Publications by authors named "Kirstin L Wilkinson"

Article Synopsis
  • Plasma is often transfused prophylactically to prevent bleeding in patients with coagulation test abnormalities before surgical or invasive procedures, although its benefits have not been definitively established.
  • Plasma transfusion has associated risks, including potential life-threatening complications, and is expensive, complicating its availability and use.
  • The primary aim of the study was to evaluate the clinical effectiveness and safety of prophylactic plasma transfusion in patients without inherited bleeding disorders or anticoagulant use, using comprehensive searches of various medical databases for relevant randomized controlled trials.
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This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: To determine the clinical effectiveness and safety of prophylactic plasma transfusion for people with confirmed or presumed coagulopathy requiring non-cardiac surgery.

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Background: Red blood cell transfusion is a common treatment for anaemia in many clinical conditions. One current concern is uncertainty as to the clinical consequences (notably efficacy and safety) of transfusing red blood cell units that have been stored for different durations of time before a transfusion. If evidence from randomised controlled trials were to indicate that clinical outcomes are affected by storage age, the implications for inventory management and clinical practice would be significant.

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Background: Congenital heart disease is the most commonly diagnosed neonatal congenital condition. Without surgery, only 30% to 40% of patients affected will survive to 10 years old. Mortality has fallen since the 1990s with 2006 to 2007 figures showing surgical survival at one year of 95%.

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No up-to-date overview of randomized controlled trials (RCTs) in red blood cell (RBC) transfusion exists. This systematic review examines the quantity and quality of the evidence for the clinical effects of RBC transfusion. One hundred forty-two eligible RCTs were identified through searches of The Cochrane Library (issue 4, 2009), MEDLINE (1950 to November 2009), EMBASE (1974 to November 2009), and other relevant sources.

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