Hemodynamics, fluids & transfusion

The Influence of Older Age on RBC Transfusion Decisions in ICU Patients

Crit Care MedPublished Secondary analysis of the InPUT prospective observational cohort study

Authors' conclusion

Different transfusion strategies are applied in patients older than 85 years old. These differences appear to be driven by age-related differences in physiology and diagnoses rather than motivated by older age itself.

Study context

Population
Adult ICU patients (≥ 18 yr) admitted during predefined study weeks, 233 centers in 30 countries, March 2019 to October 2022
Participants
3,643 patients · 233 centers · 30 countries
Comparison
RBC transfusion practices across age categories
Methodological detailsmulticenter, point prevalence, global, Data collected March 2019 to October 2022 in prespecified weeks
  • Multicenter
  • Point prevalence
  • Global
  • Data collected March 2019 to October 2022 in prespecified weeks

Primary result

As reported in the abstract

RBC transfusion rate
RBC transfusion rates ranged from 23% to 26% across all age groups
p = 0.91

Further findings

Outcome> 85P value
Stated hemoglobin threshold> 85 vs Younger patientsmedian 10.0 g/dLP < 0.001
  • Stated hemoglobin threshold: Younger patients median 8.0 g/dL

Reasons for transfusion

"Age" and "improve general state" more frequently cited as reasons in patients > 85 yr

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

The Influence of Older Age on RBC Transfusion Decisions in ICU Patients. Crit Care Med. Published 8 April 2026. doi:10.1097/ccm.0000000000007131

Composed by AI from the published abstract and checked against it. How Briefs are made →

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