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  • Title: Comparative audit of blood transfusion during war and peace in Sarajevo.
    Author: Lavy CB, Keene GS, Begovic M, Strauss S.
    Journal: Ann R Coll Surg Engl; 1996 Jan; 78(1):56-8. PubMed ID: 8659976.
    Abstract:
    A comparative study was made between 146 patients receiving blood transfusion at the State Hospital, Sarajevo, in a 3-month period of peace (group 1) and 250 patients receiving transfusions in a 3-month period of war (group 2). In group 1, trauma accounted for only 7% of transfusions while it accounted for 99% in group 2. The threshold for transfusion was increased in war and the mean pretransfusion haematocrit in group 2 was 21%, compared with 27% in group 1 (P < 0.001). Less blood was also transfused per patient in war with a mean transfusion volume of 1.1 units in group 2 compared with 2.6 units in group 1 (P < 0.001). The reasons and justification for such a conservative transfusion practice in a besieged city are discussed.
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