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Table 2 Red blood cell transfusion and weaning outcome

From: Anemia and red blood cell transfusion practice in prolonged mechanically ventilated patients admitted to a specialized weaning center: an observational study

Result

All patients (n = 378)

Transfused (n = 168)

Non-transfused (n = 210)

P valuee

RBC transfusion

 Mean hemoglobin in the course of weaning (g/dl)a

9.3 (± 1.0)

8.9 (± 0.8)

9.7 (± 1.1)

<  0.001b

 Pre-transfusion hemoglobin value (g/dl)

7.5 (± 0.5)

7.5 (± 0.5)

 

–

 No. of transfusion episodes

361

361

 

–

   Transfusion episodes per patient

1.0 (± 1.6)

2.2 (± 1.9)

 

–

 No. of transfused RBC units

580

580

 

–

   RBC units per patient

1.5 (± 2.9)

3.5 (± 3.6)

 

–

 Transfusion reactions

0 (0.0)

0 (0.0)

  

 Transfusion of FFP and/or platelets

8 (2.1)

8 (4.8)

0 (0.0)

<  0.001c

 Bleeding complications

21 (5.6)

17 (10.1)

4 (1.9)

<  0.001d

   Gastrointestinal bleeding

12 (3.2)

10 (5.6)

2 (1.0)

n.s.d

   Other bleeding events

9 (2.4)

7 (4.2)

2 (1.0)

n.s.d

Weaning outcome

 Weaning success (Category 3a/3b)

264 (69.8)

107 (63.7)

157 (74.8)

0.020d

   Category 3a

191 (50.5)

84 (78.5)

107 (68.2)

n.s.d

   Category 3b

73 (19.3)

23 (21.5)

50 (31.8)

0.013d

 Weaning failure (Category 3c)

114 (30.2)

61 (36.3)

53 (25.2)

0.022d

   Invasive HMV

101 (26.7)

51 (30.4)

50 (23.8)

n.s.d

   Death on ventilation

13 (3.4)

10 (5.6)

3 (1.4)

0.016d

 Long-term ventilator dependencyf

174 (46.0)

74 (44.0)

100 (47.6)

n.s.d

 Weaning duration (days)

23.0 (± 16.2)

29.9 (± 20.0)

17.5 (± 9.1)

<  0.001b

 Hospital length of stay (days)

48.0 (± 33.9)

57.7 (± 44.1)

39.0 (± 26.4)

<  0.001b

 Hospital mortality

45 (11.9)

31 (18.5)

14 (6.7)

<  0.001d

  1. Legend
  2. Results are presented as mean values (± standard deviation), number or number (%).
  3. a: Mean of all median hemoglobin values of each patient in the course of weaning
  4. b: Student’s t-test
  5. c: Fisher’s exact test
  6. d: Chi square test
  7. e P value for differences between transfused and non-transfused patients
  8. f Summary of patients categorized as 3b or 3c–Invasive HMV
  9. Abbreviations: no. number, RBC packed red blood cells, n.s. not significant (p > 0.05), FFP Fresh frozen plasma, Invasive HMV Invasive home mechanical ventilation