{"id":19053,"date":"2022-08-30T09:37:36","date_gmt":"2022-08-30T09:37:36","guid":{"rendered":"https:\/\/staging.awgp.pt\/testes\/?p=19053"},"modified":"2025-04-22T15:02:28","modified_gmt":"2025-04-22T15:02:28","slug":"improving-awareness-about-patient-blood-management-in-portugal-a-call-for-action-arising-from-a-delphi-panel","status":"publish","type":"post","link":"https:\/\/staging.awgp.pt\/testes\/improving-awareness-about-patient-blood-management-in-portugal-a-call-for-action-arising-from-a-delphi-panel\/","title":{"rendered":"Improving Awareness about Patient Blood Management in Portugal: A Call for Action Arising from a Delphi Panel"},"content":{"rendered":"<style type=\"text\/css\"><\/style>\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"19053\" class=\"elementor elementor-19053\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-611e9ab elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"611e9ab\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f7742bf\" data-id=\"f7742bf\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-46dbc13 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"46dbc13\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f661717 elementor-widget elementor-widget-heading\" data-id=\"f661717\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Improving Awareness about Patient Blood Management in Portugal:\nA Call for Action Arising from a Delphi Panel<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6cbd709 elementor-widget elementor-widget-text-editor\" data-id=\"6cbd709\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"p2\">Ant\u00f3nio ROBALO NUNES<sup><span class=\"s2\">1,2<\/span><\/sup>, Dialina BRILHANTE<sup><span class=\"s2\">2,3<\/span><\/sup>, Ana MACEDO<sup><span class=\"s2\">4,5<\/span><\/sup>, Vera BEATO<sup><span class=\"s2\">1<\/span><\/sup>, Diana GOMES<sup><span class=\"s2\">6<\/span><\/sup>,<span class=\"Apple-converted-space\">\u00a0<\/span>Jos\u00e9 GON\u00c7ALVES-AGUIAR<sup><span class=\"s2\">7<\/span><\/sup>, F\u00e1tima LIMA<sup><span class=\"s2\">6<\/span><\/sup>, Jo\u00e3o MAIROS<sup><span class=\"s2\">2,8<\/span><\/sup>, Teresa MELO-LENCASTRE<span class=\"s2\"><sup>6<\/sup><span class=\"Apple-converted-space\">\u00a0<\/span><\/span><\/p><p class=\"p2\">1. Hospital das For\u00e7as Armadas. Lisboa. Portugal.<span class=\"Apple-converted-space\"> \u00a0<\/span>2. Anemia Working Group Portugal. Lisboa. Portugal.<span class=\"Apple-converted-space\"> \u00a0<\/span>3. Instituto Portugu\u00eas de Oncologia de Lisboa Francisco Gentil. Lisboa. Portugal.<span class=\"Apple-converted-space\"> \u00a0<\/span>4. Keypoint, Consultoria Cient\u00edfica. Lisboa. Portugal.<span class=\"Apple-converted-space\"> \u00a0<\/span>5. Faculdade de Medicina e Ci\u00eancias Biom\u00e9dicas. Universidade do Algarve. Faro. Portugal.<span class=\"Apple-converted-space\"> \u00a0<\/span>6. Centro Hospitalar de Vila Nova de Gaia\/Espinho. Gaia. Portugal.<span class=\"Apple-converted-space\"> \u00a0<\/span>7. Hospital dos Lus\u00edadas. Porto. Portugal.<span class=\"Apple-converted-space\"> \u00a0<\/span>8. Dire\u00e7\u00e3o de Sa\u00fade da For\u00e7a A\u00e9rea. Lisboa. Portugal.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9aee3a8 elementor-widget elementor-widget-text-editor\" data-id=\"9aee3a8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\"p2\"><span class=\"s1\"><span class=\"Apple-converted-space\">\u00a0<\/span><\/span><b>ABSTRACT<span class=\"Apple-converted-space\">\u00a0<\/span><\/b><\/p><p class=\"p3\"><b>Introduction: <\/b>Anaemia and iron deficiency are associated with increased mortality and poor surgical outcomes. Consensus in their definitions is expected to optimize their management, which is encompassed by patient blood management, providing patient-centred care while improving patient safety and clinical outcomes. Patient blood management implementation is even more relevant in contingency times and faces barriers due to lack of standardization, among others. The aim is to establish a consensus on these diagnoses and implement patient blood management principles in clinical practice in Portugal.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p><p class=\"p3\"><b>Material and Methods: <\/b>Eight experts in Transfusion Medicine, Haematology, Anaesthesiology, Internal Medicine, and Obstetrics\/ Gynaecology were assembled; a focus group was conducted, defining 33 statements. A Delphi panel was conducted, with experts from the clinical specialities named above as well as from General Surgery, Urology, and Orthopaedics.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p><p class=\"p3\"><b>Results: <\/b>The Delphi panel\u2019s rounds had 70 (Round 1) and 46 (Round 2) respondents. Specialists were consensual in only two statements, on the existence of a preoperative patient blood management consultation for candidates to elective surgeries in which the use of blood derivatives is anticipated and, on the importance of the correction of postoperative anaemia and iron deficiency. Of the remaining 31 statements, 27 reached high agreement or disagreement by the respondents.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p><p class=\"p3\"><b>Conclusion: <\/b>Consensus was reached in only two (6%) of the 33 statements. There was a consensual agreement on the relevance of establishing patient blood management as the standard of care and of valuing preoperative and postoperative patient blood management interventions. Nevertheless, our results point to the lack of awareness regarding patient blood management principles \u2013 which could result in better postoperative outcomes, shorter hospitalizations, reduced costs and increased availability of beds. Training and literacy initiatives could help further implement patient blood management standards in Portuguese hospitals.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p><p class=\"p3\"><b>Keywords: <\/b>Anemia; Anemia, Iron-Deficiency; Biomarkers\/ Blood; Blood Transfusion; Consensus; Iron Deficiencies; Perioperative Care<span class=\"Apple-converted-space\">\u00a0<\/span><\/p><p class=\"p2\"><b>RESUMO<span class=\"Apple-converted-space\">\u00a0<\/span><\/b><\/p><p class=\"p3\"><b>Introdu\u00e7\u00e3o: <\/b>A anemia e ferropenia est\u00e3o associadas a um aumento da mortalidade e a piores resultados no per\u00edodo p\u00f3s-operat\u00f3rio. Consensualizar as suas defini\u00e7\u00f5es permitir\u00e1 otimizar a sua gest\u00e3o. O <i>patient blood management <\/i>engloba essa gest\u00e3o, com relevo acrescido em situa\u00e7\u00f5es de conting\u00eancia, focado nos cuidados centrados no doente e na melhoria da seguran\u00e7a e dos <i>outcomes<\/i>. As barreiras \u00e0 implementa\u00e7\u00e3o de princ\u00edpios <i>patient blood management <\/i>prendem-se, entre outras, com falta de padroniza\u00e7\u00e3o. Pretende-se estabelecer um consenso sobre estes diagn\u00f3sticos e implementa\u00e7\u00e3o de <i>patient blood management <\/i>na pr\u00e1tica cl\u00ednica em Portugal.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p><p class=\"p3\"><b>Material e M\u00e9todos: <\/b>Foram reunidos oito especialistas em Imuno-hemoterapia, Hematologia Cl\u00ednica, Anestesiologia, Medicina Interna e Obstetr\u00edcia\/ Ginecologia. Foi realizado um <i>focus group<\/i>, onde foram definidas 33 afirma\u00e7\u00f5es. Al\u00e9m disso, foi realizado um painel Delphi, com especialistas das \u00e1reas mencionadas acima, assim como de Cirurgia Geral, Urologia e Ortopedia.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p><p class=\"p3\"><b>Resultados: <\/b>As duas rondas do painel Delphi tiveram, respetivamente, 70 e 46 respondedores. Estes foram consensuais em apenas duas afirma\u00e7\u00f5es, na exist\u00eancia de consulta pr\u00e9-operat\u00f3ria de <i>patient blood management <\/i>para os candidatos a cirurgias eletivas em que se antecipa o uso de hemoderivados e, na import\u00e2ncia da corre\u00e7\u00e3o da anemia e ferropenia p\u00f3s-operat\u00f3rias. Das 31 afirma\u00e7\u00f5es restantes, 27 atingiram alta concord\u00e2ncia ou discord\u00e2ncia pelos respondentes.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p><p class=\"p3\"><b>Conclus\u00e3o: <\/b>Foi alcan\u00e7ado consenso em apenas duas (6%) das 33 afirma\u00e7\u00f5es. Houve consenso sobre a relev\u00e2ncia de estabelecer o <i>patient blood management <\/i>como <i>standard of care <\/i>e a valoriza\u00e7\u00e3o das interven\u00e7\u00f5es de <i>patient blood management <\/i>pr\u00e9 e p\u00f3s-operat\u00f3rias. No entanto, os resultados indiciam falta de consciencializa\u00e7\u00e3o sobre os princ\u00edpios de <i>patient blood management <\/i>\u2013 que poderiam levar a melhores resultados p\u00f3s-operat\u00f3rios, com redu\u00e7\u00e3o do tempo de hospitaliza\u00e7\u00e3o e dos custos e maior disponibilidade de camas. Iniciativas de forma\u00e7\u00e3o e literacia poderiam ajudar a uma melhor implementa\u00e7\u00e3o dos princ\u00edpios de <i>patient blood management <\/i>nos hospitais portugueses.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p><p class=\"p4\"><b>Palavras-chave: <\/b>Anemia; Anemia por Defici\u00eancia de Ferro; Biomarcadores\/ Sangue; Consenso; Cuidados Perioperat\u00f3rios; Defici\u00eancias de Ferro; Transfus\u00e3o de Sangue<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3954b72 elementor-widget elementor-widget-text-editor\" data-id=\"3954b72\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>[pdf-embedder url=&#8221;https:\/\/staging.awgp.pt\/testes\/wp-content\/uploads\/2022\/07\/Melhorar-a-consciencializac\u0327a\u0303o-sobre-PBM.pdf&#8221; title=&#8221;Melhorar a consciencializac\u0327a\u0303o sobre PBM&#8221;]<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-40680b8 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"40680b8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Improving Awareness about Patient Blood Management in Portugal: A Call for Action Arising from a Delphi Panel Ant\u00f3nio ROBALO NUNES1,2, Dialina BRILHANTE2,3, Ana MACEDO4,5, Vera BEATO1, Diana GOMES6,\u00a0Jos\u00e9 GON\u00c7ALVES-AGUIAR7, F\u00e1tima LIMA6, Jo\u00e3o MAIROS2,8, Teresa MELO-LENCASTRE6\u00a0 1. Hospital das For\u00e7as Armadas. Lisboa. Portugal. \u00a02. Anemia Working Group Portugal. Lisboa. Portugal. \u00a03. Instituto Portugu\u00eas de Oncologia de&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[97,111],"tags":[287,288,285,274,286,100,105,76,289,168],"class_list":["post-19053","post","type-post","status-publish","format-standard","hentry","category-artigo-cientifico","category-patient-blood-management","tag-biomarkers-blood","tag-blood","tag-consenso","tag-consensus","tag-cuidados-perioperatorios","tag-deficiencia-de-ferro","tag-iron-deficiency","tag-pateint-blood-management","tag-perioperativecare","tag-transfusao-de-sangue"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Improving Awareness about Patient Blood Management in Portugal: A Call for Action Arising from a Delphi Panel - AWGP - Testes<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"pt_PT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Improving Awareness about Patient Blood Management in Portugal: A Call for Action Arising from a Delphi Panel - AWGP - Testes\" \/>\n<meta property=\"og:description\" content=\"Improving Awareness about Patient Blood Management in Portugal: A Call for Action Arising from a Delphi Panel Ant\u00f3nio ROBALO NUNES1,2, Dialina BRILHANTE2,3, Ana MACEDO4,5, Vera BEATO1, Diana GOMES6,\u00a0Jos\u00e9 GON\u00c7ALVES-AGUIAR7, F\u00e1tima LIMA6, Jo\u00e3o MAIROS2,8, Teresa MELO-LENCASTRE6\u00a0 1. Hospital das For\u00e7as Armadas. Lisboa. Portugal. \u00a02. Anemia Working Group Portugal. Lisboa. Portugal. \u00a03. 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Hospital das For\u00e7as Armadas. Lisboa. Portugal. \u00a02. Anemia Working Group Portugal. Lisboa. Portugal. \u00a03. 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