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. 2023 Oct 12;330(19):1852–1861. doi: 10.1001/jama.2023.20737

Table 2. Characteristics During Intensive Care Unit Stay.

Variable Transfusion (n = 894)a No transfusion (n = 2749)a
Daily forms 4 (3-9) 3 (2-5)
Mean daily blood loss, mL 82 (0-275) 0 (0-46)
Median SOFA score during ICU stayb 5 (2.5-7.85) 3 (1.40-5.33)
Invasive mechanical ventilation during ICU stay 537 (60.1) 980 (35.6)
Kidney replacement therapy during ICU stay 142 (15.9) 149 (5.4)
Newly developed complications during ICU stay
Acute kidney injury 260 (29.1) 351 (12.8)
Sepsis 257 (28.7) 495 (18.0)
ARDS 141 (15.8) 370 (13.5)
Gastrointestinal bleed 114 (12.8) 45 (2)
Failure to wean 104 (11.6) 117 (4.3)
Acute coronary syndrome 95 (10.6) 223 (8.1)
Liver failure 86 (10) 80 (2.9)
Cerebrovascular event 62 (7) 222 (8.1)
Bone marrow failure 27 (3) 13 (<1)
Retinal hemorrhage 6 (<1) 4 (<1)
Admission laboratory values
Hb level, g/dL 10.0 (2.7) 12.5 (2.3)
Anemiac
Male 385/543 (70.9) 708/1724 (41.1)
Female 238/351 (67.8) 415/1025 (40.5)
Platelet count, ×109/L 205 (133-283) 227 (170-291)
Laboratory values during ICU stay
Mean Hb level during ICU stay 8.7 (1.4) 11.4 (2.0)
Nadir Hb 7.6 (1.6) 10.8 (2.1)
Anemia during ICU stayc 882/891 (99.0) 2162/2697 (80.2)
Received RBC 894 (100) 0
No. of RBC units transfused, total during ICU stay 2 (1-4)
No. of RBC units transfused per transfused dayd 1 (1-1.5)
No. of RBC units per ICU daye 0.5 (0.25-1)
No. of RBC transfusion events 2 (1-4)
Received platelet transfusion 163 (18.2) 45 (2)
Received plasma transfusion 254 (28.4) 83 (3)
Received massive transfusion protocol 34 (4) 0 (0)
Received coagulation product 147 (16.4) 61 (2)
Use of VHA, No. of patients 91 (10) 53 (2)
EPO administered 35 (4) 43 (2)

Abbreviations: ARDS, acute respiratory distress syndrome; EPO, erythropoietin; Hb, hemoglobin; ICU, intensive care unit; RBC, red blood cell; SOFA, Sequential Organ Failure Assessment; VHA, viscoelastic hemostatic assay.

a

Presented as No. (%) for frequency data, median (shown first-third quartile borders) for nonparametric, and mean (SD) for parametric numerical variables.

b

The SOFA score is a measure that reflects the course of in-ICU organ dysfunction, expressed by a 0-24 range, in which severe organ dysfunction is reflected by a higher score.

c

Anemia defined as <12 g/dL for females and <13 g/dL for males, according to the definition by the World Health Organization.

d

Calculated as the sum of RBC transfused divided by the days a transfusion was administered per patient.

e

Calculated as the sum of RBC transfused divided by the ICU length of stay.