BMJ 2000;320:1075 ( 15 April )

Letters

Serious hazards of transfusion (SHOT) initiative

    Conclusion was not supported by data presented
    Autologous transfusion would avoid many of the problems of blood transfusion
    Authors' reply

Conclusion was not supported by data presented

The first 150 words of the full text of this article appear below.

EDITOR---Williamson et al report on the safety of transfusions in the first two annual reports of the serious hazards of transfusion (SHOT) initiative.1 Although they found 366 cases of serious complications after transfusion, they conclude that transfusions are extremely safe. This conclusion is not supported by their data because they do not mention the total number of transfusions. A rate of complications would be useful for junior doctors, who usually have to seek patients' consent to procedures. Do any such data exist?

Paul Nederlof, senior house officer in obstetrics and gynaecology
Gloucestershire Royal Hospital, Gloucester GL1 3NN

paulesteruk@paulesteruk.demon.co.uk



1. Williamson LM, Lowe S, Love EM, Cohen H, Soldan K, McClelland DBL, et al. Serious hazards of transfusion (SHOT) initiative: analysis of the first two annual reports. BMJ 1999; 319: 16-19[Abstract/Free Full Text]. (3 July.)


Autologous transfusion would avoid many of the problems of blood transfusion

EDITOR---Two articles in the BMJ last year highlight important issues in blood transfusion---namely, safety and autologous transfusion---and emphasise the need for education and standardisation of procedures. 1 2 Provan raises the issues of availability and cost.1 The requirement for red cells is increasing annually by 2-3% against a static or even falling number of donations. One solution, suggested by both Provan1 and the NHS Executive,3 . . . [Full text of this article]


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