ArticleRevista brasileira de hematologia e hemoterapia2013
Critical evaluation of justifications for the transfusion of red blood cells: the reality of a government emergency hospital.
Article in Revista brasileira de hematologia e hemoterapia, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Overview of blood transfusion appropriateness with one-day point prevalence: Right decision? Right product? Right amount?Northern clinics of Istanbul · 2025Article
- Profile of hemotherapy care and the safety of the transfusion process.Revista da Associacao Medica Brasileira (1992) · 2022Article
- Article
- Appropriate use of red blood cell transfusion in emergency departments: a study in five emergency departments.Blood transfusion = Trasfusione del sangue · 2017Article
- Anemia in Intensive Care: A Review of Current Concepts.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2016Article
- Rational use of blood: how to do it?Revista brasileira de hematologia e hemoterapia · 2013Article
- Implementation of a patient blood management program based on a low-income country-adapted clinical decision support system.Hematology, transfusion and cell therapyArticle
- Blood components requests at an orthopedic hospital: a critical survey.Hematology, transfusion and cell therapyArticle
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Authors and funding
3 authors.
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Abstract
backgroundBlood products and derivatives are indispensable resources in medical therapies. However, it is important to note that the number of donations is far from ideal. Despite constant campaign efforts, a deficit of 1 million units is expected by 2030.
objectivesTo determine the adequacy of the indications for red blood cell transfusion in an emergency hospital in Alagoas.
methodsThis was a cross-sectional observational study conducted at the Alagoas Blood Center. Of a total of 2936 red blood cell transfusion requests in 2009, 334 were randomized and compared with transfusion parameters described in the literature (primary variable). After analysis, the transfusion requests were categorized as adequate, inadequate or inconclusive. This last group included all red blood cell transfusion requests with insufficient clinical information, rendering their classification as adequate or inadequate impossible. The secondary variable involved the reasons for red blood cell transfusion. A 95% confidence interval was used in the statistical analysis.
resultsForty-seven (14.07%) requests were adequate and 30 (8.98%) were inadequate. Most of the requests were classified as inconclusive (76.94%). The main indications for transfusion were upper gastrointestinal bleeding (26.95%), anemia (46.71%), hypovolemia/hypovolemic shock (10.78%) and sepsis/septic shock (3.29%).
conclusionIt was not possible to reach a conclusion on the adequacy of the indication for transfusion in most of the cases. Therefore, it is important to adopt a transfusion protocol, rigorously analyze blood bank requests, to provide awareness campaigns on the rational use of blood and to implement strategies to use blood products more effectively.
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