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- W2951201982 abstract "Anaemia is the most frequent haematological disease in older patients with prevalence up to 60% among patients hospitalized in acute geriatric ward. Furthermore, people aged 65 years and over receive more than half of the blood transfusion. The tolerance and the symptom of anaemia in older patients are very variable from one patient to another depending on ageing and comorbidities. The transfusion decision should not be based on haemoglobin levels but should be based on the benefit/risk balance taking into account patients’ symptoms due to anaemia, benefit and expected efficacy as well as risk of the transfusion in this comorbid population. Indeed, adverse events of red blood cell transfusion are more frequent in older patients. However, several studies showed a lower mortality in liberal transfusion strategy than restrictive strategy especially in surgical ward. Beside the development of alternative treatment of anaemia, further geriatric-specific studies which includes geriatric syndromes are needed to guide development of specific guidelines for older patients in surgical and in medical wards. With the lack of strong and comprehensive data, one should continue to evaluate the risk to benefit ratio in each older individual, bearing in mind that the blood should be transfused more slowly and on a unit by unit basis. L’anémie est la maladie hématologique la plus fréquente chez les patients âgés, avec une prévalence allant jusqu’à 60 % chez les patients hospitalisés en unité gériatrique aiguë. En outre, les personnes âgées de 65 ans et plus reçoivent plus de la moitié des concentrés érythrocytaires. Les symptômes secondaires à l’anémie et la tolérance de celle-ci sont très variables d’un patient âgé à l’autre en fonction du vieillissement et des comorbidités. La décision de transfusion ne devrait donc pas être fondée sur les taux d’hémoglobine, mais après discussion de la balance bénéfice/risque en tenant compte des symptômes des patients dus à l’anémie, du bénéfice et de l’efficacité attendus ainsi que du risque de complications dans cette population comorbide. En effet, les effets indésirables de la transfusion de globules rouges sont plus fréquents chez les patients âgés. Cependant, plusieurs études ont montré une mortalité plus faible chez les patients ayant reçu une stratégie transfusionnelle libérale plutôt que restrictive, en particulier en chirurgie. Outre le développement de traitements alternatifs de l’anémie, d’autres études gériatriques spécifiques, incluant les syndromes gériatriques tels que la confusion et les chutes, sont nécessaires pour établir des recommandations spécifiques pour les personnes âgées tant lors de prises en charge chirurgicales que médicales. En l’absence de données solides et complètes, il convient de continuer à évaluer le rapport bénéfice/risque chez chaque personne âgée, en gardant à l’esprit de ralentir le débit de la transfusion de culots globulaires avec une prescription unité par unité." @default.
- W2951201982 created "2019-06-27" @default.
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- W2951201982 date "2019-09-01" @default.
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- W2951201982 title "Blood transfusion in older patients" @default.
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- W2951201982 doi "https://doi.org/10.1016/j.tracli.2019.06.190" @default.
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