Contributions
Abstract: PB2094
Type: Publication Only
Background
The evidences in transfusional matter, are realized in patients admitted, reason why the established criteria so much for patients in the Units of Hospitalization as in the Day Hospital, are not the same
There is currently enough evidence to affirm that the transfusion of blood products can be carried out effectively, safely and in accordance with the American Blood Bank Association guidelines in the HDD, which entails, among other benefits, a significant reduction in the number of revenues.
We have no knowledge of publications of works with this content by hospital centers equivalent to ours in population area and / or number of beds in our country. Therefore, our study is focused on the care activity, developed mainly in the Day Hospital, in relation to the transnfusional activity
Aims
The main one is the quantification of the percentage of transfusion episodes of packed red blood cells (CH) according to the criteria of the AABB.
Methods
Retrospective, open and unicentric study. The period 2012-2013 is compared with 2015-2016. The inclusion criteria cover all patients over 14 years of age, who were transfused in the HURH Day Hospital, regardless of the medical service prescribing the transfusion.The lists of patients and number of CH transfused were obtained from the Blood Bank management program (DELPHIN).The pretransfusional haemoglobins were obtained from the MODULAB laboratory program.The diagnoses of the patients were extracted from the hospital records (SICLINICA).The data was collected anonymously in an Access ® database designed to preserve confidentiality.The statistical analysis has been performed using Stata program (StataCorp, Texas, USA).
Results
From 2012 to 2013, 203 patients were transfused in HDD. Among them, 41.38% were treated in haematology service. The pretransfusional haemoglobin was 7.7 g / dl, with a range of 7.0-8.3 g / dl.
319 transfusion episodes (63.55% of the total) were considered correctly indicated. Haematology service had the highest percentage of transfusions indicated, 230 (72.59%). The difference in adecuated indications between Haematology and the rest of services was 24.4%, which is statistically significant (p <0.001).
From 2015 to 2016, 270 patients were transfused in HDD. Of those, 35% belonged to Haematology service. The pretransfusional haemoglobin was 7.9 g / dl, with a range of 7.2-8.4 g / dl.
A total of 373 transfusion episodes (54.61% of the total) were considered correctly indicated. Haematology service had the highest percentage of transfusions indicated, 233 (61.97%). The difference in indications between Haematology and the rest of services was 16.4%, which statistically significant (p <0.001).
Conclusion
The increase in transfusion in our center was 25% from the periods of 2012-13 to 2015-16. This finding is related to the increasing complexity of care and the chronification of several pathologies.
The figures of pretransfusional Hb and infusion times were within the current recommendations, however, between 5.1% - 6.4% of transfusions were performed without recent analysis.
The comparison of adequate and inadequate transfusion, between haematology and the other services was statistically significant in the two periods of time studied (p <0.001), which can be considered reasonable given the greater involvement of haematology in the transfusion process.
Session topic: 10. Myelodysplastic syndromes – Clinical
Keyword(s): transfusion
Abstract: PB2094
Type: Publication Only
Background
The evidences in transfusional matter, are realized in patients admitted, reason why the established criteria so much for patients in the Units of Hospitalization as in the Day Hospital, are not the same
There is currently enough evidence to affirm that the transfusion of blood products can be carried out effectively, safely and in accordance with the American Blood Bank Association guidelines in the HDD, which entails, among other benefits, a significant reduction in the number of revenues.
We have no knowledge of publications of works with this content by hospital centers equivalent to ours in population area and / or number of beds in our country. Therefore, our study is focused on the care activity, developed mainly in the Day Hospital, in relation to the transnfusional activity
Aims
The main one is the quantification of the percentage of transfusion episodes of packed red blood cells (CH) according to the criteria of the AABB.
Methods
Retrospective, open and unicentric study. The period 2012-2013 is compared with 2015-2016. The inclusion criteria cover all patients over 14 years of age, who were transfused in the HURH Day Hospital, regardless of the medical service prescribing the transfusion.The lists of patients and number of CH transfused were obtained from the Blood Bank management program (DELPHIN).The pretransfusional haemoglobins were obtained from the MODULAB laboratory program.The diagnoses of the patients were extracted from the hospital records (SICLINICA).The data was collected anonymously in an Access ® database designed to preserve confidentiality.The statistical analysis has been performed using Stata program (StataCorp, Texas, USA).
Results
From 2012 to 2013, 203 patients were transfused in HDD. Among them, 41.38% were treated in haematology service. The pretransfusional haemoglobin was 7.7 g / dl, with a range of 7.0-8.3 g / dl.
319 transfusion episodes (63.55% of the total) were considered correctly indicated. Haematology service had the highest percentage of transfusions indicated, 230 (72.59%). The difference in adecuated indications between Haematology and the rest of services was 24.4%, which is statistically significant (p <0.001).
From 2015 to 2016, 270 patients were transfused in HDD. Of those, 35% belonged to Haematology service. The pretransfusional haemoglobin was 7.9 g / dl, with a range of 7.2-8.4 g / dl.
A total of 373 transfusion episodes (54.61% of the total) were considered correctly indicated. Haematology service had the highest percentage of transfusions indicated, 233 (61.97%). The difference in indications between Haematology and the rest of services was 16.4%, which statistically significant (p <0.001).
Conclusion
The increase in transfusion in our center was 25% from the periods of 2012-13 to 2015-16. This finding is related to the increasing complexity of care and the chronification of several pathologies.
The figures of pretransfusional Hb and infusion times were within the current recommendations, however, between 5.1% - 6.4% of transfusions were performed without recent analysis.
The comparison of adequate and inadequate transfusion, between haematology and the other services was statistically significant in the two periods of time studied (p <0.001), which can be considered reasonable given the greater involvement of haematology in the transfusion process.
Session topic: 10. Myelodysplastic syndromes – Clinical
Keyword(s): transfusion