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ISSN 0185-6014 (Print)
Órgano oficial de difusión de la Federación Mexicana de Patología Clínica, AC y de la Asociación Latinoamericana de Patología Clínica/Medicina de Laboratorio

2003, Number 2

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Rev Mex Patol Clin Med Lab 2003; 50 (2)

Analysis of the clinical use of blood transfusion

Corbalá-Fuentes C, Navarro-Jaramillo F, Aguilar-Solano A, Gárate-Ureña J, Pacheco-Ureña A, Haro GL

Language: Spanish
References: 18
Page: 104-108
PDF size: 45.57 Kb.


ABSTRACT

The purpose of this study was to determinate if the physician had an attachment to guide line of “The use of blood transfusion” and description of beside effects. Design cross-sectional trial. From 9086 medical reports of blood transfusions in 1996-2000, in General Hospital No. 3 Mazatlan Sinaloa Mexico, 900 reports were at random selected and several variables were measured: whole blood or derivate products, principal and secondary diagnostic, attachment to guide line, beside effects and conclusion of procedure. We found according to transfusion of blood components: packed red blood cells in 697 patients (77.5%), whole blood in 99 (11%), fresh frozen plasma 90 (10%) and platelets in 13 (1.5%). The internal medicine service indicated more transfusion than another service, used as follows: gastrointestinal bleeding (60%), chronic renal failure (24%). Surgery service used on preoperative replacement (85%). Pediatric service used on replacement therapy in severe anemia (1.5%) and exanguinotransfusion (10%). In 16% of all services didn´t follow the guideline. Gynecology service had the least attachment (p ‹ 0.0001), Pediatric service was the best. The anaphylactic reaction was the major complication (4%) and only 13 patients did not finish the procedure. In conclusion most of the services were attached to the guideline but gynecology service had the lowest attachment.


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