Frequency and threshold of the erythrocyte suspension transfusion in the intensive care unit

Açık, Mehmet Eren; Türk, Hacer Şebnem; Işıl, Canan Tülay; Ediz, Naim; Paksoy, İnci; Tombul, Merih; Oba, Sibel

doi:10.5350/semb.20140219060126

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“…Another study concluded that a lower minimum threshold value could be tolerated when making a decision on RBC transfusion (14). Furthermore, it has been reported that the use of a restrictive transfusion protocol may be a better strategy for prolonging survival (15). The average Hb of patients at transfusion in our study was 6.9 g/dl.…”

Section: Discussionmentioning

confidence: 54%

Transfusion practice and costs in a reference tertiary pediatric intensive care unit

Atakul

Ayhan

Topal³

et al. 2021

Pediatric Practice and Research

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Aim:In this study we aimed to evaluate transfusion related costs in a pediatric intensive care unit, taking into consideration previously defined transfusion indications, evidence-based transfusion evaluations and clinical transfusion practices. Material and Method:Seventy six patients that received a blood transfusion in our tertiary referal centre's pediatric intensive care unit between January 2017 -January 2018 were included in the study. Transfusion related costs and total healthcare costs were retrospectively collected. Consumables (blood transfusion set, apheresis set etc.), immunohematological tests and blood transfusion procedure related costs were separately evaluated, an overall transfusion cost per patient was estimated and proportioned to the total health care cost per patient. Results:The ratio of transfusion related costs within total healthcare costs was found to be 3.24%. The median total healthcare cost and transfusion related cost were 5478.76 Euros (IQR=11280.02) and 130.57 Euros (IQR=354.86), respectively. A significantly strong positive correlation was detected between the number of transfusions and total healthcare cost (r:0.674, p<0.01). Although the median costs of the patients administered split blood were lower, the difference was not statistically significant. Conclusion:There are no studies evaluating blood transfusions and costs in pediatric intensive care units in Turkey. More detailed studies are needed to examine transfusion costs and the diversity of blood product transfusions in intensive care units.

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Section: Discussionmentioning

confidence: 54%