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Stokes, Adam; Thompson, Clare; Clegg, Andrew; Snook, Jonathon (2015)
Publisher: Royal College of Physicians
Languages: English
Types: Article
Subjects: A300
Blood transfusion is widely used in the management of acute upper gastrointestinal haemorrhage (AUGIH). Trial data suggests that excessive transfusion may be detrimental, yet overtransfusion remains commonplace. This study reports the impact of introducing a simple cross-match policy in a district general hospital, which resulted in a substantial fall in the prevalence of overtransfusion (odds ratio 0.43; 95% confidence interval 0.19-0.98), with potential patient benefits in terms of rebleeding, and a reduction in the total blood transfused from 162 to 121 units per 100 patients with AUGIH. For the cost of blood alone, this corresponds to projected savings across the NHS in England in excess of £2 million per annum.
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

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  • Discovered through pilot similarity algorithms. Send us your feedback.

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