In-hospital stay of anemic patients in the ED with/without transfusion: a single-center propensity-matched study.

• Tác giả: Clémence Anselme, Xavier Bobbia, Fabien Coisy, Romain Genre-Grandpierre, Radjiv Goulabchand, Laura Grau-Mercier, Thibaut Markarian
• Ngôn ngữ: eng
• Ký hiệu phân loại: 373.236 Lower level
• Thông tin xuất bản: England : BMC emergency medicine , 2025
• Bộ sưu tập: NCBI
• ID: 644322

Tóm tắt

 BACKGROUND: Anemia affects up to 25% of emergency department (ED) patients. Restrictive red blood cell (RBC) transfusion strategies are recommended for stable patients, but ED transfusion practices often remain liberal. Benefits of ED transfusion remains unclear. OBJECTIVE: To evaluate the impact of ED transfusion on death-adjusted in-hospital length of stay (LOS) in stable anemic patients requiring hospitalization. METHODS: This single-center retrospective propensity-matched study included patients ≥ 18 years admitted to the ED of Nîmes University Hospital in 2022 with hemoglobin levels between 70 and 90 g.L RESULTS: Among 564 patients, 118 (21%) were propensity-matched: 59 (50%) ED-transfused, 59 (50%) non-ED-transfused. Adjusted in-hospital LOS 13 [8-32] for ED-transfused patients and 12 [6-24] days for non-ED-transfused patients (median difference = 0
  95%CI: -10-7
  p = 0.52). Median difference in ED LOS was 7:13 (95%CI: 1:00-11:25
  p <
  0.001) between ED transfused and non-ED-transfused patients. Median difference in number of RBC transfused during in hospital stay was 2 (95%CI: 1-3)
  p <
  0.01) between ED transfused and non-ED-transfused patients. CONCLUSION: In stable anemic patients with 70 to 90 g.L