Hemovigilance and patient safety: analysis of immediate transfusion reactions in elderly

Abstract

Objective: To identify immediate transfusion reactions in elders hospitalized in a public hospital in the Federal District. Methods: This is an observational, retrospective, documental, and analytical research, with a quantitative analysis of 516 transfusions of packed red blood cells in elders hospitalized in the largest public hospital, who required blood components, from June to December 2017, through descriptive statistics. Results: The sample corresponded to 46.36% of the total number of transfusions in elders in the period. The mean age was 70 years old. There were adverse effects (reactions to the transfusion) in 12 (2.3%) transfusions. Respiratory alterations (33.3%) and fever (23.8%) were the most common events. Conclusion: The incidence of reactions to the transfusion is below national and international rates, indicating probable undernotification, which could be associated to a lack of knowledge regarding its clinical manifestations and the lack of systematic monitoring of the transfusion.

A Study on Adverse Transfusion Reactions in a Secondary Care Hospital of Rural India

“…Underreporting was also found in a study conducted by Surekha K et al, Incidence in our study was found to be 1.17% which was different from a study conducted by Surekha K et al (0.3%), Bhattacharya et al (0.18%), and Praveen Kumar et al, (0.05%) [8,9,10]. A hemovigilance study conducted in Portuguese among elderly people shown a high rate of adverse transfusion reactions compared to the current study [11].…”

Impactos epidemiológicos em hospitalizações por patologias do sangue e dos órgãos hematopoéticos na 4ª regional de saúde no Estado do Paraná entre 2017 a 2021

“…Portanto, fatores propensos as dificuldades em suprir hemocomponentes em emergências médicas, sobre tudo nas patologias clínicas correlacionadas á internações hospitalares por patologias do sangue e dos órgãos hematopoéticos e alguns transtornos imunitários são comumente evidenciados (Sobral et al, 2020).…”

Effect of hemovigilance education on nursing students’ knowledge: the application of a conceptual map

“…5,9 Nurses having knowledge on hemovigilance subsequently increased their understanding of different types of the blood products, the ways to transfuse and maintain blood products, the way to transfer the products, different blood types and tests required for the blood transfusion process, the required facilities and equipment, and the reactions to blood and the blood products. 10 The nurse's knowledge in this field makes it possible to monitor the transfusion process and the management of the blood carefully and to record all the incidents and then use them for further evaluations while monitoring patients closely and continuously. 11,12 Controlling the orders, caring patients, obtaining their consent, and educating them about health issues are known as the most important tasks of nurses during the hemovigilance process; so, they should have knowledge on them.…”