Skip to main content

Lund University Publications

LUND UNIVERSITY LIBRARIES

Transfusionsstrategi – att ge blod på rätt indikation - I Sverige ges fler blodtransfusioner än i jämförbara länder – restriktiv policy ger inte sämre vårdresultat

Wikman, Agneta ; Egenvall, Monika ; Jansson, Karl Åke ; Jeppsson, Anders ; Lindgren, Stefan LU ; Nilsson, Maria ; Van der Linden, Jan and Aspevall Diedrich, Beatrice (2020) In Läkartidningen 117.
Abstract

During the last decade, the varying use and the lack of consistent indications for blood transfusions have been questioned. Comparisons of liberal and restrictive transfusion policies, most often support a restrictive policy. This has led to an evidence-based approach to optimizing the care of patients who might need transfusion, Patient Blood Management (PBM). There is evidence that both anemia and allogeneic blood transfusions are independently associated with increased morbidity and mortality. In elective surgery it is possible to adapt the three pillars of PBM in a structured way; i.e. optimization of red blood cell mass, reduction of blood loss and bleeding, and optimization of the patient's physiological tolerance towards anemia.... (More)

During the last decade, the varying use and the lack of consistent indications for blood transfusions have been questioned. Comparisons of liberal and restrictive transfusion policies, most often support a restrictive policy. This has led to an evidence-based approach to optimizing the care of patients who might need transfusion, Patient Blood Management (PBM). There is evidence that both anemia and allogeneic blood transfusions are independently associated with increased morbidity and mortality. In elective surgery it is possible to adapt the three pillars of PBM in a structured way; i.e. optimization of red blood cell mass, reduction of blood loss and bleeding, and optimization of the patient's physiological tolerance towards anemia. These activities should be included in the pre-peri- and postoperative routines, in all surgical units.

(Less)
Please use this url to cite or link to this publication:
author
; ; ; ; ; ; and
organization
alternative title
Patient blood management - to transfuse blood on appropriate indications
publishing date
type
Contribution to journal
publication status
published
subject
in
Läkartidningen
volume
117
publisher
Swedish Medical Association
external identifiers
  • pmid:31990361
  • scopus:85078336581
ISSN
0023-7205
language
Swedish
LU publication?
yes
id
49eb0e8b-65ab-4caa-97f4-cfde65633e1e
alternative location
https://lakartidningen.se/Klinik-och-vetenskap/Klinisk-oversikt/2020/01/Transfusionsstrategi--att-ge-blod-pa-ratt-indikation/
date added to LUP
2020-02-05 09:46:52
date last changed
2022-04-18 20:31:31
@article{49eb0e8b-65ab-4caa-97f4-cfde65633e1e,
  abstract     = {{<p>During the last decade, the varying use and the lack of consistent indications for blood transfusions have been questioned. Comparisons of liberal and restrictive transfusion policies, most often support a restrictive policy. This has led to an evidence-based approach to optimizing the care of patients who might need transfusion, Patient Blood Management (PBM). There is evidence that both anemia and allogeneic blood transfusions are independently associated with increased morbidity and mortality. In elective surgery it is possible to adapt the three pillars of PBM in a structured way; i.e. optimization of red blood cell mass, reduction of blood loss and bleeding, and optimization of the patient's physiological tolerance towards anemia. These activities should be included in the pre-peri- and postoperative routines, in all surgical units.</p>}},
  author       = {{Wikman, Agneta and Egenvall, Monika and Jansson, Karl Åke and Jeppsson, Anders and Lindgren, Stefan and Nilsson, Maria and Van der Linden, Jan and Aspevall Diedrich, Beatrice}},
  issn         = {{0023-7205}},
  language     = {{swe}},
  month        = {{01}},
  publisher    = {{Swedish Medical Association}},
  series       = {{Läkartidningen}},
  title        = {{Transfusionsstrategi – att ge blod på rätt indikation - I Sverige ges fler blodtransfusioner än i jämförbara länder – restriktiv policy ger inte sämre vårdresultat}},
  url          = {{https://lakartidningen.se/Klinik-och-vetenskap/Klinisk-oversikt/2020/01/Transfusionsstrategi--att-ge-blod-pa-ratt-indikation/}},
  volume       = {{117}},
  year         = {{2020}},
}