Authors: Shalini Bahadur Neha Sethi Sangeeta Pahuja Chintamani Pathak Manjula Jain
Publish Date: 2014/05/03
Volume: 82, Issue: 4, Pages: 333-339
Abstract
The present study conducted over a period of 3 mo analyzed all the episodes of transfusions and divided them into appropriate and inappropriate according to the type of blood components the requesting departments and the clinical indication of transfusion Data was reviewed according to the British Committee for Standards in Hematology and American Association of Blood Bank guidelinesA total of 2145 units of hemocomponents were transfused to children including 1181 units of red cell concentrates 566 units of platelet concentrates/platelet rich plasma 118 units of whole blood and 280 units of fresh frozen plasma in 1819 episodes Appropriate usage of blood components was 5965 Whole blood was most appropriately transfused 829 Appropriate indications outnumbered inappropriate requisitions in Department of Pediatric Medicine 7038 Nursery 8254 and Thalassemia day care centre 5563 Red cell concentrate was most appropriately indicated in anemias 7314 and inappropriately in cases of surgeries 536 Platelets were used more appropriately in all clinical indications Whole blood was transfused most appropriately 100 in double venous exchange therapy Most appropriate indication of fresh frozen plasma usage was coagulopathy 4257 As the appropriate usage 5965 of blood components was low in the present study regular auditing of transfusion practices from time to time is indicated This not only helps guide their judicious use but also serves to evaluate and decrease their inappropriate usage
Keywords: