ISSN:
1522-9602
Source:
Springer Online Journal Archives 1860-2000
Topics:
Biology
,
Mathematics
Notes:
Abstract A transfusion can be hypothesized to be required when a determination factor (D=probability of adverse effects if transfusion not given/adverse effects if transfusion is given) exceeds some predetermined value.D varies between the limits 0 and ∞, and in most clinical situations will be a small number on the order of 20. Since the probabilities contributing to the denominator ofD are essentially independent of each other, they can be summed to obtain the probability of ill effects. A method of handling an exception to this, the incompatibility reactions following multiple transfusions within a short time interval, is pointed out. The probability of adverse effects if a transfusion is not given is more difficult to evaluate; values gathered from the literature are presented, as well as methods for obtaining further data. Two techniques for estimating future transfusion requirements are discussed. One is a correlative procedure, which functions by analyzing similar cases admitted to the hospital. The second procedure is an estimate of stability (homeostasis), based on a parameter introduced by B. C. Patten (Scince,134, 1010–1011, 1961). The dilution of endogenous cells and plasma by transfusions is considered and the consequences of many small transfusions compared with those of few (and larger) transfusions.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF02476464
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