Use of blood in mid-sized hospital in Belo Horizonte, Minas Gerais

Bastos, Scheilla de Lima; Martins, Júlio César Corrêa; Oliveira, Michelle Lima de; Pires, Paulo José Campos; Vieira, Talita Lages e; Ramos, Gilberto; Couto, Bráulio Roberto Gonçalves Marinho; Moreno, Elizabeth Castro; Proietti, Anna Bárbara de Freitas Carneiro

doi:10.5935/2238-3182.20140086

Cited by 2 publications

(2 citation statements)

References 10 publications

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“…However, this practice must be carried out consciously since it is an expensive activity with high costs for the health system. The transfusion of blood components involves costs from collecting blood units, transport, storage, preparation for transfusion or reservation within hospital units, and conducting pre-transfusion immunohematological tests so that the request cannot be carried out the wrong way 14,15 .…”

Section: Discussionmentioning

confidence: 99%

“…It is necessary to emphasize the importance of elaborating protocols to optimize the use of blood components and the work process involved in blood transfusion. This is considered an effective strategy for organizing and reducing the time and expense of unnecessary materials, aiming to reduce the number of transfusions without compromising the clinical outcome 15 .…”

Section: Discussionmentioning

confidence: 99%

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Analysis of requests for reservation of blood concentrates in patients referred to urgent surgeries in a teaching hospital

Garcia

Silveira

Jesus-Silva

2023

Preprint

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Introduction: The rates of request and use of blood concentrates are still poorly reported in the literature. This study aimed to analyze the rates of requests for blood concentrates and their use in patients undergoing emergency surgery in a teaching hospital. Methods: A retrospective, quantitative and descriptive study was conducted in 359 medical records of patients in urgent surgery scheduled with a request for a reserve of blood concentrate. The ratios between crossmatched and transfused units (C/T), transfusion index (TI), and probability (TP) were calculated, and the times between request and delivery at the transfusion agency (TA) and patient admission to the surgical center (SC). Results: The mean age was 58.5 (22.2) years, with the majority being male (53.1%). There was an average of 27.5 monthly requests (min 12, max 44). Ninety-seven units of blood concentrates were transfused into 44 patients (C/T ratio 7.59; TI 0.27; TP 12.3%). Only seven patients had their requests made after admission to the OR. The median time between the request and arrival at the TA was 1h15min, while that between the request and the patient's arrival at the SC was 5h23min. There was greater transfusion in major surgery (major 37, 14.8% vs. medium 7, 6.5%; p = 0.027) and non-orthopedic surgery (orthopedic 9, 4.0% vs. non-orthopedic 35, 26.9%; p < 0.001). Conclusion: there was a significant discrepancy between the number of requests for blood reservation and its real use and an increased time between reservation requests and their arrival at the TA.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Analysis of requests for reservation of blood concentrates in patients referred to urgent surgeries in a teaching hospital

Garcia

Silveira

Jesus-Silva

2023

Preprint

View full text Add to dashboard Cite

show abstract

Analysis of requests for reservation of blood concentrates in patients referred to urgent surgeries in a teaching hospital

Garcia,

Silveira,

Jesus-Silva

2023

Rev Cienc Saude

View full text Add to dashboard Cite

Introduction: The rates of request and use of blood concentrates are still poorly reported in the literature. This study aimed to analyze the rates of requests for blood concentrates and their use in patients undergoing emergency surgery in a teaching hospital. Methods: A retrospective, quantitative and descriptive study was conducted in 359 medical records of patients in urgent surgery scheduled with a request for a reserve of blood concentrate. The ratios between crossmatched and transfused units (C/T), transfusion index (TI), and probability (TP) were calculated, and the times between request and delivery at the transfusion agency (TA) and patient admission to the surgical center (SC). Results: The mean age was 58.5 ± 22.2 years, with the majority being male (53.1%). There was an average of 27.5 monthly requests (min 12, max 44). Ninety-seven units of blood concentrates were transfused into 44 patients (C/T ratio 7.59; TI 0.27; TP 12.3%). Only seven patients had their requests made after admission to the OR. The median time between the request and arrival at the TA was 1h15min, while that between the request and the patient's arrival at the SC was 5h23min. There was greater transfusion in major surgery (major 37, 14.8% vs. medium 7, 6.5%; p = 0.027) and non-orthopedic surgery (orthopedic 9, 4.0% vs. non-orthopedic 35, 26.9%; p < 0.001). Conclusion: there was a significant discrepancy between the number of requests for blood reservation and its real use and an increased time between reservation requests and their arrival at the TA.

show abstract

Use of blood in mid-sized hospital in Belo Horizonte, Minas Gerais

Cited by 2 publications

References 10 publications

Analysis of requests for reservation of blood concentrates in patients referred to urgent surgeries in a teaching hospital

Analysis of requests for reservation of blood concentrates in patients referred to urgent surgeries in a teaching hospital

Analysis of requests for reservation of blood concentrates in patients referred to urgent surgeries in a teaching hospital

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