Assessment of the prescription of red blood cell concentrates in the pediatric age group

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dc.contributor.author Pina Faria, Joao Carlos
dc.contributor.author Victorino, Camila Augusta
dc.contributor.author Suano de Souza, Fabiola Isabel [UNIFESP]
dc.contributor.author Saccardo Sarni, Roseli Oselka
dc.date.accessioned 2020-07-08T13:09:43Z
dc.date.available 2020-07-08T13:09:43Z
dc.date.issued 2018
dc.identifier http://dx.doi.org/10.1590/1806-9282.64.02.181
dc.identifier.citation Revista Da Associacao Medica Brasileira. Sao Paulo, v. 64, n. 2, p. 181-186, 2018.
dc.identifier.issn 0104-4230
dc.identifier.uri https://repositorio.unifesp.br/handle/11600/54154
dc.description.abstract Objective: To verify the adequacy of red blood cell (RBC) prescription to pediatric patients in different sectors of a pediatric hospital. Method: A retrospective study was conducted including 837/990 RBC transfusion requisition forms for children and adolescents (0 to 13 years old) filed in between January 2007 and April 2015 by the pediatricians of the emergency room (ER), infirmary ward and intensive care unit (pICU). Transfusion requisition forms belonging to patients with chronic anemia or acute hemorrhage, as well as incompletes requisition forms, were excluded. Results: Trigger, prescribed volume and subtype of RBC concentrates were adequate in 532 (65.3%), 460 (58.8%) and 805 (96.2%) of the transfusions, respectively. When the clinical picture was considered, prescription adequacy was higher compared to the use of the hemoglobin level alone (70.9% vs. 41%). The pICU had the highest correct trigger percentage (343 [71.6%] en
dc.description.abstract p< 0.001) while the ER showed more often adequate prescribed volumes (119 [66.1%] en
dc.description.abstract p= 0.020). The most common inadequacy regarding volume was that of prescriptions above the recommendation > 15 mL/kg found in 309 cases (36.9%). Thirty-two (32) RBC subtypes were requested and none were consistent with current recommendations. Conclusion: The results obtained in our study showed that RBC transfusion occurred more appropriately when the clinical picture was taken into account at request. There was a tendency to prescribe higher volumes and RBC subtypes without the justification of current protocols. Hemotherapic teachings at undergraduate level and medical residency must be improved. en
dc.format.extent 181-186
dc.language.iso eng
dc.publisher Assoc Medica Brasileira
dc.relation.ispartof Revista Da Associacao Medica Brasileira
dc.rights Acesso aberto
dc.subject Transfusion Medicine en
dc.subject Erythrocyte Transfusion en
dc.subject Child en
dc.subject Prescriptions en
dc.title Assessment of the prescription of red blood cell concentrates in the pediatric age group en
dc.type Artigo
dc.description.affiliation Fac Med ABC FMABC, Santo Andre, SP, Brazil
dc.description.affiliation Hosp Sao Bernardo, Sao Bernardo Do Campo, SP, Brazil
dc.description.affiliation FMABC, Dept Pediat, Sao Paulo, SP, Brazil
dc.description.affiliation Univ Fed Sao Paulo EPM Unifesp, Escola Paulista Med, Dept Pediat, Sao Paulo, SP, Brazil
dc.description.affiliation FMABC, Dept Pediat, Santo Andre, SP, Brazil
dc.description.affiliationUnifesp Univ Fed Sao Paulo EPM Unifesp, Escola Paulista Med, Dept Pediat, Sao Paulo, SP, Brazil
dc.identifier.file S0104-42302018000200181.pdf
dc.identifier.scielo S0104-42302018000200181
dc.identifier.doi 10.1590/1806-9282.64.02.181
dc.description.source Web of Science
dc.identifier.wos WOS:000429487700017
dc.coverage Sao Paulo
dc.citation.volume 64
dc.citation.issue 2



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