Safety, quality & education

Perioperative management of patients declining transfusions of blood components—National survey of anaesthesiologists, abdominal surgeons and obstetricians in Denmark

Acta Anaesthesiol ScandPublished Cross-sectional study

Authors' conclusion

We found a considerable variation and limited availability of interventions to minimise blood loss in patients declining transfusion of blood components.

Study context

Population
On-call consultants from Danish departments of anaesthesiology, abdominal surgery and obstetrics96 (89%) completed
Participants
108 participants
Outcome
Treatments currently available in Denmark for patients who refuse transfusion of blood components
Methodological detailsnationwide, online survey, Questionnaire underwent content, face and technical validation during pilot testing
  • Nationwide
  • Online survey
  • Questionnaire underwent content, face and technical validation during pilot testing

Main finding

As reported in the abstract

Availability of interventions to minimise blood loss
  • Considerable variation and limited availability of interventions to minimise blood loss

Observational data: associations, not effects.

Further findings

Departmental guideline for patients declining blood transfusions (mostly judicial aspects)

Respondents reporting a departmental guideline
35 (36%)

Interdisciplinary strategy for patients declining blood transfusions

Respondents who would make an interdisciplinary strategy with other professionals
34 (35%)

Locally available guidelines for reverting anticoagulant treatment

Respondents reporting local guidelines, depending on anticoagulant type
between 31 (32%) and 59 (60%)

Original publication

Perioperative management of patients declining transfusions of blood components—National survey of anaesthesiologists, abdominal surgeons and obstetricians in Denmark. Acta Anaesthesiol Scand. Published 18 April 2023. doi:10.1111/aas.14245

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