetric and gynaecological surgery, Vamvakas and Taswell reported that 51.6% of red cells were transfused to surgical patients, and the French RECERT group found 49% of transfusion recipients were on surgical wards. 5 9 The Sanguis study documented wide variation in transfusion practice across Europe for apparently similar surgical procedures 10. Reasons for the lower surgical transfusion rate in our study could include differences in medical practice, the age profile and health status of our population, or currently evolving patterns of blood use in surgery.…”

Section: Discussionmentioning

confidence: 99%

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Where does blood go? Prospective observational study of red cell transfusion in north England

Wells

2002

BMJ

213

187

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Objective To collect population based information on transfusion of red blood cells. Design Prospective observational study over 28 days. Setting Hospital blood banks in the north of England (population 2.9 million). Main outcome measures Indications for transfusion, number of units given, and the age and sex of transfusion recipients. Participants All patients who received a red cell transfusion during the study period. Data completed by hospital blood bank staff. Results The destination of 9848 units was recorded (97% of expected blood use). In total 9774 units were transfused: 5047 (51.6%) units were given to medical patients, 3982 (40.7%) to surgical patients, and 612 (6.3%) to obstetric and gynaecology patients. Nearly half (49.3%) of all blood is given to female recipients, and the mean age of recipients of individual units was 62.7 years. The most common surgical indications for transfusion were total hip replacement (4.6% of all blood transfused) and coronary artery bypass grafting (4.1%). Haematological disorders accounted for 15.5% of use. Overall use was 4274 units per 100 000 population per year. Conclusion In the north east of England more than half of red cell units are transfused for medical indications. Demand for red cell transfusion increases with age. With anticipated changes in the age structure of the population the demand for blood will increase by 4.9% by 2008.

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Section: Discussionmentioning

confidence: 99%

“…Information on the use of red cells and the characteristics of transfusion recipients is limited 2 – 5…”

Section: Introductionmentioning

confidence: 99%

Where does blood go? Prospective observational study of red cell transfusion in north England

Wells

2002

BMJ

213

187

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“…13 A random sample of hospitals in France also showed that the majority (57%) of transfusion recipients were over age 65. 14 A recent study of RBC transfusion in north England hospitals by Wells and coworkers 9 observed a rapidly rising demand for blood by individuals over the age of 45. In fact, the study found that the majority of blood units (57.2%) were transfused into individuals 65 years and older.…”

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Blood use by inpatient elderly population in the United States

et al. 2007

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“…The 20 GPs (13 men, 7 women) interviewed were aged 30 to 65, and worked in rural [9], semi-rural [6], or urban [5] settings. They had more than 15 years (12 GPs), 5 to 15 years [5], or less than 5 years [3] of experience of general medicine.…”

Section: Resultsmentioning

confidence: 99%

Blood transfusion in elderly patients with chronic anemia: a qualitative analysis of the general practitioners’ attitudes

et al. 2017

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BackgroundBlood transfusion in chronic anemia is not covered by guidelines specific to older adults. When they consider that this treatment is necessary in elderly patients, French general practitioners (GPs) contact a hospital specialist to plan a transfusion.MethodsTwenty French GPs were questioned individually regarding their approach to blood transfusion using semi-structured interviews. Each interview was recorded, typed up verbatim and then coded using an inductive procedure by theme, in a cross-over design (two researchers) in two phases: analysis and summary, followed by grouping of the recorded comments.ResultsThe criteria for transfusion were hemoglobin level < 8 g/dL and cardiac comorbidities. Some geriatric issues, such as cognitive disorder or dependence, were considered, either as aspects of frailty favoring transfusion or as markers of reduced life expectancy that limit care. Falls and fear of an unpleasant death from anemia prompted GPs to order blood transfusion. The patient’s family provided guidance, but the patient was not routinely consulted. The specialists were rarely asked to participate in decision making. GPs’ perceptions were ambivalent: they considered transfusion to be extraordinary and magical, but also pointless since its effects are transient.ConclusionThe decision to give a transfusion to an elderly patient with chronic anemia is deemed complex, but GPs seem to take it alone, sometimes guided by the patient’s family. The drawing up of an advance care plan could help involve the patient in decision making.Electronic supplementary materialThe online version of this article (doi:10.1186/s12875-017-0647-8) contains supplementary material, which is available to authorized users.

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Blood transfusion in a random sample of hospitals in France

Abstract: General collection of such data, within a system of traceability, could provide relevant denominators from which to interpret adverse-reaction data.

Cited by 60 publications

References 19 publications

Where does blood go? Prospective observational study of red cell transfusion in north England

Where does blood go? Prospective observational study of red cell transfusion in north England

Blood use by inpatient elderly population in the United States

Blood transfusion in elderly patients with chronic anemia: a qualitative analysis of the general practitioners’ attitudes

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