Resource implications of adopting a restrictive neonatal blood transfusion policy

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Resource implications of adopting a restrictive neonatal blood transfusion policy.

BACKGROUND Blood transfusions (BTFs) are not without risk and pose a significant financial burden on resource-limited services. In line with current international evidence, the nursery at Groote Schuur Hospital (GSH), Cape Town, South Africa, introduced a restrictive BTF protocol to minimise transfusions and manage costs. OBJECTIVE To determine whether adopting a restrictive BTF policy result...

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Randomised trial of blood transfusion versus a restrictive transfusion policy after hip fracture surgery.

BACKGROUND Debate exists as to what should be the transfusion threshold for patients with anaemia after hip fracture surgery. METHODS A total of 200 patients aged 60 years and above with a haemoglobin level of between 8.0 and 9.5gdl(-1) after hip fracture surgery were randomised to receive a transfusion to raise the haemoglobin to at least 10.0gdl(-1) or not to have a transfusion unless defin...

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Effects of a restrictive blood transfusion policy on outcomes in children with burn injury.

A restrictive blood transfusion policy decreases blood utilization and improves outcomes in critically ill adults, but the impact of a restrictive blood transfusion policy in critically ill children is unclear. The study purpose was to compare the effects of a restrictive with a traditional blood transfusion policy in children with major burn injury. A retrospective review of all blood transfus...

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Restrictive versus liberal transfusion strategies for red blood cell transfusion after hip or knee surgery

BACKGROUND Red blood cell (RBC) transfusions are commonly used in surgical patients, but accompanied by many risks such as metabolic derangement, and allergic and febrile reactions. Indications for transfusion in patients after hip or knee surgery have not been definitively evaluated and remain controversial. We performed a meta-analysis to compare the benefits and harms of restrictive versus l...

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TRANSFUSION MEDICINE A Restrictive Platelet Transfusion Policy Allowing Long-Term Support of Outpatients With Severe Aplastic Anemia

The threshold for prophylactic platelet transfusions in patients with hypoplastic thrombopenia generally recommended in the standard literature is 20,000 platelets/mL. A more restrictive transfusion policy may be indicated in patients with chronic severe aplastic anemia (SAA) in need of long-term platelet support. We evaluated the feasibility and safety of a policy with low thresholds for proph...

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ژورنال

عنوان ژورنال: South African Medical Journal

سال: 2013

ISSN: 2078-5135

DOI: 10.7196/samj.6858