Study findings evaluating IV iron use for IDA in patients presenting to the ED: RBC transfusion outcome
| Reference . | Study design . | N . | Intervention* . | Primary outcome: RBC transfusion . |
|---|---|---|---|---|
| Khadadah et al20 | Quality improvement | 211 | Educational session | • Achieved 91% appropriateness of RBC transfusion, improved from historical average 53% (target >80%) |
| IDA algorithm for ED | ||||
| Use of ferumoxytol | ||||
| de las Nieves Lopez et al15 | Pre–post study | Not stated | Performance standards for: | • Overall number of yearly RBC transfusions declined by 19% • Report significant difference for RBC use (P = .014) |
| Diagnosis of IDA | ||||
| Management of IDA with first loading dose of IV iron for outpatients and for ED patients | ||||
| Fraser et al14 | Pre–post study | 103 | Automatic ferritin screening in all blood samples from GP or ED with possible IDA | • Overall reduction in number of transfused units in their medical assessment unit, from 841 to 552 (an absolute reduction of 65.6%) |
| Referral pathway for ED and GP to enable scheduling for IV iron in ambulatory care ward | ||||
| RN training | ||||
| Pharmacy pathway for IV iron |
| Reference . | Study design . | N . | Intervention* . | Primary outcome: RBC transfusion . |
|---|---|---|---|---|
| Khadadah et al20 | Quality improvement | 211 | Educational session | • Achieved 91% appropriateness of RBC transfusion, improved from historical average 53% (target >80%) |
| IDA algorithm for ED | ||||
| Use of ferumoxytol | ||||
| de las Nieves Lopez et al15 | Pre–post study | Not stated | Performance standards for: | • Overall number of yearly RBC transfusions declined by 19% • Report significant difference for RBC use (P = .014) |
| Diagnosis of IDA | ||||
| Management of IDA with first loading dose of IV iron for outpatients and for ED patients | ||||
| Fraser et al14 | Pre–post study | 103 | Automatic ferritin screening in all blood samples from GP or ED with possible IDA | • Overall reduction in number of transfused units in their medical assessment unit, from 841 to 552 (an absolute reduction of 65.6%) |
| Referral pathway for ED and GP to enable scheduling for IV iron in ambulatory care ward | ||||
| RN training | ||||
| Pharmacy pathway for IV iron |
GP, general practitioner; RN, registered nurse.
Studies listed in this section did not include control or comparator group.