Association of age and packed red blood cell transfusion to 1-year survival--an observational study of ICU patients.

Association of age and packed red blood cell transfusion to 1-year survival--an observational study of ICU patients.
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年龄和浓缩红细胞输注与 1 年生存率的关联——一项针对 ICU 患者的观察性研究。

DOI:
10.1111/tme.12010
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发表时间:
2013-08
期刊:
Transfusion medicine (Oxford, England)
影响因子:
--
通讯作者:
Wagner T
Wagner T
中科院分区:
其他
文献类型:
--
作者:
Mudumbai SC;Cronkite R;Hu KU;Heidenreich PA;Gonzalez C;Bertaccini E;Stafford RS;Cason BA;Mariano ER;Wagner T

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To compare the 1-year survival for different age strata of intensive care unit (ICU) patients after receipt of packed red blood cell (PRBC) transfusions. Despite guidelines documenting risks of PRBC transfusion and data showing that increasing age is associated with ICU mortality, little data exist on whether age alters the transfusion-related risk of decreased survival. We retrospectively examined data on 2393 consecutive male ICU patients admitted to a tertiary-care hospital from 2003 to 2009 in age strata: 21–50, 51–60, 61–70, 71–80, and >80 years. We calculated Cox regression models to determine the modifying effect of age on the impact of PRBC transfusion on 1-year survival by using interaction terms between receipt of transfusion and age strata, controlling for type of admission and Charlson co-morbidity indices. We also examined the distribution of admission haematocrit and whether transfusion rates differed by age strata. All age strata experienced statistically similar risks of decreased 1-year survival after receipt of PRBC transfusions. However, patients age >80 were more likely than younger cohorts to have hematocrits of 25– 30% at admission and were transfused at approximately twice the rate of each of the younger age strata. We found no significant interaction between receipt of red cell transfusion and age, as variables, and survival at 1 year as an outcome.
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