Blood component therapy. A retrospective study at combined military hospital Multan

ABSTRACT

Whole blood transfusion is mostly practiced in our country whereas blood component therapy is the order of modern medical practice. The aim of the present study was to evaluate the use of blood, its components and the different clinical conditions in which these were used at CMH Multan from June 2001 to November 2001. One thousand and fifteen blood donations were done at the blood bank of CMH Multan. Heraus refrigerated centrifuge was used to prepare blood components. Red cell concentrates, platelet concentrates, leucocytes depleted blood and fresh frozen plasma were prepared. A total of 1310 blood and its component transfusion were studied. Of the 1310 cases 29.38% were males, 38.77% females, 31.8% belonged to pediatric age group. There was significant difference of age distribution among male and female patients. Pregnancy, its complications and caesarian section were the most common indications for blood transfusion. Whole blood was given to 898 cases [68.6%]. Red cell concentrates were given to 241 cases [18.4%]. Fresh frozen plasma/single donor plasma was given to 141 cases [10.7%]. Platelets were given to 30 cases [2.3%]. Leucocyte depleted blood was given to 4 cases [0.3%]. Only 3 non-hemolytic febrile transfusion reactions were noted in patients who were given whole blood. With modern facilities blood components can easily be prepared and their appropriate use can increase the number of patients who can achieve therapeutic benefits. The components should be transfused rather than transfusion of whole blood