1. Patient blood management knowledge and practice among clinicians from seven European university hospitals: a multicentre survey
- Author
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Michael F. Murphy, G. Folléa, Jørgen Georgsen, K. Pendry, Agneta Wikman, Kari Aranko, Mie Topholm Bruun, John Grant-Casey, Denise Borg-Aquilina, Dania Fischer, E. C. M. van Pampus, A. M. Dall'Omo, Stefan Laspina, Paola Manzini, M. van Kraaij, Paul Singh Babra, Sergio D'Antico, and Adriano Valfrè
- Subjects
medicine.medical_specialty ,Pediatrics ,Blood management ,Red Blood Cell Transfusion ,Erythrocyte Transfusion/methods ,Other Research Radboud Institute for Molecular Life Sciences [Radboudumc 0] ,Transfusion medicine (in general) ,030204 cardiovascular system & hematology ,Red cell transfusion ,Hospitals, University ,03 medical and health sciences ,Postoperative Complications ,All institutes and research themes of the Radboud University Medical Center ,0302 clinical medicine ,Blood loss ,Patient blood management ,medicine ,Humans ,030212 general & internal medicine ,Disease management (health) ,business.industry ,Transfusion strategy ,Disease Management ,Anemia ,Hematology ,General Medicine ,Perioperative ,University hospital ,Europe ,Health Care Surveys ,Emergency medicine ,Anemia/complications ,Postoperative Complications/etiology ,Clinical Competence ,Clinical competence ,Erythrocyte Transfusion ,business - Abstract
Background and Objectives: The aim of this survey was to evaluate the knowledge about Patient Blood Management (PBM) principles and practices amongst clinicians working in seven European hospitals participating in a European Blood Alliance (EBA) project. Materials and Methods: A web-based questionnaire was sent to 4952 clinicians working in medical, surgery and anaesthesiology disciplines. The responses were analysed, and the overall results as well as a comparison between hospitals are presented. Results: A total of 788 responses (16%) were obtained. About 24% of respondents were not aware of a correlation between preoperative anaemia (POA) and perioperative morbidity and mortality. For 22%, treatment of POA was unlikely to favourably influence morbidity and mortality even before surgery with expected blood loss. More than half of clinicians did not routinely treat POA. 29%, when asked which is the best way to treat deficiency anaemia preoperatively, answered that they did not have sufficient knowledge and 5% chose to 'do nothing'. Amongst those who treated POA, 38% proposed red cell transfusion prior to surgery as treatment. Restrictive haemoglobin triggers for red blood cell transfusion, single unit policy and reduction of number and volumes of blood samples for diagnostic purposes were only marginally implemented. Conclusion: Overall, the responses indicated poor knowledge about PBM. Processes to diagnose and treat POA were not generally and homogeneously implemented. This survey should provide further impetus to implement programmes to improve knowledge and practice of PBM. Vox Sanguinis
- Published
- 2017
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