Anemia and blood transfusions in critically ill patients
- PMID: 24066259
- PMCID: PMC3771125
- DOI: 10.1155/2012/629204
Anemia and blood transfusions in critically ill patients
Abstract
Anemia is common in critically ill patients. As a consequence packed red blood cell (PRBC) transfusions are frequent in the critically ill. Over the past two decades a growing body of literature has emerged, linking PRBC transfusion to infections, immunosuppression, organ dysfunction, and a higher mortality rate. However, despite growing evidence that risk of PRBC transfusion outweighs its benefit, significant numbers of critically ill patients still receive PRBC transfusion during their intensive care unit (ICU) stay. In this paper, we summarize the current literature concerning the impact of anemia on outcomes in critically ill patients and the potential complications of PRBC transfusions.
References
-
- Von Ahsen N, Müller C, Serke S, Frei U, Eckardt KU. Important role of nondiagnostic blood loss and blunted erythropoietic response in the anemia of medical intensive care patients. Critical Care Medicine. 1999;27(12):2630–2639. - PubMed
-
- Corwin HL, Gettinger A, Pearl RG, et al. The CRIT Study: anemia and blood transfusion in the critically ill—current clinical practice in the United States. Critical Care Medicine. 2004;32(1):39–52. - PubMed
-
- Vincent JL, Baron JF, Reinhart K, et al. Anemia and blood transfusion in critically ill patients. Journal of the American Medical Association. 2002;288:1499–1507. - PubMed
-
- About blood and cellular therapies. http://www.aabb.org/Content/About_Blood/aboutbld.htm.
-
- Brown RB, Klar J, Teres D, Lemeshow S, Sands M. Prospective study of clinical bleeding in intensive care unit patients. Critical Care Medicine. 1988;16(12):1171–1176. - PubMed
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