The consumption rate and the transfusion threshold level of PRBCs in cardiac patients in Tohid Hospital, Sanandaj city
Journal Title: Khoon - Year 2018, Vol 15, Issue 3
Abstract
The consumption rate and the transfusion threshold level of PRBCs in cardiac patients in Tohid Hospital, Sanandaj city Jahangirian A.1, Zadsar M.2, Chegini A.2, Alaei M.2 1Tohid Hospital, Sanandaj, Iran 2Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine, Tehran, Iran Abstract Background and Objectives Transfusion is the most prevalent approach in surgery. Cardiac surgery is one of the most blood consuming operations. High transfusion trigger is indicative of inappropriate PRBC usage. Therefore, we decided to evaluate PRBC usage and transfusion triggers in cardiac surgery in a hospital in Kurdistan province. Materials and Methods In this descriptive study, files of all patients having undergone cardiac surgery during 1394 were studied. Information regarding preoperative Hb, transfusion trigger, units of transfused PRBC and related wards in which transfusion had been taken place was extracted. SPSS 16 Chicago, T-student and one way ANOVA, and χ2 exams were respectively used for data analysis, the mean difference, and ratio comparison. Results Among 105 patients, 37 (35.2%) women and 68 (64.8%) men, with the mean age of 62 ± 10.7, 77 received at least one blood product. Meanwhile, 70 (66.6%) patients received PRBC in at least one stage of their postoperative hospitalization. Mean transfusion trigger was obtained to be 11.7 ± 1.9 (11.4 and 12.1 in women and men, respectively). Women generally showed lower Hb levels (p = 0.025) , although this did not prove to be statistically significant in peri- operative PRBC transfusion rate. Mean PRBC usage in operating room, ICU and postoperative wards were 1.00 ± 1.22 , 1.26 ± 1.70, and 0.17 ± 0.52, respectively. Conclusions The results revealed that the mean transfusion rates and triggers in our study are higher compared with similar studies. Serious revision in adopting appropriate transfusion triggers and managing transfusion cases is absolutely essential. Key words: Transfusion, Cardiac Surgery, Iran Received: 27 May 2018 Accepted: 7 Jul 2018 Correspondence: Alaei M., MD. Pathologist. Blood Transfusion Research Center, High Institute for Research and Education in Transfusion Medicine. P.O.Box: 14665-1157, Tehran, Iran. Tel: (+9821) 82052234; Fax: (+9821) 88628741 E-mail: alaeimastaneh@hotmail.com
Authors and Affiliations
A. Jahangirian, M. Zadsar
Keywords
Related Articles
- EP ID EP407416
- DOI -
- Views 79
- Downloads 0
مقايسه سنجش هموگلوبين با استفاده از قطره‌هاي اول و دوم خون در روش مقياس رنگي سازمان بهداشت جهاني و مقايسه با نتايج استاندارد (دستگاه شمارش سلول‌هاي خون)
مقايسه سنجش هموگلوبين با استفاده از قطره‌هاي اول و دوم خون در روش مقياس رنگي سازمان بهداشت جهاني و مقايسه با نتايج استاندارد (دستگاه شمارش سلول‌هاي خون) دكتر مرتضي حيدر زاده1 ،زهرا سلطاني2 چكيده سابقه و هدف به...
HPA-1 gene polymorphism in Iranian couples with history of recurrent abortion
HPA-1 gene polymorphism in Iranian couples with history of recurrent abortion Ahmadzadeh Shad Gh.1, Zadsar M.1, Shaiegan M.1, Samiee Sh.1, Zare A.2 1Blood Transfusion Research Center, High Institute for Research and...
Investigation of rat bone marrow mesenchymal stem cells effect on apoptosis and cell surface markers expression of CD33 and CD34 as an approach to treatment of chronic myeloid leukemia
Investigation of rat bone marrow mesenchymal stem cells effect on apoptosis and cell surface markers expression of CD33 and CD34 as an approach to treatment of chronic myeloid leukemia Najafi D.1, Fathi E.1, Farahzad...
Frequency of anemia before cardiac surgery and its impact on transfusion in Rajaie Cardiovascular Hospital
Frequency of anemia before cardiac surgery and its impact on transfusion in Rajaie Cardiovascular Hospital Khalaf Adeli E.1, Alavi S.M.2, Eslami F.3, Pourfathollah A.A.4,1 1Blood Transfusion Research Center, High In...
The impact of Arsenic trioxide and thalidomide on VEGF A gene expression in AML cell lines
The impact of Arsenic trioxide and thalidomide on VEGF A gene expression in AML cell lines Mohammadi Kian M.1, Mohammadi S.2, Tavallaie M.1, Sadeghi M.1, Nikbakht M.2 1Human Genetics Research Center, Baqiyatallah Uni...