Table 1.

Study findings evaluating IV iron use for IDA in patients presenting to the ED: RBC transfusion outcome

ReferenceStudy designNIntervention*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 
ReferenceStudy designNIntervention*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.

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