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

Research output: Contribution to journalArticle

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. These activities should be included in the pre-peri- and postoperative routines, in all surgical units.

Details

Authors
  • Agneta Wikman
  • Monika Egenvall
  • Karl Åke Jansson
  • Anders Jeppsson
  • Stefan Lindgren
  • Maria Nilsson
  • Jan Van der Linden
  • Beatrice Aspevall Diedrich
Organisations
External organisations
  • Karolinska University Hospital
  • Sahlgrenska University Hospital
  • University of Gothenburg
  • Skåne University Hospital
Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Hematology
Original languageSwedish
JournalLäkartidningen
Volume117
Publication statusPublished - 2020 Jan 27
Publication categoryResearch
Peer-reviewedYes