Evaluation of the appropriateness of blood and blood product transfusion using preset criteria

Mozes, Benjamin; Epstein, Murray; Ben-Bassat, I; Modan, B; Halkin, Hillel

doi:10.1046/j.1537-2995.1989.29689318442.x

Cited by 93 publications

(38 citation statements)

References 14 publications

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“…These 2 episodes (25%) of inappropriate platelets transfusion were in neonatal intensive care unit. Emergency situations in intensive care settings may lead to inappropriate use of platelets and fresh frozen plasma too [8,13,15]. In the present study, 83.15 % of the transfusion episodes were appropriate.…”

Section: Discussionsupporting

confidence: 43%

Rational use of blood components — an audit

Wade

Sharma

Manglani

2009

Indian J Hematol Blood Transfus

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Objectives The present study was designed to study appropriateness of use of the blood components in pediatric and neonatal wards.Design It was an observational study conducted in a tertiary care institute. The patients were selected from various pediatric subsections over a period of six months. Materials and methodsAll the patients below 12 years of age, who received blood components in any of the pediatric subsections including general pediatric wards, pediatric intensive care unit, pediatric hematology section, neonatal intensive care unit and pediatric surgery ward were included in the study. Each transfusion episode was assessed to decide whether it satisfi ed the predetermined criteria.Results Of the total 184 episodes of blood component transfusions, 153 (83.1%) episodes were appropriate and 31 (16.9%) episodes were inappropriate. Among these, fresh frozen plasma transfusions had highest inappropriate [18/41 (58%)] episodes followed by packed red cell transfusions [11/110 (35.5%)] and platelet transfusions [2/5 (6.45%)].There was no inappropriate episode of cryoprecipitate transfusion.Conclusions The present study reinforces the importance of blood audit in the clinical setting. Judicious implementation of guidelines for use of various blood products may help decrease the inappropriate use of blood components.

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Section: Discussionsupporting

confidence: 43%

Rational use of blood components — an audit

Wade

Sharma

Manglani

2009

Indian J Hematol Blood Transfus

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“…Inappropriate use of Platelets (%) Vishwanathan et al (14) 1999 30.39% K Saluja et al (6) 2007 12% Jamal R et al (1) 1998 18.5% Hui et al (15) 2005 12 % Poonam et al (16) 2014 36% Mozes et al (17) 1989 44.1% Our study 2016 30.9% …”

Section: Year Of Studymentioning

confidence: 72%

Audit on Platelet Transfusion at MGM Blood Bank: A Retrospective Study

Gupta¹,

Biyani²,

Varshney³

2016

jemds

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AIMS AND BACKGROUNDPlatelet transfusion is an important treatment modality for prevention and treatment of bleeding. Indiscriminate use and noncompliance to platelet transfusion have been found despite having various guidelines and recommendations. This study is aimed at assessing the preparation, utilization and discard of platelets in our hospital. MATERIAL AND METHODSWe conducted a retrospective study in the Department of Immunohematology and Blood Transfusion at MGM Medical College and Hospital, Kamothe, Navi Mumbai, for a period of 4 months from 1 st July to 31 st October 2015, wherein appropriate utilization, major users, ABO group specific or non-group specific platelet transfusions and expiry rates were analysed. RESULTA total of 1806 whole blood units were collected, of which 1708 (94.5%) units were separated into components. Of these, 1067 platelets were prepared; 213 platelet requisitions were received for 162 patients at our blood bank. Of these, 185 platelet requisitions were evaluable in which 128 (69.1%) had appropriate utilization pattern conforming to the BCSH guidelines. Out of 992 RDP transfusions, 684 (68.9%) were ABO group specific, while remaining were given across the barrier. Major users were dengue patients followed by malaria, which together accounted for 61.49%. Expiry rate was found to be 7.02%. CONCLUSIONRegular audits, application of transfusion guidelines and clinician training programmes are necessary for rational and judicious use of platelet.

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“…[8] Training of physicians plays a major role in management of blood usage, since human errors are involved in the risks of blood transfusion therapy. [9] Studies carried out by Mozes et al [10] Surgenor et al [11] and Goodnough et al [12] since the onset of the Acquired Immunodeficiency Syndrome (AIDS) epidemic have found that there is still considerable inappropriate use of blood products. Correlation between physicians' knowledge, usage of blood components and the inappropriate use of blood products have been demonstrated in studies conducted by Salem-Schatz et al [13] Some studies conducted by Wu et al [14] Hebert and Fergusson.…”

Section: Discussionmentioning

confidence: 99%

“…This leads to improper use of blood and blood products, more costs per patient and the exposure of patients to infectious and noninfectious adverse consequences. [2,8,10,11,13,17] Significant advances in internal medicine and aggressive surgeries have led to remarkable increase in use of blood and blood components. However, many of the physicians are still unaware regarding the emergency blood transfusion protocols and massive blood transfusion protocols.…”

Section: Discussionmentioning

confidence: 99%