Critical evaluation of justifications for the transfusion of red blood cells: the reality of a government emergency hospital
Rev. bras. hematol. hemoter
; 35(4): 263-267, 2013. tab
Article
en En
| LILACS
| ID: lil-687914
Biblioteca responsable:
BR408.1
ABSTRACT
BACKGROUND:
Blood products and derivatives are indispensable resources in medical therapies. However, it is important to note that the number of donations is far from ideal. Despite constant campaign efforts, a deficit of 1 million units is expected by 2030.OBJECTIVES:
To determine the adequacy of the indications for red blood cell transfusion in an emergency hospital in Alagoas.METHODS:
This was a cross-sectional observational study conducted at the Alagoas Blood Center. Of a total of 2936 red blood cell transfusion requests in 2009, 334 were randomized and compared with transfusion parameters described in the literature (primary variable). After analysis, the transfusion requests were categorized as adequate, inadequate or inconclusive. This last group included all red blood cell transfusion requests with insufficient clinical information, rendering their classification as adequate or inadequate impossible. The secondary variable involved the reasons for red blood cell transfusion. A 95% confidence interval was used in the statistical analysis.RESULTS:
Forty-seven (14.07%) requests were adequate and 30 (8.98%) were inadequate. Most of the requests were classified as inconclusive (76.94%). The main indications for transfusion were upper gastrointestinal bleeding (26.95%), anemia (46.71%), hypovolemia/hypovolemic shock (10.78%) and sepsis/septic shock (3.29%).CONCLUSION:
It was not possible to reach a conclusion ...Palabras clave
Texto completo:
1
Índice:
LILACS
Asunto principal:
Bancos de Sangre
/
Conservación de la Sangre
/
Transfusión Sanguínea
/
Transfusión de Eritrocitos
/
Servicio de Urgencia en Hospital
/
Hospitales Públicos
Tipo de estudio:
Clinical_trials
/
Observational_studies
Idioma:
En
Revista:
Rev. bras. hematol. hemoter
Asunto de la revista:
HEMATOLOGIA
Año:
2013
Tipo del documento:
Article