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

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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; Nilsson, Maria; Van der Linden, Jan; Aspevall Diedrich, Beatrice.

I: Läkartidningen, Vol. 117, 27.01.2020.

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Wikman, Agneta ; Egenvall, Monika ; Jansson, Karl Åke ; Jeppsson, Anders ; Lindgren, Stefan ; Nilsson, Maria ; Van der Linden, Jan ; Aspevall Diedrich, Beatrice. / Transfusionsstrategi – att ge blod på rätt indikation - I Sverige ges fler blodtransfusioner än i jämförbara länder – restriktiv policy ger inte sämre vårdresultat. I: Läkartidningen. 2020 ; Vol. 117.

RIS

TY - JOUR

T1 - Transfusionsstrategi – att ge blod på rätt indikation - I Sverige ges fler blodtransfusioner än i jämförbara länder – restriktiv policy ger inte sämre vårdresultat

AU - Wikman, Agneta

AU - Egenvall, Monika

AU - Jansson, Karl Åke

AU - Jeppsson, Anders

AU - Lindgren, Stefan

AU - Nilsson, Maria

AU - Van der Linden, Jan

AU - Aspevall Diedrich, Beatrice

PY - 2020/1/27

Y1 - 2020/1/27

N2 - 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.

AB - 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.

M3 - Artikel i vetenskaplig tidskrift

VL - 117

JO - Läkartidningen

JF - Läkartidningen

SN - 0023-7205

ER -