A Retrospective Audit of Appropriateness and Monitoring of Fresh Frozen Plasma Transfusions in A Tertiary Care Hospital
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 7
Abstract
Introduction: In spite of availability of transfusion guidelines for appropriate use of blood components, there is often unjustified and inappropriate use of blood components. The objective of the study was to audit the appropriateness and monitoring of fresh frozen plasma (FFP) transfusions in a tertiary care center. Material and Methods: A retrospective audit was conducted on 204 FFP transfusion episodes. The appropriateness of transfusion indication and amount of FFP transfused were assessed based on NHMRC guidelines. The transfusion episodes were categorized as per the clinical specialty and were further divided into appropriate and inappropriate transfusion episodes depending on whether the transfusion indication and the amount transfused were as per the guidelines. Inadequately documented transfusion episodes were also considered inappropriate. Monitoring of transfusion episodes and post-transfusion assessment of the FFP recipients was also evaluated. Results: The clinical specialty with the highest FFP transfusion episodes was cardiac surgery (27.9%). Out of 204, 95 episodes were appropriate (46.6%) and 105 were inappropriate (53.4%). The highest number of appropriate FFP transfusion episodes was from the specialty of General Medicine (70.5%). The most number of inappropriate transfusions were prescribed by the specialty of pediatric surgery (87.5%). Mildly elevated prothrombin time without bleeding and cardiac surgery without deranged coagulation was the most frequent inappropriate indications. Clinical monitoring of FFP recipients during the transfusion episode was performed in 15 out of 204 (7.3%) transfusion episodes. Post-transfusion follow-up of patients was performed in 29/204 (14.2%) patients from different clinical specialties. Conclusion: The high rate of inappropriate FFP transfusions indicates the need for strategies to improve the transfusion practices. This can be achieved through educational interventions for the clinical specialties about the rational use of blood components and through regular transfusion audits for all blood components.
Authors and Affiliations
Swarupa N Bhagwat, Jayashree H Sharma
Keywords
Related Articles
- EP ID EP426610
- DOI -
- Views 100
- Downloads 0
Serum Ceruloplasmin and Serum Adenosine Deaminase: Do They have a Role as a Noninvasive Diagnostic and follow Up Adjuncts in Malignant Solid Tumors?
Introduction: Ceruloplasmin is an acute phase reactant, the levels of which fluctuate in response to tissue injuries of various kinds. Adenosine deaminase enzyme on the other hand through purine salvage system is involve...
An Analysis of Interventions in Acute Abdomen and it’s Post Operative Complications
Introduction: Acute abdomen refers to signs and symptoms of abdominal pain and tenderness, a clinical presentation that often requires emergency surgical therapy. Hence require thorough and expeditious work up to determi...
Comparison of Electrocardiographic Criterias for LVH using Echocardiography as Standard
Introduction: Although newer diagnostic tools are available, the electrocardiogram (ECG) remains the most common mean for evaluating cardiac disease. Electrocardiographic evidence of left ventricular hypertrophy (LVH) is...
A Study of Serum Lipid Profile among Obese and Non-Obese Individuals: A Hospital based Study from Karbala, Iraq
Introduction: Obesity is a multifactor disorder and its development is due to multiple interactions between genes and environment. This study aims at measuring and correlating values of serum triglyceride level in obese...
Solitary Thyroid Nodule: Efficacy of Ultra-sonography, Histopthology and FNAC in Diagnosing Malignancy and Various Surgical Modalities in Management
The main concern associated with Solitary thyroid nodules (STN) is their chances of malignancy, importantly only 5% of thyroid nodules have been found to convert into thyroid cancers. With prevalence of STN it becomes ve...