Record number:
1084
Adverse Occurrence type:
MPHO Type:
Estimated frequency:
H/O CHF (41%), renal dysfunction (44%), age > 70 years (56%) were commonly observed factors in TACO cases. Median volume blood ordered = 500 mL; median preceding 24 hour crystaloid/colloid = 2200 mL. 18% of TACO patients to ICU, 8% had major complications, and 2% died.
Time to detection:
<6 hours
Alerting signals, symptoms, evidence of occurrence:
100 consecutive cases at two academic centers. The patients developed dyspnea, cyanosis, orthopnea, hypertension, or congestive heart failure following a transfusion.
Demonstration of imputability or root cause:
All cases reviewed by transfusion safety nurse and transfusion medicine physician.
Keywords:
Suggest references:
Lieberman L, Maskens C, Cserti-Gazdewich C, Hansen M, Lin Y, Pendergrast J, Yi QL, Cullum J. A retrospective review of patient factors, transfusion practices, and outcomes in patients with transfusion-associated circulatory overload. Transf Med Rev 2013;27:206-12