{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T18:06:19Z","timestamp":1761156379395,"version":"3.37.3"},"reference-count":15,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2017,10,23]],"date-time":"2017-10-23T00:00:00Z","timestamp":1508716800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Transfusion Medicine"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:title>SUMMARY<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>This study aims at identifying factors that disciplines consider when diagnosing and reporting transfusion\u2010associated circulatory overload (\u2018TACO\u2019).<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>TACO is a clinical diagnosis based mainly on subjective factors. Therefore, TACO could be an underreported complication of blood transfusion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A survey was conducted among critical care physicians, anaesthesiologists, haematologists, transfusion medicine physicians and haemovigilance officers using case vignettes and a questionnaire. Factors that may affect diagnosing TACO were investigated using conjoint analysis. A positive B\u2010coefficient indicates a positive preference for diagnosing TACO. Participants rated factors influencing reporting TACO on a 0\u2010 to 100\u2010point scale.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred and seven surveys were returned (62%). Vignettes showed preferences in favour of diagnosing TACO with the onset of symptoms within 2\u2009h [\u03b2 0\u00b74(\u22120\u00b71\u20131\u00b70)], positive fluid balance [\u03b2 0\u00b79(0\u00b74\u20131\u00b75)] and history of renal failure [\u03b2 0\u00b76(0\u00b71\u20131\u00b72)]. Compared with transfusion of a single unit of red blood cells (RBC), respondents showed a preference for diagnosing TACO following a single unit of solvent\/detergent (S\/D) plasma or pooled platelet concentrate (PPC) [\u03b2 0\u00b73(\u22120\u00b72\u20130\u00b77) resp. 0\u00b75(\u22120\u00b71\u20131\u00b72)]. Multiple transfusion (6 RBC\u2009+\u20094\u2009S\/D plasma) was a strong preference for diagnosing TACO compared to 1 RBC and 1\u2009S\/D plasma [\u03b2 0\u00b73(\u22120\u00b78\u20131\u00b73)]. Respondents did not fully take into account new hypertension and tachycardia when reporting TACO [median 70 (IQR 50\u201380) resp. 60 (IQR 50\u201380)]. No differences were observed between disciplines involved.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>When diagnosing and reporting TACO, physicians and haemovigilance officers do consider known risk factors for TACO. Reporting could be improved by increasing the awareness of haemodynamic variables in future education programmes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/tme.12480","type":"journal-article","created":{"date-parts":[[2017,10,23]],"date-time":"2017-10-23T09:52:45Z","timestamp":1508752365000},"page":"363-370","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["The practice of diagnosing and reporting transfusion\u2010associated circulatory overload: a national survey among physicians and haemovigilance officers"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0149-7349","authenticated-orcid":false,"given":"J. J.","family":"Bosboom","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology Academic Medical Centre  Amsterdam the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. B.","family":"Klanderman","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Medicine Academic Medical Centre  Amsterdam the Netherlands"},{"name":"Laboratory of Experimental Intensive Care and Anaesthesiology (L.E.I.C.A.) Academic Medical Centre  Amsterdam the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. L.","family":"Peters","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Medicine Academic Medical Centre  Amsterdam the Netherlands"},{"name":"Laboratory of Experimental Intensive Care and Anaesthesiology (L.E.I.C.A.) Academic Medical Centre  Amsterdam the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E. K.","family":"van de Weerdt","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Medicine Academic Medical Centre  Amsterdam the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E. J.","family":"Goudswaard","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Medicine Academic Medical Centre  Amsterdam the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. M.","family":"Binnekade","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Medicine Academic Medical Centre  Amsterdam the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. J.","family":"Zwaginga","sequence":"additional","affiliation":[{"name":"Department of Immunohematology and Blood Transfusion Leiden University Medical Centre  Leiden the Netherlands"},{"name":"Centre for Clinical Transfusion Research, Sanquin Blood Supply Sanquin Research  Leiden the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E. A. M.","family":"Beckers","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine\u00a0\u2013\u00a0Haematology Maastricht University Medical Centre  Maastricht the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B. F.","family":"Geerts","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology Academic Medical Centre  Amsterdam the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. W.","family":"Hollmann","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology Academic Medical Centre  Amsterdam the Netherlands"},{"name":"Laboratory of Experimental Intensive Care and Anaesthesiology (L.E.I.C.A.) Academic Medical Centre  Amsterdam the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. S.","family":"Zeerleder","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine\u00a0\u2013\u00a0Haematology Academic Medical Centre  Amsterdam the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"van Kraaij","sequence":"additional","affiliation":[{"name":"Centre for Clinical Transfusion Research, Sanquin Blood Supply Sanquin Research  Leiden the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. P.","family":"Vlaar","sequence":"additional","affiliation":[{"name":"Department of Intensive Care Medicine Academic Medical Centre  Amsterdam the Netherlands"},{"name":"Laboratory of Experimental Intensive Care and Anaesthesiology (L.E.I.C.A.) Academic Medical Centre  Amsterdam the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,10,23]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/109442802237117"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.12454"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1537-2995.2012.03595.x"},{"key":"e_1_2_7_5_1","unstructured":"Bolton-Maggs P.H. Poles D.et al. on behalf of the Serious Hazards of Transfusion (SHOT) Steering Group. (2016) The 2015 Annual SHOT Report. Available at:https:\/\/www.shotuk.org\/wp\u2010content\/uploads\/SHOT\u20102015\u2010Annual\u2010Report\u2010Web\u2010Edition\u2010Final\u2010bookmarked.pdf. Accessed 11-1-2017."},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)01313-6"},{"key":"e_1_2_7_7_1","unstructured":"Dutch National Haemovigilance Office (2016). TRIP Annual Report Hemovigilance 2015. Available at:https:\/\/www.tripnet.nl\/pages\/en\/documents\/Trip.HEMO_ENG_19.04.2017def..pdf. 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