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Resultados utilizando umbrales de hemoglobina más bajos vs más altos para la transfusión de glóbulos rojos
Jeffrey L Carson1, Paul A Carless, Paul C Hébert
1Division of General Internal Medicine, UMDNJ-Robert Wood Johnson Medical School, 125 Paterson St, New Brunswick, NJ 08903, USA. carson@umdnj.edu
JAMA
|January 3, 2013
Resumen
Un umbral de hemoglobina más bajo de 7 u 8 g/dL para transfusiones de glóbulos rojos en pacientes críticamente enfermos reduce el uso de glóbulos rojos. Este enfoque no está vinculado a resultados adversos como la mortalidad o estancias hospitalarias más largas.
Área de la Ciencia:
- Medicina de cuidados críticos Medicina de cuidados críticos.
- Medicina para la transfusión de sangre.
- Los resultados clínicos de la investigación de resultados clínicos.
Sus antecedentes:
- La anemia es común en cuidados intensivos y cuidados agudos, a menudo requiriendo transfusiones de glóbulos rojos.
- El umbral óptimo de hemoglobina para iniciar las transfusiones de glóbulos rojos sigue siendo un tema de debate clínico.
- Las directrices anteriores han sugerido umbrales variables, lo que afecta a las prácticas de transfusión y la utilización de los recursos.
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