TRANSFUSION TRIGGERS IN CRITICALLY ILL PATIENTS

Objective: To determine the frequency of inappropriate transfusions in tertiary care hospital. Study Design: Cross sectional study. Place and Duration of Study: General Intensive Care Unit (ICU) Lady Reading Hospital Peshawar, from Dec 2017 to Feb 2018. Material and Methods: We analyzed fifty blood...

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Bibliographic Details
Published inPakistan Armed Forces medical journal Vol. 69; no. 3; pp. 660 - 664
Main Author Aisha Kulsoom Mufti
Format Journal Article
LanguageEnglish
Published Knowledge Bylanes 01.06.2019
Army Medical College Rawalpindi
Subjects
critically ill
Factor VII
inappropriate transfusions
United Kingdom
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Summary:Objective: To determine the frequency of inappropriate transfusions in tertiary care hospital. Study Design: Cross sectional study. Place and Duration of Study: General Intensive Care Unit (ICU) Lady Reading Hospital Peshawar, from Dec 2017 to Feb 2018. Material and Methods: We analyzed fifty blood transfusions in a cross sectional study, each patient was individually examined regarding the presence of indication of transfusion. Frequency of inappropriate transfusions was noted. Results: Out of 50 transfusions 25 were done in medical patients and 25 in surgical patients. Red cell concentrate was the most frequently used blood product as 70% of all the transfusions were red cells. Out of the total transfusions 42% were not according to international guidelines, platelet was the most frequently misused blood product. Medical patients were significantly more likely to receive inappropriate transfusions. Conclusion: Our study concludes that 42% of total transfusions were not according to international guidelines.
ISSN:0030-9648
2411-8842