A simple program to improve the appropriateness of red blood cell transfusions in non-bleeding hospital patients: a before-and-after study

Author:

Herzyk Jan1ORCID,Wilczek Dawid1,Kopczyńska Renata2,Czempik Piotr F.34ORCID

Affiliation:

1. Students’ Scientific Society, Department of Anesthesiology and Intensive Care, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Poland

2. Central Laboratory, University Clinical Center of Medical University of Silesia, Katowice, Poland

3. Department of Anesthesiology and Intensive Care, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Poland

4. Transfusion Committee, University Clinical Center of Medical University of Silesia, Katowice, Poland

Abstract

IntroductionTransfusion of red blood cells (RBCs) is not devoid of risks; nor is anemia. The aim of the study was to assess the usefulness of a program designed to improve the appropriateness of RBC transfusions in hospital patients.MethodsWe retrospectively analyzed time periods before and after program implementation. Results: Before program implementation 415 out of 23492 (1.8%) patients received at least 1 RBC, whereas after implementation 162 out of 25062 (0.6%) did so. The percentage of appropriate RBC transfusions increased from 23.6 to 37.1%.ResultsBefore program implementation 415 out of 23492 (1.8%) patients received at least 1 RBC, whereas after implementation 162 out of 25062 (0.6%) did so. The percentage of appropriate RBC transfusions increased from 23.6 to 37.1%.ConclusionsA simple program may lead to a 3-fold decrease in transfusion rate and a significant increase in the percentage of appropriate RBC transfusions.

Publisher

Termedia Sp. z.o.o.

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