Resumo

VALENCIA ARANGO, Wilson et al. Analysis of transfusion practice in a second level hospital in Cali, Colombia from June to November 2010. Medicas UIS [online]. 2012, vol.25, n.2, pp.107-112. ISSN 0121-0319.

Introduction: scientific societies have studied indications for blood transfusion and have designed clinical practice guidelines to avoid unnecessary transfusions and optimize the use of donated blood units. Some researches have found that these guidelines aren’t followed as expected. Objective: compare transfusion practices of a Hospital level II in Colombia with the suggestions of international guidelines. Materials and methods: using the records of Transfusion Medicine Center of the Hospital, the transfusions made between July 14^th and November 30th of 2010 were analyzed, we obtained information about the causes of transfusion, type of blood component ordered, the specialty of the ordering physician and the concordance with clinical practice guidelines of the American Association of Blood Banks, the American Red Cross, and the American Society of Anesthesiologists. We got facts about the percentage of properly ordered transfusions compared with the total of transfusions. Results: most of transfusions were ordered by general doctors who showed the best adherence to clinical practice guidelines. The first cause of transfusion was anemia and the blood component more requested was red cell units. The percentage of inadequate transfusions was 25.5%. Conclusions: transfusion practice must be improved adapting to published guidelines. Consequently, a transfusion medical committee must be created in every hospital as well as protocols must be written. Reviewing the literature, we found that some aspects of the guidelines could change in the future, like the use of plasma in cases of massive bleeding. (MÉD.UIS. 2012;25(2):107-12).

Palavras-chave : Blood Transfusion; Blood Component Transfusion; Practice Guidelines as Topic.

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