A retrospective study on the use of blood products in the emergency department

Christopher, Ajay; Hazra, Darpanarayan; Inian, Sandhana; Jose, Jaquiline C; Philip, Angelene Eliseba; Thomas, Sherin Susan; Chandy, Gina Mariyann; Mammen, Joy John

doi:10.4103/cmi.cmi_8_20

Cited by 2 publications

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“…The mean pre-transfusion hemoglobin was also remarkably low compared to other studies reviewed. ( 9) , ( 7) , (16) Our study found that only 15.2% of RBC requests were met by the blood bank, compared to 78.7% in the Indian study by Christopher et al (2020). (17) The median delay from prescription to transfusion was over two days versus about 6 hours in the African studies by Essola et al and Raveloson et al( 8) , (9) Sixty-ve of 262 patients for whom an RBC request was made were discharged without transfusion, and of those, 18 had a hemoglobin level below 8 mg/dL.…”

Section: Discussionmentioning

confidence: 67%

“…( 9) , ( 7) , (16) Our study found that only 15.2% of RBC requests were met by the blood bank, compared to 78.7% in the Indian study by Christopher et al (2020). (17) The median delay from prescription to transfusion was over two days versus about 6 hours in the African studies by Essola et al and Raveloson et al( 8) , (9) Sixty-ve of 262 patients for whom an RBC request was made were discharged without transfusion, and of those, 18 had a hemoglobin level below 8 mg/dL. The present study reveals severely constrained blood product availability with prolonged procurement delays at the emergency department of Mirebalais University Hospital.…”

Section: Discussionmentioning

confidence: 74%

“…For example, a retrospective descriptive study conducted in India in 2020 reported a response rate of only 78.7% for transfusion requests. (17) This article aims to determine the proportion of patients requiring emergency transfusion, transfused patients' characteristics, as well as the response rate and timeliness of blood product delivery for requests made. The study's ndings will be crucial for a better understanding of thе blood transfusion rеquirеmеnts in this hospital's еmеrgеncy department.…”

Section: Introductionmentioning

confidence: 99%

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Red blood cell transfusion in a tertiary Haitian hospital's emergency department: patient characteristics and availability challenges

Jacques,

Julmisse,

Laurore

et al. 2023

Preprint

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Background Red blood cell (RBC) transfusions are essential for many patients admitted to emergency departments. However, accessibility to red cell transfusions is often limited, especially in low-income countries such as Haiti. This article aims to determine the proportion of patients requiring emergency transfusion, transfused patients' characteristics, as well as the response rate and timeliness of blood product delivery for requests made. Study design and Methods: A cross-sectional study was conducted among all patients with red blood cell transfusion indications from January to June 2022 at the Emergency Department of Mirebalais Teaching Hospital. The parameters studied included transfusion indications, pre-transfusion hemoglobin levels, indications, pre-transfusion hemoglobin levels, and delay from prescription to transfusion. Results During the study period, 3993 patients received treatment. The proportion of patients requiring RBCs was 6.6%, including 145 males and 117 females, with a mean age of 44 years ranging from 9 to 84 years. Only 21.7% of these patients received a transfusion. The average pre-transfusion hemoglobin level was 4.75 ± 1.68 mg/dL. The most common indications for transfusion were infection/sepsis (36.74%), trauma (23.48%), and cancer (21.57%). The median time delay from prescription to transfusion was 2.37 days [IQR: 0.97–4.93 days]. Conclusion RBC transfusion requests are frequent in the emergency department of Mirebalais Teaching Hospital, with a relatively high transfusion delay. Further studies on the relevance of RBC requests and ways to reduce delay from prescription to transfusion would be beneficial to improve this situation.

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Section: Discussionmentioning

confidence: 67%

Section: Discussionmentioning

confidence: 74%

Section: Introductionmentioning

confidence: 99%

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Red blood cell transfusion in a tertiary Haitian hospital's emergency department: patient characteristics and availability challenges

Jacques,

Julmisse,

Laurore

et al. 2023

Preprint

View full text Add to dashboard Cite

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Red blood cell transfusion in a tertiary Haitian hospital’s emergency department: patient characteristics and availability challenges

Jacques,

Julmisse,

Laurore

et al. 2024

Int J Emerg Med

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Background Red blood cell (RBC) transfusions are essential for many patients admitted to emergency departments (ED). However, accessibility to red cell transfusions is often limited, especially in low-income countries such as Haiti. This article aims to determine the proportion of patients requiring emergency transfusion, transfused patients’ characteristics, as well as the response rate and timeliness of blood product delivery for requests made. Methods A retrospective study was conducted among all patients with RBC transfusion indications from January to June 2022 at the ED of Mirebalais Teaching Hospital. The parameters studied included transfusion indications, pre-transfusion hemoglobin levels, and delay from prescription to transfusion. Results During the study period, 3993 patients received treatment in the ED. The proportion of patients requiring RBCs was 7.69%, including 145 males and 117 females, with a median age of 43 [30–56] years. Only 21.7% of these patients received a transfusion. The average pre-transfusion hemoglobin level was 4.75 ± 1.68 g/dL. The most common transfusion’s indications were infection/sepsis (36.74%), trauma (23.48%), and cancer (21.57%). The median time delay from prescription to transfusion was 2.37 [0.97–4.93] days. The study identified significant associations between RBC transfusion probability and patient factors like hemoglobin levels, patient disposition, urgency of RBC request, and length of stay. Conclusion RBC transfusion requests are frequent in the ED of Mirebalais Teaching Hospital, with a relatively high transfusion delay. Further studies on the relevance of RBC requests and ways to reduce delay from prescription to transfusion would be beneficial to improve this situation.

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A retrospective study on the use of blood products in the emergency department

Cited by 2 publications

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Red blood cell transfusion in a tertiary Haitian hospital's emergency department: patient characteristics and availability challenges

Red blood cell transfusion in a tertiary Haitian hospital's emergency department: patient characteristics and availability challenges

Red blood cell transfusion in a tertiary Haitian hospital’s emergency department: patient characteristics and availability challenges

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