Blood transfusion in children at a university hospital in a middle-income country: The need to reinforce adherence to current guidelines
| Autor: | Consuelo Treviño-Garza, D Gómez-Almaguer, J Jaime-Pérez, Irving Armando Domínguez-Varela, E Cázares-Perales, E Godoy-Salinas, D Villarreal-Martinez, F Pérez-Chávez, A Meléndez-Aguirre, Laura Villarreal-Martínez, E Estrada-Rivera, M de la O-Cavazos, D Gutiérrez-Fernández, F Guzmán-Gallardo |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Blood transfusion medicine.medical_treatment Clinical Biochemistry Blood Component Transfusion 030204 cardiovascular system & hematology Middle income country Hospitals University 03 medical and health sciences 0302 clinical medicine medicine Humans Blood Transfusion Prospective Studies Child Retrospective Studies Infusion time business.industry Incidence (epidemiology) Medical record Biochemistry (medical) Transfusion medicine Hematology University hospital Emergency medicine business 030215 immunology |
| Zdroj: | Transfusion Clinique et Biologique. 27:65-69 |
| ISSN: | 1246-7820 |
| DOI: | 10.1016/j.tracli.2020.03.002 |
| Popis: | Objectives Blood component transfusion is a common procedure used during hospital admissions; however, it is not risk-free. The evaluation of correct use of blood products (BP) is of vast importance considering the risks and costs implied in their use. Our principal objective was to evaluate the adherence to national guidelines for blood transfusion in pediatric patients at a third level university hospital. Material and methods A prospective and retrospective descriptive analytical study was conducted to report the incidence of incorrect use of BP in pediatric patients (1 month to 16 years of age). In a timeline period of 4 years, 579 medical records were randomly selected from a total of 6575 transfusions realized to create a statistically significant sample. The variables studied were volume, infusion time, and transfusion criteria. Indications were evaluated in patient's medical records according to national guidelines. Results Of the transfusions analyzed, 54% were classified as incorrect mainly due to lack of transfusion criteria fulfillment. Blood transfusion indications in pediatric patients adhered poorly to national guidelines. Conclusion The implementation of effective programs for education and information on the use of BP are needed to increase compliance with current guidelines. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect