Reduction in Red Blood Cell Transfusions Using a Bedside Analyzer in Extremely Low Birth Weight Infants
BACKGROUND: Preterm infants typically experience heavy phlebotomy losses from frequent laboratory testing in the first few weeks of life. This results in anemia, requiring red blood cell (RBC) transfusions. We recently introduced a bedside point-of-care (POC) blood gas analyzer (iSTAT, Princeton, NJ...
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| Veröffentlicht in: | Journal of Perinatology 2005-01, Vol.25 (1), p.21-25 |
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| creator | Madan, Ashima Kumar, Rahi Adams, Marian M Benitz, William E Geaghan, Sharon M Widness, John A |
| description | BACKGROUND:
Preterm infants typically experience heavy phlebotomy losses from frequent laboratory testing in the first few weeks of life. This results in anemia, requiring red blood cell (RBC) transfusions. We recently introduced a bedside point-of-care (POC) blood gas analyzer (iSTAT, Princeton, NJ) that requires a smaller volume of blood to replace conventional Radiometer blood gas and electrolyte analysis used by our neonatal intensive care unit (NICU). The smaller volume of blood required for sampling (100
vs
300–500
μ
l), provided an opportunity to assess if a decrease in phlebotomy loss occurred and, if so, to determine if this resulted in decreased transfusions administered to extremely low birth weight (ELBW) infants.
OBJECTIVE:
We hypothesized that the use of the POC iSTAT analyzer that measures pH, PCO
2
, PO
2
, hemoglobin, hematocrit, serum sodium, serum potassium and ionized calcium would result in a significant decrease in the number and volume of RBC transfusions in the first 2 weeks of life.
DESIGN/METHODS:
A retrospective chart review was conducted of all inborn premature infants with birth weights less than 1000 g admitted to the NICU that survived for 2 weeks of age during two separate 1-year periods. Blood gas analysis was performed by conventional laboratory methods during the first period (designated Pre-POC testing) and by the iSTAT POC device during the second period (designated post-POC testing). Data collected for individual infants included the number of RBC transfusions, volume of RBCs transfused, and the number and kind of blood testing done. There was no effort to change either the RBC transfusion criteria applied or blood testing practices.
RESULTS:
The mean (±SD) number of RBC transfusions administered in the first 2 weeks after birth was 5.7±3.74 (
n
=46) in the pre-POC testing period to 3.1±2.07 (
n
=34) in the post-POC testing period (
p |
| doi_str_mv | 10.1038/sj.jp.7211201 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_67328742</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A183336759</galeid><sourcerecordid>A183336759</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3921-b3b878c75320b326a2b5cc584dad70d0ff5ad1da90d0d8ac2872f56d2d6f5e9b3</originalsourceid><addsrcrecordid>eNp1kc-L1DAcxYso7rh69KgEhb11zI-mSY8zw7ouDAiyi8eQNkknpU3GpEXHv96UGXdcUXLIj_d5jzy-WfYawSWChH-I3bLbLxlGCEP0JFuggpU5pQV5mi0gK0jOSVFeZC9i7CCcRfY8u0C0qErO6CJrv2g1NaP1DlgH0gWse-8V2Oi-B3dBumimmNQI7qN1LZBgrVW0SoOVk_3hpw6z7_rHGPSg-wPY-u9gbcO4A1-1bXcjuHVGujG-zJ4Z2Uf96rRfZvcfr-82n_Lt55vbzWqbN6TCKK9JzRlvGCUY1gSXEte0aSgvlFQMKmgMlQopWaWz4rLBnGFDS4VVaaiuanKZXR1z98F_m3QcxWBjk8pIp_0URclI8hQ4ge_-Ajs_hdQpCowhqSrGeYLeH6FW9lpYZ_wYZDMnihXihJCS0SpRy39QaSk92MY7bWx6f2S4-sOw07Ifd9H30zyG-BjMj2ATfIxBG7EPdpDhIBAU8_hF7ES3F6fxJ_7tqdRUD1qd6dO8z1-NSXKtDufW_0t8czQ4OU5BPyT-1n8BwU3B9g</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>220399788</pqid></control><display><type>article</type><title>Reduction in Red Blood Cell Transfusions Using a Bedside Analyzer in Extremely Low Birth Weight Infants</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Alma/SFX Local Collection</source><creator>Madan, Ashima ; Kumar, Rahi ; Adams, Marian M ; Benitz, William E ; Geaghan, Sharon M ; Widness, John A</creator><creatorcontrib>Madan, Ashima ; Kumar, Rahi ; Adams, Marian M ; Benitz, William E ; Geaghan, Sharon M ; Widness, John A</creatorcontrib><description>BACKGROUND:
Preterm infants typically experience heavy phlebotomy losses from frequent laboratory testing in the first few weeks of life. This results in anemia, requiring red blood cell (RBC) transfusions. We recently introduced a bedside point-of-care (POC) blood gas analyzer (iSTAT, Princeton, NJ) that requires a smaller volume of blood to replace conventional Radiometer blood gas and electrolyte analysis used by our neonatal intensive care unit (NICU). The smaller volume of blood required for sampling (100
vs
300–500
μ
l), provided an opportunity to assess if a decrease in phlebotomy loss occurred and, if so, to determine if this resulted in decreased transfusions administered to extremely low birth weight (ELBW) infants.
OBJECTIVE:
We hypothesized that the use of the POC iSTAT analyzer that measures pH, PCO
2
, PO
2
, hemoglobin, hematocrit, serum sodium, serum potassium and ionized calcium would result in a significant decrease in the number and volume of RBC transfusions in the first 2 weeks of life.
DESIGN/METHODS:
A retrospective chart review was conducted of all inborn premature infants with birth weights less than 1000 g admitted to the NICU that survived for 2 weeks of age during two separate 1-year periods. Blood gas analysis was performed by conventional laboratory methods during the first period (designated Pre-POC testing) and by the iSTAT POC device during the second period (designated post-POC testing). Data collected for individual infants included the number of RBC transfusions, volume of RBCs transfused, and the number and kind of blood testing done. There was no effort to change either the RBC transfusion criteria applied or blood testing practices.
RESULTS:
The mean (±SD) number of RBC transfusions administered in the first 2 weeks after birth was 5.7±3.74 (
n
=46) in the pre-POC testing period to 3.1±2.07 (
n
=34) in the post-POC testing period (
p
<0.001), a 46% reduction. The mean volume of RBC transfusions decreased by 43% with use of the POC analyzer, that is, from 78.4±51.6 ml/kg in the pre-POC testing group to 44.4±32.9 ml/kg in the Post-POC testing group (
p
<0.002). There was no difference between the two periods in the total number of laboratory blood tests done.
CONCLUSIONS:
Use of a bedside blood gas analyzer is associated with clinically important reductions in RBC transfusions in the ELBW infant during the first two weeks of life.</description><identifier>ISSN: 0743-8346</identifier><identifier>EISSN: 1476-5543</identifier><identifier>DOI: 10.1038/sj.jp.7211201</identifier><identifier>PMID: 15496875</identifier><language>eng</language><publisher>New York: Nature Publishing Group US</publisher><subject>Age Factors ; Anemia ; Birth weight ; Blood Gas Analysis - instrumentation ; Blood tests ; Blood transfusion ; Blood Volume ; Care and treatment ; Electrolytes ; Erythrocyte Transfusion - utilization ; Female ; Gases ; Health aspects ; Hemoglobin ; Humans ; Infant, Newborn ; Infant, Very Low Birth Weight - blood ; Infants (Premature) ; Intensive care ; Laboratories ; Male ; Medicine ; Medicine & Public Health ; Methods ; Newborn babies ; original-article ; Pediatric Surgery ; Pediatrics ; Phlebotomy ; Point-of-Care Systems ; Premature babies ; Retrospective Studies</subject><ispartof>Journal of Perinatology, 2005-01, Vol.25 (1), p.21-25</ispartof><rights>Springer Nature America, Inc. 2005</rights><rights>COPYRIGHT 2005 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Jan 2005</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3921-b3b878c75320b326a2b5cc584dad70d0ff5ad1da90d0d8ac2872f56d2d6f5e9b3</citedby><cites>FETCH-LOGICAL-c3921-b3b878c75320b326a2b5cc584dad70d0ff5ad1da90d0d8ac2872f56d2d6f5e9b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/sj.jp.7211201$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/sj.jp.7211201$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,778,782,27911,27912,41475,42544,51306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15496875$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Madan, Ashima</creatorcontrib><creatorcontrib>Kumar, Rahi</creatorcontrib><creatorcontrib>Adams, Marian M</creatorcontrib><creatorcontrib>Benitz, William E</creatorcontrib><creatorcontrib>Geaghan, Sharon M</creatorcontrib><creatorcontrib>Widness, John A</creatorcontrib><title>Reduction in Red Blood Cell Transfusions Using a Bedside Analyzer in Extremely Low Birth Weight Infants</title><title>Journal of Perinatology</title><addtitle>J Perinatol</addtitle><addtitle>J Perinatol</addtitle><description>BACKGROUND:
Preterm infants typically experience heavy phlebotomy losses from frequent laboratory testing in the first few weeks of life. This results in anemia, requiring red blood cell (RBC) transfusions. We recently introduced a bedside point-of-care (POC) blood gas analyzer (iSTAT, Princeton, NJ) that requires a smaller volume of blood to replace conventional Radiometer blood gas and electrolyte analysis used by our neonatal intensive care unit (NICU). The smaller volume of blood required for sampling (100
vs
300–500
μ
l), provided an opportunity to assess if a decrease in phlebotomy loss occurred and, if so, to determine if this resulted in decreased transfusions administered to extremely low birth weight (ELBW) infants.
OBJECTIVE:
We hypothesized that the use of the POC iSTAT analyzer that measures pH, PCO
2
, PO
2
, hemoglobin, hematocrit, serum sodium, serum potassium and ionized calcium would result in a significant decrease in the number and volume of RBC transfusions in the first 2 weeks of life.
DESIGN/METHODS:
A retrospective chart review was conducted of all inborn premature infants with birth weights less than 1000 g admitted to the NICU that survived for 2 weeks of age during two separate 1-year periods. Blood gas analysis was performed by conventional laboratory methods during the first period (designated Pre-POC testing) and by the iSTAT POC device during the second period (designated post-POC testing). Data collected for individual infants included the number of RBC transfusions, volume of RBCs transfused, and the number and kind of blood testing done. There was no effort to change either the RBC transfusion criteria applied or blood testing practices.
RESULTS:
The mean (±SD) number of RBC transfusions administered in the first 2 weeks after birth was 5.7±3.74 (
n
=46) in the pre-POC testing period to 3.1±2.07 (
n
=34) in the post-POC testing period (
p
<0.001), a 46% reduction. The mean volume of RBC transfusions decreased by 43% with use of the POC analyzer, that is, from 78.4±51.6 ml/kg in the pre-POC testing group to 44.4±32.9 ml/kg in the Post-POC testing group (
p
<0.002). There was no difference between the two periods in the total number of laboratory blood tests done.
CONCLUSIONS:
Use of a bedside blood gas analyzer is associated with clinically important reductions in RBC transfusions in the ELBW infant during the first two weeks of life.</description><subject>Age Factors</subject><subject>Anemia</subject><subject>Birth weight</subject><subject>Blood Gas Analysis - instrumentation</subject><subject>Blood tests</subject><subject>Blood transfusion</subject><subject>Blood Volume</subject><subject>Care and treatment</subject><subject>Electrolytes</subject><subject>Erythrocyte Transfusion - utilization</subject><subject>Female</subject><subject>Gases</subject><subject>Health aspects</subject><subject>Hemoglobin</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infant, Very Low Birth Weight - blood</subject><subject>Infants (Premature)</subject><subject>Intensive care</subject><subject>Laboratories</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Methods</subject><subject>Newborn babies</subject><subject>original-article</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Phlebotomy</subject><subject>Point-of-Care Systems</subject><subject>Premature babies</subject><subject>Retrospective Studies</subject><issn>0743-8346</issn><issn>1476-5543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kc-L1DAcxYso7rh69KgEhb11zI-mSY8zw7ouDAiyi8eQNkknpU3GpEXHv96UGXdcUXLIj_d5jzy-WfYawSWChH-I3bLbLxlGCEP0JFuggpU5pQV5mi0gK0jOSVFeZC9i7CCcRfY8u0C0qErO6CJrv2g1NaP1DlgH0gWse-8V2Oi-B3dBumimmNQI7qN1LZBgrVW0SoOVk_3hpw6z7_rHGPSg-wPY-u9gbcO4A1-1bXcjuHVGujG-zJ4Z2Uf96rRfZvcfr-82n_Lt55vbzWqbN6TCKK9JzRlvGCUY1gSXEte0aSgvlFQMKmgMlQopWaWz4rLBnGFDS4VVaaiuanKZXR1z98F_m3QcxWBjk8pIp_0URclI8hQ4ge_-Ajs_hdQpCowhqSrGeYLeH6FW9lpYZ_wYZDMnihXihJCS0SpRy39QaSk92MY7bWx6f2S4-sOw07Ifd9H30zyG-BjMj2ATfIxBG7EPdpDhIBAU8_hF7ES3F6fxJ_7tqdRUD1qd6dO8z1-NSXKtDufW_0t8czQ4OU5BPyT-1n8BwU3B9g</recordid><startdate>200501</startdate><enddate>200501</enddate><creator>Madan, Ashima</creator><creator>Kumar, Rahi</creator><creator>Adams, Marian M</creator><creator>Benitz, William E</creator><creator>Geaghan, Sharon M</creator><creator>Widness, John A</creator><general>Nature Publishing Group US</general><general>Nature Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7RV</scope><scope>7T5</scope><scope>7T7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>200501</creationdate><title>Reduction in Red Blood Cell Transfusions Using a Bedside Analyzer in Extremely Low Birth Weight Infants</title><author>Madan, Ashima ; Kumar, Rahi ; Adams, Marian M ; Benitz, William E ; Geaghan, Sharon M ; Widness, John A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3921-b3b878c75320b326a2b5cc584dad70d0ff5ad1da90d0d8ac2872f56d2d6f5e9b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Age Factors</topic><topic>Anemia</topic><topic>Birth weight</topic><topic>Blood Gas Analysis - instrumentation</topic><topic>Blood tests</topic><topic>Blood transfusion</topic><topic>Blood Volume</topic><topic>Care and treatment</topic><topic>Electrolytes</topic><topic>Erythrocyte Transfusion - utilization</topic><topic>Female</topic><topic>Gases</topic><topic>Health aspects</topic><topic>Hemoglobin</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Infant, Very Low Birth Weight - blood</topic><topic>Infants (Premature)</topic><topic>Intensive care</topic><topic>Laboratories</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Methods</topic><topic>Newborn babies</topic><topic>original-article</topic><topic>Pediatric Surgery</topic><topic>Pediatrics</topic><topic>Phlebotomy</topic><topic>Point-of-Care Systems</topic><topic>Premature babies</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Madan, Ashima</creatorcontrib><creatorcontrib>Kumar, Rahi</creatorcontrib><creatorcontrib>Adams, Marian M</creatorcontrib><creatorcontrib>Benitz, William E</creatorcontrib><creatorcontrib>Geaghan, Sharon M</creatorcontrib><creatorcontrib>Widness, John A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Immunology Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of Perinatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Madan, Ashima</au><au>Kumar, Rahi</au><au>Adams, Marian M</au><au>Benitz, William E</au><au>Geaghan, Sharon M</au><au>Widness, John A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reduction in Red Blood Cell Transfusions Using a Bedside Analyzer in Extremely Low Birth Weight Infants</atitle><jtitle>Journal of Perinatology</jtitle><stitle>J Perinatol</stitle><addtitle>J Perinatol</addtitle><date>2005-01</date><risdate>2005</risdate><volume>25</volume><issue>1</issue><spage>21</spage><epage>25</epage><pages>21-25</pages><issn>0743-8346</issn><eissn>1476-5543</eissn><abstract>BACKGROUND:
Preterm infants typically experience heavy phlebotomy losses from frequent laboratory testing in the first few weeks of life. This results in anemia, requiring red blood cell (RBC) transfusions. We recently introduced a bedside point-of-care (POC) blood gas analyzer (iSTAT, Princeton, NJ) that requires a smaller volume of blood to replace conventional Radiometer blood gas and electrolyte analysis used by our neonatal intensive care unit (NICU). The smaller volume of blood required for sampling (100
vs
300–500
μ
l), provided an opportunity to assess if a decrease in phlebotomy loss occurred and, if so, to determine if this resulted in decreased transfusions administered to extremely low birth weight (ELBW) infants.
OBJECTIVE:
We hypothesized that the use of the POC iSTAT analyzer that measures pH, PCO
2
, PO
2
, hemoglobin, hematocrit, serum sodium, serum potassium and ionized calcium would result in a significant decrease in the number and volume of RBC transfusions in the first 2 weeks of life.
DESIGN/METHODS:
A retrospective chart review was conducted of all inborn premature infants with birth weights less than 1000 g admitted to the NICU that survived for 2 weeks of age during two separate 1-year periods. Blood gas analysis was performed by conventional laboratory methods during the first period (designated Pre-POC testing) and by the iSTAT POC device during the second period (designated post-POC testing). Data collected for individual infants included the number of RBC transfusions, volume of RBCs transfused, and the number and kind of blood testing done. There was no effort to change either the RBC transfusion criteria applied or blood testing practices.
RESULTS:
The mean (±SD) number of RBC transfusions administered in the first 2 weeks after birth was 5.7±3.74 (
n
=46) in the pre-POC testing period to 3.1±2.07 (
n
=34) in the post-POC testing period (
p
<0.001), a 46% reduction. The mean volume of RBC transfusions decreased by 43% with use of the POC analyzer, that is, from 78.4±51.6 ml/kg in the pre-POC testing group to 44.4±32.9 ml/kg in the Post-POC testing group (
p
<0.002). There was no difference between the two periods in the total number of laboratory blood tests done.
CONCLUSIONS:
Use of a bedside blood gas analyzer is associated with clinically important reductions in RBC transfusions in the ELBW infant during the first two weeks of life.</abstract><cop>New York</cop><pub>Nature Publishing Group US</pub><pmid>15496875</pmid><doi>10.1038/sj.jp.7211201</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0743-8346 |
| ispartof | Journal of Perinatology, 2005-01, Vol.25 (1), p.21-25 |
| issn | 0743-8346 1476-5543 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_67328742 |
| source | MEDLINE; Springer Nature - Complete Springer Journals; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Age Factors Anemia Birth weight Blood Gas Analysis - instrumentation Blood tests Blood transfusion Blood Volume Care and treatment Electrolytes Erythrocyte Transfusion - utilization Female Gases Health aspects Hemoglobin Humans Infant, Newborn Infant, Very Low Birth Weight - blood Infants (Premature) Intensive care Laboratories Male Medicine Medicine & Public Health Methods Newborn babies original-article Pediatric Surgery Pediatrics Phlebotomy Point-of-Care Systems Premature babies Retrospective Studies |
| title | Reduction in Red Blood Cell Transfusions Using a Bedside Analyzer in Extremely Low Birth Weight Infants |
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