Objective
The main aims of the project were to assess the use of and the reasons for the use of blood, blood products and artificial colloids, by scrutinizing a sample of elective surgical procedures in 43 teaching hospitals of 10 European countries. Furthermore, the assessment was intended to cover a gap in the specific supranational study was yet available, and notable variations among countries are observed in blood self-sufficiency, organisation and financing of transfusion services, prevalence of viral infectious disease transmission, and in the costs.
In order to improve the quality of transfusion in elective surgery, the Concerted Action on the safe and good use of blood in surgery (SANGUIS) was established. It assessed how much, when, and why blood, blood components, blood derivatives, and artificial colloids were used in 6 common surgical procedures: cholecystectomy, colectomy, abdominal aortic aneurysectomy, total hip replacement, aortocoronary bypass, and transurethral prostatectomy. The project totalled 8118 patients in 43 university hospitals and 10 countries. Data were collected in both surgical units and transfusion services. The study has revealed large variations in the use of individual blood components, autologous blood, blood derivatives, and artificial colloids, even within the same country. In red cell transfusion, for instance, the hospital was the major predictive factor, alongside patient haematological data. Many hospitals provided only scant data on the reasons for transfusion, and discrepancies were noted in the transfusion information recorded by surgical units and transfusion services. The results of data analysis will be redistributed to participating clinicians, providing a basis for discussion and improvement.
Blood is a natural resource and hence limited, exaustable, and costly. In clinical practice blood transfusion is a not replaceable support; however blood transfusion carries besides benefits also risks, including those of viral disease transmission. Although in the last decade a number of strategies have been promoted to enhance the safety of blood transfusion, a comparable improvement in the clinical use of blood and components, accompanied by an evaluation of the patient outcome in relation to varying transfusion regimes is less documented. In fact, inappropriateness in the clinical use of blood and interhospital variability for the same patient category are documented, although results of consensus development conferences and guidelines for clinical audit have been published. In blood transfusion, as for other clinical fields, the main issues still open to debate include the need for a more complete scientific knowledge on the transfusion indications, the identification and implementation of means whereb effectively translating the scientific knowledge into practice, the assessment and improvement of the clinical transfusion practice and the evaluation of the patient outcome in relation to the transfusion regimen given.
Fields of science (EuroSciVoc)
CORDIS classifies projects with EuroSciVoc, a multilingual taxonomy of fields of science, through a semi-automatic process based on NLP techniques. See: The European Science Vocabulary.
CORDIS classifies projects with EuroSciVoc, a multilingual taxonomy of fields of science, through a semi-automatic process based on NLP techniques. See: The European Science Vocabulary.
- natural sciences computer and information sciences data science
- medical and health sciences health sciences infectious diseases
- natural sciences physical sciences condensed matter physics soft matter physics
- medical and health sciences clinical medicine surgery surgical procedures
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Programme(s)
Multi-annual funding programmes that define the EU’s priorities for research and innovation.
Multi-annual funding programmes that define the EU’s priorities for research and innovation.
Topic(s)
Calls for proposals are divided into topics. A topic defines a specific subject or area for which applicants can submit proposals. The description of a topic comprises its specific scope and the expected impact of the funded project.
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Calls for proposals are divided into topics. A topic defines a specific subject or area for which applicants can submit proposals. The description of a topic comprises its specific scope and the expected impact of the funded project.
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Procedure for inviting applicants to submit project proposals, with the aim of receiving EU funding.
Funding Scheme
Funding scheme (or “Type of Action”) inside a programme with common features. It specifies: the scope of what is funded; the reimbursement rate; specific evaluation criteria to qualify for funding; and the use of simplified forms of costs like lump sums.
Funding scheme (or “Type of Action”) inside a programme with common features. It specifies: the scope of what is funded; the reimbursement rate; specific evaluation criteria to qualify for funding; and the use of simplified forms of costs like lump sums.
Coordinator
20122 Milano
Italy
The total costs incurred by this organisation to participate in the project, including direct and indirect costs. This amount is a subset of the overall project budget.