Review article

Transfusion Treatment at Sestre Milosrdnice University Hospital Center During a Twelveyear Period

Dragica Sović ; Department of Transfusion Medicine, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Javorka Dodig ; Department of Transfusion Medicine, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Miroslav Banović ; Department of Transfusion Medicine, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Anamarija Jularić ; Department of Transfusion Medicine, Sestre milosrdnice University Hospital Center, Zagreb, Croatia

Abstract

Transfusion treatment is administered according to clinical and laboratory results, with ongoing patient assessments. Decisions on necessary measures to prevent any adverse and unexpected events and reactions are made on the basis of hemovigilance and ongoing gathering and analysis of relevant data. Information about transfusion treatment at the Sestre milosrdnice University Hospital Center, Vinogradska site, was retrospectively collected for a period of twelve years (2001-2012). In that period, 14137.25±1693.07 units of all blood products were used, where red blood cells (RBC) accounted for 67.34%, fresh frozen plasma (FFP) for 17.55%, and platelet concentrates (PC) for 14.32%. During the study period, the consumption of RBC was even, of FFP decreased by 45% and of PC increased by 58%. RBC transfusions were received by 10.43% of hospitalized patients, 1.46% of them during surgical procedures. Transfusions of all blood products were received by 14.63% of patients. We found 247 adverse reactions to all blood products. Febrile nonhemolytic and allergic reactions were quite equally represented, 49.5% each. As for other reactions (1%), one transfusion associated circulatory overload and one transfusion related acute lung injury were recorded. There were no fatal post-transfusion reactions.

Keywords

Blood transfusion – therapy; Blood transfusion – adverse effects; Blood components; Blood safety; Maximum surgical blood order schedules

Hrčak ID:

133341

URI

https://hrcak.srce.hr/133341

Publication date:

3.11.2014.

Article data in other languages: croatian

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