Hemoglobin concentrations and RBC transfusion thresholds in patients with acute brain injury: an international survey.

Détails

Ressource 1Télécharger: s13054-017-1748-4.pdf (546.52 [Ko])
Etat: Public
Version: Final published version
ID Serval
serval:BIB_124B1A9F2548
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Hemoglobin concentrations and RBC transfusion thresholds in patients with acute brain injury: an international survey.
Périodique
Critical care
Auteur(s)
Badenes R., Oddo M., Suarez J.I., Antonelli M., Lipman J., Citerio G., Taccone F.S.
ISSN
1466-609X (Electronic)
ISSN-L
1364-8535
Statut éditorial
Publié
Date de publication
17/06/2017
Peer-reviewed
Oui
Volume
21
Numéro
1
Pages
159
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
Résumé
The optimal hemoglobin (Hb) threshold at which to initiate red blood cell (RBC) transfusion in patients with acute brain injury is unknown. The aim of this survey was to investigate RBC transfusion practices used with these patients.
We conducted a web-based survey within various societies of critical care medicine for intensive care unit (ICU) physicians who currently manage patients with primary acute brain injury.
A total of 868 responses were obtained from around the world, half of which (n = 485) were from European centers; 204 (24%) respondents had a specific certificate in neurocritical care, and most were specialists in anesthesiology or intensive care and had less than 15 years of practice experience. Four hundred sixty-six respondents (54%) said they used an Hb threshold of 7-8 g/dl to initiate RBC transfusion after acute brain injury, although half of these respondents used a different threshold (closer to 9 g/dl) in patients with traumatic brain injury, subarachnoid hemorrhage, or ischemic stroke. Systemic and cerebral factors were reported as influencing the need for higher Hb thresholds. Most respondents agreed that a randomized clinical trial was needed to compare two different Hb thresholds for RBC transfusion, particularly in patients with traumatic brain injury, subarachnoid hemorrhage, and ischemic stroke.
The Hb threshold used for RBC transfusion after acute brain injury was less than 8 g/dl in half of the ICU clinicians who responded to our survey. However, more than 50% of these physicians used higher Hb thresholds in certain conditions.

Mots-clé
Brain injury, Hemoglobin, Outcome, Threshold, Transfusion
Pubmed
Web of science
Open Access
Oui
Création de la notice
27/06/2017 17:13
Dernière modification de la notice
20/08/2019 13:40
Données d'usage