Inpatient recipients of packed red blood cells in a university medical center in Poland in 2018–2019

Czempik, Piotr F.; Spień, Aleksandra; Oleksa, Marta; Wiśniewski, Dawid; Krzych, Łukasz J.

doi:10.5603/jtm.2022.0002

Cited by 1 publication

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our previous analysis of inpatient recipients of red blood cells (RBCs) showed that RBCs were most frequently transfused in patients hospitalized in the ICU, whereas more than half of all RBCs were transfused in patients hospitalized in the ICU and surgical departments [ 20 ]. According to the principles of PBM, every effort is made in our local ICU to reduce the amount of blood lost for laboratory diagnostics.…”

Section: Methodsmentioning

confidence: 99%

“…For both these tests, we recorded Hb concentration and hematocrit (Hct). As it was reported that changes in oxygenation status may have an impact on the accuracy of non-invasive measurement of Hb [ 20 ], we also recorded peripheral oxygen saturation (SpO 2 ) measured with Masimo Radical-67, and oxygen saturation determined in an ABG sample (SaO 2 ). Because low Hb concentrations may also have an impact the accuracy of non-invasively acquired concentration [ 11 ], we verified these observations in a subgroup with Hb ≤ 7 g/dL.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Hemoglobin Determination Using Pulse Co-Oximetry and Reduced-Volume Blood Gas Analysis in the Critically Ill: A Prospective Cohort Study

2022

Self Cite

View full text Add to dashboard Cite

Hospital-acquired anemia is common in patients hospitalized in the intensive care unit (ICU). A major source of iatrogenic blood loss in the ICU is the withdrawal of blood for laboratory testing. The aim of our study was to analyze the feasibility and accuracy of non-invasive spot-check pulse co-oximetry (SpHb), and a reduced-volume blood gas analysis (ABG Hb) for the determination of Hb concentration in critically ill patients. Comparisons between Hb determined with test devices and the gold standard—complete blood count (CBC)—were performed using Bland–Altman analysis and concordance correlation coefficient (CCC). The limits of agreement between SpHb and CBC Hb were –2.0 [95%CI −2.3–(−1.7)] to 3.6 (95%CI 3.3–3.9) g/dL. The limits of agreement between ABG Hb and CBC Hb were −0.6 [95%CI −0.7–(−0.4)] to 2.0 (95%CI 1.9–2.2) g/dL. Spearman’s coefficient and CCC between ABG Hb and CBC Hb were 0.96 (95%CI 0.95–0.97, p <0.001) and 0.91 (95% CI 0.88–0.92), respectively. Non-invasive spot-check Hb co-oximetry is not sufficiently accurate for the monitoring of hemoglobin concentration in critically ill patients. Reduced volume arterial blood gas analysis has acceptable accuracy and could replace complete blood count for the monitoring of Hb concentration in critically ill patients, leading to a significant reduction in blood volume lost for anemia diagnostics.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%