ArticleBlood transfusion = Trasfusione del sangue2017
Appropriate use of red blood cell transfusion in emergency departments: a study in five emergency departments.
Article in Blood transfusion = Trasfusione del sangue, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
24 citing papers in PubMed.
- Efficacy of topical tranexamic acid within a blood-saving programme for primary total hip arthroplasty: a pragmatic, open-label randomised study.Blood transfusion = Trasfusione del sangue · 2018Trial
- Appropriateness and determinants of packed red blood cell transfusion in knee arthroplasty: a retrospective tertiary hospital study.Scientific reports · 2025Article
- Exploration of patient blood management metrics for emergency departments: a 4-year retrospective monocenter study.BMC emergency medicine · 2025Article
- Electronic health records reveal variations in the use of blood units by hour and medical specialty.Vox sanguinis · 2025Article
- In-hospital stay of anemic patients in the ED with/without transfusion: a single-center propensity-matched study.BMC emergency medicine · 2025Article
- Implementing first pillar of PBM in the Emergency Area: a missed opportunity?Blood transfusion = Trasfusione del sangue · 2025Article
- Overview of blood transfusion appropriateness with one-day point prevalence: Right decision? Right product? Right amount?Northern clinics of Istanbul · 2025Article
- Red blood cell transfusion in a tertiary Haitian hospital's emergency department: patient characteristics and availability challenges.International journal of emergency medicine · 2024Article
- Challenges in perioperative blood transfusions in kidney transplantation and the need for Patient Blood Management.Blood transfusion = Trasfusione del sangue · 2024Observational
- A synchronized approach between emergency department and anemia clinic to intravenous iron treatment for very severe (Hb <7.0 g/dL) and extreme (<5.0 g/dL) iron-deficiency anemia: short-, medium- and long-term efficacy and safety analysis.Blood transfusion = Trasfusione del sangue · 2023Article
- Appropriateness of Allogeneic Red Blood Cell Transfusions in Non-Bleeding Patients in a Large Teaching Hospital: A Retrospective Study.Journal of clinical medicine · 2023Article
- Profile and characteristics of the adequacy of blood transfusions in Trauma Intensive Care. A cross sectional multicenter study.Frontiers in public health · 2023Article
- Clinicians' Perceptions of an Artificial Intelligence-Based Blood Utilization Calculator: Qualitative Exploratory Study.JMIR human factors · 2022Article
- Related Factors of Anemia in Critically Ill Patients: A Prospective Multicenter Study.Journal of clinical medicine · 2022Article
- A nationwide survey of clinical use of blood in Italy.Blood transfusion = Trasfusione del sangue · 2021Article
- Doctors' practice and attitudes towards red blood cell transfusion at Mthatha Regional Hospital, Eastern Cape, South Africa: A mixed methods study.African journal of primary health care & family medicine · 2021Article
- Red Blood Cell Transfusion in the Emergency Department: An Observational Cross-Sectional Multicenter Study.Journal of clinical medicine · 2021Article
- Article
- Article
- Red blood cell transfusions for emergency department patients with gastrointestinal bleeding within an integrated health system.The American journal of emergency medicine · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTransfusion of blood components continues to be an important therapeutic resource into the 21 MATERIALS AND
methodsThe study cohort is made up of consecutive consenting adult patients (≥18 years old) who received RBCT in ED over a 3-month period and for whom relevant clinical data were collected and analysed.
resultsData from 908 RBCT episodes (2±1 units per transfused patient) were analysed. RBCT was considered appropriate in 21.4% (n=195), with significant differences according to RBCT indication (p<0.001), hospital level (p<0.001) and prescribing physician (p=0.002). Pre-transfusion haemoglobin level (Hb) negatively correlated with RBCT appropriateness (r=-0.616; p<0.01). Only 72.4% of appropriate RBCT had a post-transfusion Hb assessment (n=516). Of these, 45% were considered to be over-transfused (n=232), with significant differences according to RBCT indication (p=0.012) and prescribing physician (p=0.047). Overall, 584/1,433 (41%) of evaluable RBC units were unnecessarily transfused. DISCUSSION: The appropriateness of RBCT in ED is similar to other hospital departments, but the rate of over-transfusion was high. These data support the need for a reassessment after transfusion of each RBC unit before further units are prescribed. In view of these results, we recommend that physicians should be made more aware of the need to prescribe RBCT appropriately in order to reduce over-transfusion.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.