Journal article
Optimal blood ordering for emergency department patients
Annals of emergency medicine, v 9(1)
1980
PMID: 7356199
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
A lack of documented criteria for determining which emergency patients should have blood crossmatched for possible transfusion led us to review the records of all patients for whom blood was crossmatched in the emergency unit of our hospital in 1977. Of 378 patients who had blood crossmatched for 1,230 units, only 105 (28%) received blood transfusions (331 units total). Variables showing relationship to transfusion of blood were consolidated into four criteria: 1) shock; 2) hematocrit less than 30%; 3) observed blood loss of at least 500 ml or grossly visible gastrointestinal bleeding; and 4) emergency surgery with anticipated blood loss. Application of these criteria identified 55% of patients who did not receive transfusions and 41% of units unnecessarily crossmatched, while failing to identify only three patients receiving single-unit transfusions. Use of the criteria would have reduced the crossmatch/transfusion ration from 3.7:1 to 2.6:1.
Metrics
Details
- Title
- Optimal blood ordering for emergency department patients
- Creators
- John R. Clarke - Drexel UniversitySteven J. Davidson - Drexel UniversityGarrett E. Bergman - Drexel UniversityNancy L. Geller - Drexel University
- Publication Details
- Annals of emergency medicine, v 9(1)
- Publisher
- Mosby, Inc
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- [Retired Faculty]
- Web of Science ID
- WOS:A1980JG87700001
- Scopus ID
- 2-s2.0-0019154156
- Other Identifier
- 991019184176704721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Emergency Medicine