Hemodynamics, fluids & transfusion

Practical Anemia Bundle and Hemoglobin Recovery in Critical Illness: A Randomized Clinical Trial

JAMA Netw OpenPublished Randomised controlled trial

Primary result · Hemoglobin concentrationResult — go to the resultAdjusted mean difference 0.69 g/dL 95% CI 0.13–1.20

Authors' conclusion

This randomized clinical trial found that a multifaceted anemia prevention and treatment bundle was feasible, was well tolerated, and improved posthospitalization hemoglobin concentrations up to 3 months in critically ill adults.

Study context

Population
Critically ill adults (≥18 years) with moderate to severe anemia (hemoglobin <10 g/dL) in postsurgical and medical ICUs at a large US medical center
Participants
100 adults
Comparison
Multifaceted anemia management bundle vs standard care
  • Interventionn = 49
  • Standard caren = 51reference
Primary endpoint
Mean difference in hemoglobin concentration
Follow-up
1 month after hospital discharge
Methodological detailsparallel group, single-centre
  • Parallel group
  • Single-centre

Primary result

Hemoglobin concentration · 1 month after discharge

Adjusted mean difference

0.69 g/dL

95% CI 0.13–1.20

P = 0.02

By group

Intervention vs Standard care
adjusted mean difference 0.69 g/dL (95% CI 0.13–1.20); P = 0.02

As reported in the abstract

Original publication

Practical Anemia Bundle and Hemoglobin Recovery in Critical Illness: A Randomized Clinical Trial. JAMA Netw Open. Published 3 March 2025. doi:10.1001/jamanetworkopen.2025.2353

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