Transfusion Practices Among General Surgeons at a Tertiary Care Center: a Survey Based Study

Medical Archives
Abdullah A AlamriMurad M Aljiffry

Abstract

Blood transfusion practices affect both patient's outcomes and utilization of institutional resources. Evidence shows that liberal blood transfusion has a detrimental effect on patient's outcome. A restrictive approach of blood transfusion is recommended by current clinical guidelines. The aim of this study was to evaluate the attitudes, knowledge, and practices of general surgery (GS) staff and residents regarding peri-operative blood transfusion and anemia management. A self-administered, web-based questionnaire was developed, and its link was sent to the emails of all general surgeons at King Abdul-Aziz University Hospital (KAUH), Jeddah city, Saudi Arabia. The questionnaire included four parts: 1) background of surgeons; 2) preoperative assessment and management of anemia; 3) post-operative blood transfusion and alternatives; and 4) enablers and barriers. 56 surgeons responded to the questionnaire. We found variations in blood transfusion practices, notably the hemoglobin threshold. For stable non-cardiac cases, 7 g/dL was considered the threshold by 50% of respondents. For stable patients with past cardiac disease, a higher threshold was chosen by most (9 g/dL by 43% and 10 gm/dL by 21%). Most respondents believed that tra...Continue Reading

Citations

Sep 17, 2020·Einstein·Carlos João Schaffhausser FilhoRoseli Oselka Saccardo Sarni
Jun 25, 2020·Revista da Associação Médica Brasileira·João Carlos Pina FariaAlexandre Szulman

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Methods Mentioned

BETA
surgical resection

Software Mentioned

Statistical Package for the Social Sciences ( SPSS )

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