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Blood Component Transfusion in a Tertiary Care Hospital
Mumtaz Sharif1, Amit Saxena2, Swati Singh1
1Department of Pediatrics, D.Y. Patil Medical College, Nerul, Navi Mumbai, 400706, India.
Indian Journal of Pediatrics
|March 13, 2020
Summary
Nearly one-third of blood component transfusions, including platelets, fresh frozen plasma (FFP), and packed red blood cells (PRBC), were inappropriate in pediatric and neonatal intensive care units. Following guidelines can improve rational blood product use.
Area of Science:
- Pediatrics
- Hematology
- Transfusion Medicine
Background:
- Rational use of blood components is crucial in pediatric and neonatal care.
- Assessing transfusion practices ensures patient safety and optimizes resource allocation.
Purpose of the Study:
- To evaluate the appropriateness of blood component utilization in pediatric and neonatal wards.
- To identify areas for improvement in transfusion practices.
Main Methods:
- A retrospective study was conducted in a tertiary care center in India.
- Data from 336 blood component transfusion episodes in patients under 12 years old were analyzed.
- Transfusion episodes were assessed against predetermined guidelines.
Main Results:
- 244 (72.6%) of 336 transfusion episodes were appropriate, while 92 (27.4%) were inappropriate.
- Platelets had the highest rate of inappropriate transfusions (36.84%), followed by fresh frozen plasma (FFP) (28.95%) and packed red blood cells (PRBC) (21.21%).
- Inappropriate transfusions were most common in intensive care settings.
Conclusions:
- Approximately one-third of FFP, platelet, and PRBC transfusions were administered without clear indications.
- Adherence to recommended guidelines for blood product use is essential to reduce inappropriate transfusions.
- Improving judicious use of blood components can enhance patient outcomes and resource management.
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