Red cell transfusion triggers in critically ill patients: time for some new TRICCs?

被引：0
|
作者：
Timothy S Walsh
机构：
[1] Royal Infirmary of Edinburgh,Anaesthetics, Critical Care and Pain Medicine
[2] Little France Crescent,undefined
来源：
Critical Care | / 14卷
关键词：
Tight Glycaemic Control; Single Centre Cohort Study; Critical Care Trial; Lower Hospital Mortality; Canadian Critical Care Trial Group;
D O I：
暂无
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学科分类号：
摘要：
Current evidence suggests that critically ill patients tolerate anaemia well and that blood transfusions may increase the risk of adverse outcomes. Dr Sakr and colleagues present a contradictory analysis of a surgical ICU cohort, finding an association between blood transfusions and lower hospital mortality after adjustment for a range of potential confounders. Analyses of this kind are interesting and provocative, but are limited by residual confounding and bias by indication. The data emphasise the need for additional high quality trials of transfusion practice in critical care.
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