Revista Colombiana de Anestesiología
Print version ISSN 0120-3347
MELENDEZ, Héctor Julio; ZAMBRANO, María del Pilar and MARTINEZ, Ximena. Evaluación de adecuada indicación transfusional en un hospital universitario. Rev. colomb. anestesiol. [online]. 2007, vol.35, n.3, pp. 195-201. ISSN 0120-3347.
Objectives: This study was designed to evaluate the global index of accurate transfusion indication (IAIT) in a teaching hospital according to the standards of the American Association of Blood Banks (AABB) and to understand the existing differences between the IATI of surgical and medical patients receiving transfusions and between the transfusion ordered by residents or specialists.Methods : Using a transversal cohort study we evaluated the IAIT of a teaching hospital in comparison of the AABB standards with a work hypothesis of an IAITd »70%. We included patients that needed a transfusion and accepted to participate in the study. Patients undergoing plasmapheresis or exsanguinous transfusions were excluded. Results: The investigation was done during the year 2006, 408 patients took part in it that received a total of 935 transfusions. We found a global index of accurate transfusion indication (IAIT) of 75.89%, of which a 76.57% corresponded to PRBC, 87%, 85% platelet, 52,5% FFP, 0% crio and 0% SFT, being higher than the value set by our hypothesis and close to the international standards for the first 3 elements, but not related to an accurate transfusion indication for the last 2 elements, IAT=0%. Conclusions: We found a global IAIT of 75.89% which is not an ideal value but is higher than our work hypothesis. The IAIT for specialists and residents was 46.42% and 73.46%, p=0,000; this difference was also significant when we evaluated the IAIT between medical patients (81.91%) and surgical patients (77.03) p=0,000. It is important to keep working toward the goal of education and providing protocols for transfusions.
Keywords : transfusion; transversal cohort; ASA; global index of accurate transfusion indication; unnecessary transfusion index.