End-of-life transfusions in patients with an oncological diagnosis

Título traducido de la contribución: Transfusiones al final de la vida en pacientes con diagnóstico oncológico

A. P.Brome Uribe, Lina María Martínez-Sánchez, L. Herrera-Almanza, M. Fonseca-Guzmán, C. Durango-Sánchez, V. Vasquez-Estrada, L. Duque-Echeverri, A. Morales-Montoya, M. E. Saavedra-Valencia, J. F. Vargas-Silva, S. M. Molina-Giraldo

    Producción científica: Contribución a una revistaArtículo en revista científica indexadarevisión exhaustiva

    1 Cita (Scopus)


    Introduction: Cancer patients in terminal stages present symptoms related to anemia, other cytopenias, and coagulopathies that deteriorate the quality of life. These symptoms can be multicausal and do not improve in most cases. Objective: Describe the use of blood transfusions in the six months before death as an alternative palliative treatment in patients with an oncological diagnosis in the city of Medellin during the period 2013-2018. Methods: Retrospective cohort, in patients with a cancer diagnosis who received transfusions in the last six months of life, a non-probabilistic sampling of consecutive cases was executed. The analysis was carried out in SPSS, estimating absolute and relative frequencies and median with interquartile ranges. Results: Out of 3,254 medical records of cancer patients, 151 were included. The time to oncological diagnosis had a median of 2 years (IQR 1 and 3). The symptoms observed in patients before and after the first transfusion were pain, present in 32.1 % (46) and 16.9 % (25) respectively, besides drowsiness was distinguished in 25 % (36) before transfusion and 14.3 % (21) after. Finally, the clinical outcomes before and after the last transfusion prior to death, were a decrease in pain, asthenia/adynamia, drowsiness, among others. Conclusions: The findings of this research allow us to appreciate the current panorama in the institutions in which palliative care medical services are being provided and consider when to offer the blood products to a patient at the end of life as a therapeutic measure in the context of a human being cared by physicians.

    Título traducido de la contribuciónTransfusiones al final de la vida en pacientes con diagnóstico oncológico
    Idioma originalInglés
    Páginas (desde-hasta)319-324
    Número de páginas6
    PublicaciónRevista de la Sociedad Espanola del Dolor
    EstadoPublicada - nov. 2021

    Nota bibliográfica

    Publisher Copyright:
    © 2021 Ediciones Doyma, S.L.. All rights reserved.

    Tipos de Productos Minciencias

    • Artículos de investigación con calidad Q4


    Profundice en los temas de investigación de 'Transfusiones al final de la vida en pacientes con diagnóstico oncológico'. En conjunto forman una huella única.

    Citar esto