The DOI matches its Crossref record; 68 of the 68 references it cites were found in a registry or an index.
Patient blood management in Europe
Open accessAbstract
Preoperative anaemia is common in patients undergoing orthopaedic and other major surgery. Anaemia is associated with increased risks of postoperative mortality and morbidity, infectious complications, prolonged hospitalization, and a greater likelihood of allogeneic red blood cell (RBC) transfusion. Evidence of the clinical and economic disadvantages of RBC transfusion in treating perioperative anaemia has prompted recommendations for its restriction and a growing interest in approaches that rely on patients' own (rather than donor) blood. These approaches are collectively termed 'patient blood management' (PBM). PBM involves the use of multidisciplinary, multimodal, individualized strategies to minimize RBC transfusion with the ultimate goal of improving patient outcomes. PBM relies on approaches (pillars) that detect and treat perioperative anaemia and reduce surgical blood loss and perioperative coagulopathy to harness and optimize physiological tolerance of anaemia. After the recent resolution 63.12 of the World Health Assembly, the implementation of PBM is encouraged in all WHO member states. This new standard of care is now established in some centres in the USA and Austria, in Western Australia, and nationally in the Netherlands. However, there is a pressing need for European healthcare providers to integrate PBM strategies into routine care for patients undergoing orthopaedic and other types of surgery in order to reduce the use of unnecessary transfusions and improve the quality of care. After reviewing current PBM practices in Europe, this article offers recommendations supporting its wider implementation, focusing on anaemia management, the first of the three pillars of PBM.
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Cites
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Cited by
De Hert, S., Staender, S., Fritsch, G., Hinkelbein, J., Afshari, A., Bettelli, G., Bock, M., Chew, M. S., Coburn, M., De Robertis, E., et al. (2018) · European Journal of Anaesthesiology · doi:10.1097/eja.0000000000000817 · Cited by 389
Obesity as an emerging risk factor for iron deficiency
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The European Hematology Association Roadmap for European Hematology Research: a consensus document
Engert, A., Balduini, C., Brand, A., Coiffier, B., Cordonnier, C., Dohner, H., de Wit, T. D., Eichinger, S., Fibbe, W., Green, T., et al. (2016) · Haematologica · doi:10.3324/haematol.2015.136739 · Cited by 81
“Evidence-based indications of virtually all (individual, pooled/cellular, or plasma-derived) blood components demand new research methodology for clinical trials, as well as (bio)markers for indication and monitoring of effects.(278,279) Improved disease-specific IVIG products require human research on the mechanisms…”
Background
Metadata
- Authors
- Shander, A., Van Aken, H., Colomina, M. J., Gombotz, H., Hofmann, A., Krauspe, R., Lasocki, S., Richards, T., Slappendel, R., & Spahn, D. R.
- Venue
- British Journal of Anaesthesia
- Publisher
- Elsevier BV
- Published
- 2012-07
- Volume
- 109
- Issue
- 1
- Pages
- 55-68
- ISSN
- 0007-0912 (ISSN-L)
- OpenAlex
- W2115598659
- Cited by
- 300
- References
- 68
- FWCI
- 17.04
- Type
- journal article
- Language
- en
- Open access
- hybrid
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- Shander, A., Van Aken, H., Colomina, M. J., Gombotz, H., Hofmann, A., Krauspe, R., Lasocki, S., Richards, T., Slappendel, R., & Spahn, D. R. (2012). Patient blood management in Europe. British Journal of Anaesthesia. https://doi.org/10.1093/bja/aes139
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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