Revised international surveillance case definition of transfusion-associated circulatory overload: a classification agreement validation study

Wiersum‐Osselton, Johanna C.; Whitaker, Barbee I.; Grey, Sharran; Land, Kevin; Perez, Gabriela; Rajbhandary, Srijana; Andrzejewski, Chester; Bolton‐Maggs, Paula; Lucero, Harriet; Renaudier, P.; Robillard, Pierre; Santos, M.L; Schipperus, Martin R.

doi:10.1016/s2352-3026(19)30080-8

Cited by 51 publications

(62 citation statements)

References 13 publications

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“…Future studies can use this model to further investigate the pathophysiology of TACO, identifying mechanisms through which transfusion but not conventional fluid overload result in increased hydrostatic pressure. These models should use the revised 2019 TACO criteria . The current animal model is the first step to investigating the aforementioned potential mechanisms; however, due to the additional experiments are required to investigate them.…”

Section: Discussionmentioning

confidence: 99%

“…The 2011 guidelines include four or more of the following major criteria within 6 hours after transfusion: acute respiratory distress, acute or worsening pulmonary edema, tachycardia, increased blood pressure, and/or evidence of positive fluid balance . The most recent guidelines, include the same criteria, though with a slightly modified scoring system, and have increased to onset of symptoms to 12 hours after transfusion …”

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confidence: 99%

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Volume incompliance and transfusion are essential for transfusion‐associated circulatory overload: a novel animal model

et al. 2019

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T ransfusion-associated circulatory overload (TACO) is the largest cause of transfusion-related major morbidity and mortality. 1-3 Current understanding of TACO is that volume overload occurs, specifically ABBREVIATIONS: AKI = acute kidney injury; BALF = bronchoalveolar lavage fluid; COP = colloid osmotic pressure; CVP = central venous pressure; ECV = estimated circulating volume; KDA = ketamine-dexmedetomidine-atropine solution; LVEDP = left ventricular end-diastolic pressure; MAP = mean arterial pressure; MI = myocardial infarction; PV = pressure-volume (catheter); PCWP = pulmonary capillary wedge pressure; RL = Ringer's lactate; TACO = transfusion-associated circulatory overload; WD = pulmonary wet weight/dry weight (ratio).From the

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Volume incompliance and transfusion are essential for transfusion‐associated circulatory overload: a novel animal model

et al. 2019

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“…Revision of the TACO definition was launched because it was apparent that cases, recognized by clinicians and hemovigilance systems as TACO, did not meet the former definition's criteria . The revised definition was developed by a group representing the International Society of Blood Transfusion, the International Haemovigilance Network, and AABB (formerly the American Association of Blood Banks; collectively abbreviated ISBT‐IHN‐AABB), and was subsequently subjected to a validation exercise as was reported in the Lancet Haematology . The revised (2018) definition provides better agreement with TACO cases as collected by hemovigilance systems.…”

Section: Revised Taco Case Surveillance Definitionmentioning

confidence: 99%

Updated definitions for respiratory complications of blood transfusion

Schipperus

Wiersum‐Osselton²

2019

Transfusion

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number of states and federal districts. Today's cultural landscape therefore provides a timely opportunity for the blood bank community to discuss donor and recipient safety measures in a manner that respects gender identity and that promotes inclusivity for all donors. Indeed, many of the strategies discussed above could be applied to a "genderless" DHQ. While our current understanding of donor and recipient safety is based on the binary perspective using biologic sex, considering risk factors independent of biologic sex is imperative for the blood bank community moving forward.

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“…Other strategies include avoiding transfusion for haematinic deficiency, weight‐based prescribing and single‐unit transfusions or reassessment after each unit (in the absence of haemorrhage). Recent international discussion and analysis have resulted in an updated surveillance definition which should assist case recognition and reporting (Wiersum‐Osselton et al , ). Every year avoidable transfusions are reported to SHOT, particularly associated with iron, B12 and folate deficiency where the correct management is with the missing vitamin.…”

Section: Serious Pathological Complications Of Transfusion — Can Theymentioning

confidence: 99%

Transfusion errors — can they be eliminated?

Watt¹

2019

Br J Haematol

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Summary The Serious Hazards of Transfusion haemovigilance scheme has documented adverse transfusion incidents for 22 years. Transmission of infection (three in 2018), transfusion‐related lung injury (one in 2018) and transfusion‐associated graft‐versus‐host disease (none since 2012) are rare. Despite national recommendations, guidelines and protocols, most incidents more than 85% of incidents are still due to errors in the transfusion process. European regulation and mandatory competency assessments have been associated with a reduction in ABO‐incompatible transfusion, but errors continue to put patients at risk. What can be done? Errors are reduced by the use of electronic identification systems. Exploration of human factors and ergonomics (HFE) results in amended approaches away from blaming individuals to a full review of the systems and environment. Research examining how transfusion is performed (work‐as‐done) compared to work‐as‐imagined (set out in protocols and guidelines) discovers where variability results in either resilience or error. All staff require HFE training, but this should be alongside employment of suitably qualified and experienced HFE professionals. Good teamwork is key and is undermined by insufficient staffing and poor morale. The five choosing wisely recommendations for transfusion (to ensure appropriate use) need to be widely disseminated to medical staff in all specialties to ensure patients participate in the decision‐making.

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Revised international surveillance case definition of transfusion-associated circulatory overload: a classification agreement validation study

Cited by 51 publications

References 13 publications

Volume incompliance and transfusion are essential for transfusion‐associated circulatory overload: a novel animal model

Volume incompliance and transfusion are essential for transfusion‐associated circulatory overload: a novel animal model

Updated definitions for respiratory complications of blood transfusion

Transfusion errors — can they be eliminated?

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