Talk:Transfusion-associated circulatory overload

Wiki Education Foundation-supported course assignment

This article was the subject of a Wiki Education Foundation-supported course assignment, between 25 October 2021 and 19 November 2021. Further details are available on the course page. Student editor(s): LessonsInSpencer. Peer reviewers: Kporter0918.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 04:23, 18 January 2022 (UTC)

Work Plan - WikiProject Medicine UCF COM

Hello! I'm a 4th year medical student working on the article as part of a WikiProject Medicine class. I'm passionate about critical care medicine and thought it would be a good idea to revise this webpage with new guidelines and a more detailed discussion about the pathophysiology, epidemiology, and prevention.

Here is my proposal for updating the following sections:

• Lead paragraph - update the language to better explain how TACO is caused by transfusion of any type of products that leads to a volume-overloaded state within 12 hours of transfusion. Also discuss similarity to TRALI in regards to pulmonary edema and respiratory distress following transfusion. Add picture of pulmonary edema CXR.
• Signs and symptoms - include information about physical exam findings such as elevated JVP, S3 heart sound, and peripheral edema.
• Causes - include information regarding incidence with different types of blood products as well as number of blood products. Add image of rapid tranfuser. Discuss how impactful certain risk factors are.
• Mechanism - include 2-hit hypothesis mechanism.
• Diagnosis - discuss National Healthcare Safety Network March 2021 criteria for TACO, DDx including TRALI and other causes of sudden-onset edema.
• Prevention or Screening - discuss transfusion rates that decrease incidence of TACO.
• Treatment - clarify language.
• Outcomes or Prognosis - discuss morbidity and mortality associated with TACO
• Epidemiology - update numbers on incidence as well as increased risk with different surgical procedures, trauma, and critical care setting.

Let me know if there's anything in particular I can improve and include! --LessonsInSpencer (talk) 11:50, 29 October 2021 (UTC)

Peer Review

Hi LessonsInSpencer!

Congrats on your article! I think you've done a great job. The content is very comprehesive, and I think you've covered all the major components of the TACO disease process. I do have a couple suggestions on how you can improve your article. I think, if you were to choose just one thing to change, the most important would be to make the language more patient friendly. Remember, Wikipedia is a place that lay-people come for information. We should remember to use patient-friendly terms to make our articles more readable for this audience. For example, instead of "respiratory distress", you could say "trouble breathing."

Here is some more specific feedback according to the Peer Review Template:

Lead: I think your lead may be a little too concise. Remember that it is a "lead" rather than an "intro." Readers should be able to read this section and get all the main highlights of the article, if you will. I would recommend expanding your lead to cover all of the major sections of the article.

Content:Content: All of the content is relevant to the topic and up to date. See "Organization" for a couple more suggested changes.

Tone and Balance: The content is very well balanced and neutral. No changes needed here.

Sources and References: The link for Source #2 isn't working for me. For the large PDF files, like the SHOT reports, it might be helpful to add page numbers to your citations. Not absolutely necessary, but certainly helpful to future readers and editor.

Organization: In terms of your content, it is very concise, but unfortunately not very easy to read for a lay-person. I would recommend editing your article to be in more patient-friendly terms. Also, according to the Manual of Style for Medicine Related Articles, there may be a few sections missing and a few that could be renamed to be more patient friendly. The sections that are relavent to your article, along with suggestions for each!

Signs and symptoms: Content is good, just make it patient friendly. Perhaps separate into 2 sections: Symptoms and Signs on Exam using subheadings

Causes and Mechanism: Combine these two sections, since there's really only one cause. This section should include risk factors, triggers, and the info that you currently have in your Pathogenesis section. For the pathogenesis content, I think it will help to have the text be more patient friendly.

Diagnosis: The content in this section is good. I would just recommend making the diagnostic criteria more clear. You say "at least one of the following," but then there's a second section titled "Along with." It is kind of unclear which characteristics "one of the following" refers to, and whether all of the characteristics in the "along with" section are required for diagnosis.

Prevention : Just for the purposes of readability, one thing you could do to improve this section would be to bullet point the ways you can prevent TACO, rather than it being in paragraph form

Treatment (or Management, especially for chronic conditions): Good content, just make it more patient friendly

Outcomes or Prognosis: What is the prognosis of TACO? Might be a good sentence to add

Epidemiology: Is there any data on other factors such as age distribution, sex ratio, race/ethnicity, comorbidities, etc? Though not absolutely necessary, these would definitely be a nice addition to this article.

History: This section is ok, I recognize that the history of TACO is not a very robust area of literature haha

Research directions: Is there any new research in this area? Per Wikipedia - "Include only if addressed by significant sources. See Trivia, and avoid useless statements like "More research is needed". Wikipedia is not a directory of clinical trials or researchers."

Images and Media: Add citations to image captions. Also add the content of captions into the text so that people can translate into other languages. For CXR caption, label the circle and arrow in the caption

Sorry there are so many suggestions, maybe just pick a few to focus on, since we only have a couple days! Great job, though LessonsInSpencer! You made a very comprehensive wikipedia article; keep up the great work!!

Kporter0918 (talk) 16:23, 15 November 2021 (UTC)

Thank you very much for the suggestions! I've expanded the lead of the article, updated reference 2 so that the link works, substituted all the medical terms for more patient-friendly terms, and clarified the diagnosis section. There isn't much in terms of current research in TACO and separating the incidence of TACo by age/gender/sex/race/comorbidities is difficult to clearly find in the literature. - LessonsInSpencer (talk) 01:39, 18 November 2021 (UTC)