A simple program to improve the appropriateness of red blood cell transfusions in non-bleeding hospital patients: a before-and-after study

被引:2
|
作者
Herzyk, Jan [1 ]
Wilczek, Dawid [1 ]
Kopczynska, Renata [2 ]
Czempik, Piotr F. [3 ,4 ]
机构
[1] Med Univ Silesia, Fac Med Sci Katowice, Dept Anesthesiol & Intens Care, Students Sci Soc, Katowice, Poland
[2] Univ Silesia, Univ Clin Ctr Med, Cent Lab, Katowice, Poland
[3] Med Univ Silesia, Fac Med Sci Katowice, Dept Anesthesiol & Intens Care, 14 Medykow St, PL-40752 Katowice, Poland
[4] Med Univ Silesia, Univ Clin Ctr, Transfus Comm, Katowice, Poland
关键词
blood transfusion; Patient Blood Management; red blood cell transfusion; transfusion guidelines; standard operating procedure; TIME;
D O I
10.5114/aoms/177281
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Introduction: Transfusion of red blood cells (RBCs) is not devoid of risks; nor is anemia. The aim of the study was to assess the usefulness of a program designed to improve the appropriateness of RBC transfusions in hospital patients. Methods: We retrospectively analyzed time periods before and after program implementation. Results: Before program implementation 415 out of 23492 (1.8%) patients received at least 1 RBC, whereas after implementation 162 out of 25062 (0.6%) did so. The percentage of appropriate RBC transfusions increased from 23.6 to 37.1%. Conclusions: A simple program may lead to a 3-fold decrease in transfusion rate and a significant increase in the percentage of appropriate RBC transfusions.
引用
收藏
页码:317 / 320
页数:4
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