Red Blood Cell Transfusions in the Pediatric Intensive Care Unit of the University Hospital: Are they in accordance with the Current Guidelines?

Year 2024, Volume: 12 Issue: 3, 77 - 82, 29.10.2024

Resul Yılmaz , Şeyma Işık Bedir

https://doi.org/10.21765/pprjournal.1568821

Abstract

Objectives. – Blood component transfusion is a common procedure used during hospital admissions; however, it is not risk-free. The evaluation of correct use of blood products (BP) is of vast importance considering the risks and costs implied in their use. Our principal objective was to evaluate the adherence to international guidelines for erythrocyte suspension (ES) transfusion in pediatric patients at a third level university hospital.
Material and methods. – A retrospective descriptive analytical study was conducted to report the incidence of incorrect use of ES transfusion in pediatric patients (1 month to 18 years of age). In a timeline period of 1 years, 155 medical records were analyzed and a total of 53 ES transfusions selected as study sample. The variables studied were volume, infusion time, and transfusion criteria. Indications were evaluated in patient’s medical records according to international guidelines.
Results. – Of the transfusions analyzed, 54% were classified as incorrect mainly due to lack of transfusion criteria fulfillment. ES transfusion indications in pediatric patients adhered poorly to international guidelines.
Conclusion. – The implementation of effective programs for education and information on the use of ES transfusions are needed to increase compliance with current guidelines.

Keywords

pediatric intensive care, guideline, compliance, Erythrocyte suspension Transfusion, red blood cell transfusion

Ethical Statement

Selçuk Üniversitesi Tıp Fakültesi Yerel Etik kurulu’nun 14/02/2023 tarih ve 2023/98 sayılı onam kararı

Üniversite Hastanesi Çocuk Yoğun Bakım Ünitesinde Eritrosit Süspansiyonu Transfüzyonu: Mevcut Yönergelere Ne kadar Uyulmaktadır?

Abstract

Amaçlar. – Kan bileşeni transfüzyonu hastane yatışları sırasında kullanılan yaygın bir prosedürdür; ancak risksiz değildir. Kan ürünlerinin (BP) doğru kullanımının değerlendirilmesi, kullanımlarında ima edilen riskler ve maliyetler göz önünde bulundurulduğunda büyük önem taşır. Başlıca amacımız, üçüncü seviye bir üniversite hastanesinde pediatrik hastalarda eritrosit süspansiyonu (ES) transfüzyonu için uluslararası yönergelere uyumu değerlendirmekti.
Materyal ve yöntemler. – Pediatrik hastalarda (1 aydan 18 yaşına kadar) ES transfüzyonunun yanlış kullanımının sıklığını bildirmek için retrospektif tanımlayıcı analitik bir çalışma yürütüldü. 1 yıllık bir zaman diliminde, 155 tıbbi kayıt analiz edildi ve toplam 53 ES transfüzyonu çalışma örneği olarak seçildi. İncelenen değişkenler hacim, infüzyon süresi ve transfüzyon kriterleriydi. Endikasyonlar, uluslararası yönergelere göre hastanın tıbbi kayıtlarında değerlendirildi.
Sonuçlar. – Analiz edilen transfüzyonların %54'ü, esas olarak transfüzyon kriterlerinin karşılanmaması nedeniyle yanlış olarak sınıflandırıldı. Pediatrik hastalarda ES transfüzyon endikasyonları uluslararası kılavuzlara yeterince uymuyor.
Sonuç. – Mevcut kılavuzlara uyumu artırmak için ES transfüzyonlarının kullanımı hakkında eğitim ve bilgi için etkili programların uygulanması gerekiyor.

Keywords

çocuk yoğun bakım, rehber, eritrosit süspansiyonu transfüzyonu, uyum

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