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Anemia and blood transfusion in trauma patients admitted to the intensive care unit.

Publication ,  Journal Article
Shapiro, MJ; Gettinger, A; Corwin, HL; Napolitano, L; Levy, M; Abraham, E; Fink, MP; MacIntyre, N; Pearl, RG; Shabot, MM
Published in: J Trauma
August 2003

BACKGROUND: Anemia is a common occurrence in the intensive care unit (ICU). Although resuscitation, including the use of blood, is a mainstay of early treatment of trauma victims, the safety and efficacy of red blood cell (RBC) transfusion has come under scrutiny recently. The issue of blood use in critically injured patients requires evaluation. METHODS: This was a post hoc analysis of a subset of trauma patients (> or =18 years in age) from a prospective, multicenter, observational, cohort study in the United States. Patients were enrolled within 48 hours after ICU admission and followed for up to 30 days, or until hospital discharge or death. RESULTS: Five hundred seventy-six patients from 111 ICUs in 100 hospitals were enrolled between August 2000 and April 2001. At baseline, mean age was 44.1 +/- 20.2 years, 73.6% were men, and mean APACHE II score was 16.9 +/- 8.2. Mean baseline hemoglobin was 11.1 +/- 2.4 g/dL and patients remained anemic throughout the study either with or without transfusion; 55.4% of patients were transfused (mean, 5.8 +/- 5.5 units) during the ICU stay and 43.8% of patients had an ICU length of stay > or = 7 days. Mean pretransfusion hemoglobin was 8.9 +/- 1.8 g/dL. Mean age of RBCs transfused was 20.1 +/- 11.4 days. As compared with the full study population, patients in the trauma subset were more likely to be transfused and received an average of 1 additional unit of blood. CONCLUSION: Anemia is common in critically injured trauma patients and persists throughout the duration of critical illness. These patients receive a large number of RBC transfusions during their ICU course with aged blood.

Duke Scholars

Published In

J Trauma

DOI

ISSN

0022-5282

Publication Date

August 2003

Volume

55

Issue

2

Start / End Page

269 / 273

Location

United States

Related Subject Headings

  • Wounds and Injuries
  • Transfusion Reaction
  • Retrospective Studies
  • Prospective Studies
  • Practice Patterns, Physicians'
  • Outcome Assessment, Health Care
  • Middle Aged
  • Male
  • Length of Stay
  • Intensive Care Units
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Shapiro, M. J., Gettinger, A., Corwin, H. L., Napolitano, L., Levy, M., Abraham, E., … Shabot, M. M. (2003). Anemia and blood transfusion in trauma patients admitted to the intensive care unit. J Trauma, 55(2), 269–273. https://doi.org/10.1097/01.TA.0000080530.77566.04
Shapiro, Marc J., Andrew Gettinger, Howard L. Corwin, Lena Napolitano, Mitchell Levy, Edward Abraham, Mitchell P. Fink, Neil MacIntyre, Ronald G. Pearl, and M Michael Shabot. “Anemia and blood transfusion in trauma patients admitted to the intensive care unit.J Trauma 55, no. 2 (August 2003): 269–73. https://doi.org/10.1097/01.TA.0000080530.77566.04.
Shapiro MJ, Gettinger A, Corwin HL, Napolitano L, Levy M, Abraham E, et al. Anemia and blood transfusion in trauma patients admitted to the intensive care unit. J Trauma. 2003 Aug;55(2):269–73.
Shapiro, Marc J., et al. “Anemia and blood transfusion in trauma patients admitted to the intensive care unit.J Trauma, vol. 55, no. 2, Aug. 2003, pp. 269–73. Pubmed, doi:10.1097/01.TA.0000080530.77566.04.
Shapiro MJ, Gettinger A, Corwin HL, Napolitano L, Levy M, Abraham E, Fink MP, MacIntyre N, Pearl RG, Shabot MM. Anemia and blood transfusion in trauma patients admitted to the intensive care unit. J Trauma. 2003 Aug;55(2):269–273.

Published In

J Trauma

DOI

ISSN

0022-5282

Publication Date

August 2003

Volume

55

Issue

2

Start / End Page

269 / 273

Location

United States

Related Subject Headings

  • Wounds and Injuries
  • Transfusion Reaction
  • Retrospective Studies
  • Prospective Studies
  • Practice Patterns, Physicians'
  • Outcome Assessment, Health Care
  • Middle Aged
  • Male
  • Length of Stay
  • Intensive Care Units