Factors associated with the severity of transfusion reactions that occurred in a teaching hospital, in the city of São Paulo, between 2007-2019
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Vigilância Sanitária em Debate |
Texto Completo: | https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1448 |
Resumo: | Introduction: Transfusion reactions can have serious consequences for recipients of blood components. Objective: To analyze the proportion of adverse reactions regarding the degree of severity observed in transfusions and to identify factors associated with the severity of immediate transfusion incidents. Method: This is a retrospective longitudinal study of epidemiological evaluation regarding the immediate transfusion reactions that occurred between 2007 and 2019 in a teaching hospital. Results: Of the 332,222 blood transfusions administered in the period, 1,448 notifications of immediate transfusion reactions were reported. The average annual incidence of transfusion reaction was 4.4 per thousand. Moderate and severe reactions represent 13.5% of all events. Hemoglobin and hematocrit did not present regular distribution (p ≤ 0.001). Conclusion: The data analysis made it possible to evaluate the transfusion practice at the institution, which proved to be adequate and reflected the constant efforts to feed the Brazilian System of Hemovigilance. The severity of the reactions has been associated with inpatient units, which are more severe in the critical and semi-critical care units. However, the study showed that mild reactions should not be neglected. |
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Factors associated with the severity of transfusion reactions that occurred in a teaching hospital, in the city of São Paulo, between 2007-2019Fatores associados à gravidade das reações transfusionais ocorridas em hospital de ensino, na cidade de São Paulo, entre 2007-2019Risk Management; Transfusion Reaction; Patient Safety; Blood Safety; Health Surveillancegestión de riesgos; reacción a la transfusión; seguridad del paciente; seguridad de la sangre;, vigilancia sanitariaGestão de Riscos; Reação Transfusional; Segurança do Paciente; Segurança do Sangue; Vigilância SanitáriaIntroduction: Transfusion reactions can have serious consequences for recipients of blood components. Objective: To analyze the proportion of adverse reactions regarding the degree of severity observed in transfusions and to identify factors associated with the severity of immediate transfusion incidents. Method: This is a retrospective longitudinal study of epidemiological evaluation regarding the immediate transfusion reactions that occurred between 2007 and 2019 in a teaching hospital. Results: Of the 332,222 blood transfusions administered in the period, 1,448 notifications of immediate transfusion reactions were reported. The average annual incidence of transfusion reaction was 4.4 per thousand. Moderate and severe reactions represent 13.5% of all events. Hemoglobin and hematocrit did not present regular distribution (p ≤ 0.001). Conclusion: The data analysis made it possible to evaluate the transfusion practice at the institution, which proved to be adequate and reflected the constant efforts to feed the Brazilian System of Hemovigilance. The severity of the reactions has been associated with inpatient units, which are more severe in the critical and semi-critical care units. However, the study showed that mild reactions should not be neglected. gestão de Riscos; reação transfusional; segurança do paciente; segurança do sangue; vigilância sanitáriaIntrodução: Reações transfusionais podem acarretar sérias consequências aos receptores de hemocomponentes. Objetivo: Analisar a proporção de reações adversas quanto ao grau de severidade observado nas transfusões de sangue e identificar os fatores associados à gravidade dos incidentes transfusionais imediatos. Método: Estudo longitudinal retrospectivo de avaliação epidemiológica das reações transfusionais imediatas ocorridas entre 2007-2019 em hospital de ensino. Resultados: Das 332.222 transfusões sanguíneas administradas, foram reportadas 1.448 notificações de reações transfusionais imediatas. A média de incidência de reação transfusional foi de 4,4 por mil/ano. As reações moderadas e graves representam 13,5% do total dos eventos. Hemoglobulina e hematócrito não apresentaram distribuição normal (p ≤ 0,001). Conclusões: A análise dos dados possibilitou avaliar a prática transfusional na instituição, que se mostrou adequada, refletindo os constantes esforços para retroalimentar o Sistema Nacional de Hemovigilância. A gravidade das reações está associada à unidade de internação, sendo mais frequentes as graves nas unidades críticas e semicríticas, porém o estudo demonstrou que não se deve negligenciar as reações leves.Instituto Nacional de Controle de Qualidade em Saúde2021-02-26info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion"Peer-reviewed article""Artículo revisado por pares""Artigo avaliado pelos pares"application/pdfapplication/pdfhttps://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/144810.22239/2317-269X.01448Health Surveillance under Debate: Society, Science & Technology ; Vol. 9 No. 1 (2021): February; 129-135Vigilancia en Salud en Debate: Sociedad, Ciencia y Tecnología; Vol. 9 Núm. 1 (2021): Febrero; 129-135Vigil Sanit Debate, Rio de Janeiro; v. 9 n. 1 (2021): Fevereiro; 129-1352317-269Xreponame:Vigilância Sanitária em Debateinstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporenghttps://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1448/1294https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1448/1361Copyright (c) 2021 Vigilância Sanitária em Debate: Sociedade, Ciência & Tecnologia (Health Surveillance under Debate: Society, Science & Technology) – Visa em Debatehttps://creativecommons.org/licenses/by-nc-nd/4.0info:eu-repo/semantics/openAccessGrandi, João LuizCatherina Nema Areco, Kelsy Chiba, Akemi Melca Barros de Oliveira, Maria Aparecida Barbosa, Dulce2023-06-27T16:48:59Zoai:ojs.visaemdebate.incqs.fiocruz.br:article/1448Revistahttps://visaemdebate.incqs.fiocruz.br/index.php/visaemdebatePUBhttps://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/oaiincqs.visaemdebate@fiocruz.br || gisele.neves@fiocruz.br2317-269X2317-269Xopendoar:2023-06-27T16:48:59Vigilância Sanitária em Debate - Fundação Oswaldo Cruz (FIOCRUZ)false |
dc.title.none.fl_str_mv |
Factors associated with the severity of transfusion reactions that occurred in a teaching hospital, in the city of São Paulo, between 2007-2019 Fatores associados à gravidade das reações transfusionais ocorridas em hospital de ensino, na cidade de São Paulo, entre 2007-2019 |
title |
Factors associated with the severity of transfusion reactions that occurred in a teaching hospital, in the city of São Paulo, between 2007-2019 |
spellingShingle |
Factors associated with the severity of transfusion reactions that occurred in a teaching hospital, in the city of São Paulo, between 2007-2019 Grandi, João Luiz Risk Management; Transfusion Reaction; Patient Safety; Blood Safety; Health Surveillance gestión de riesgos; reacción a la transfusión; seguridad del paciente; seguridad de la sangre;, vigilancia sanitaria Gestão de Riscos; Reação Transfusional; Segurança do Paciente; Segurança do Sangue; Vigilância Sanitária |
title_short |
Factors associated with the severity of transfusion reactions that occurred in a teaching hospital, in the city of São Paulo, between 2007-2019 |
title_full |
Factors associated with the severity of transfusion reactions that occurred in a teaching hospital, in the city of São Paulo, between 2007-2019 |
title_fullStr |
Factors associated with the severity of transfusion reactions that occurred in a teaching hospital, in the city of São Paulo, between 2007-2019 |
title_full_unstemmed |
Factors associated with the severity of transfusion reactions that occurred in a teaching hospital, in the city of São Paulo, between 2007-2019 |
title_sort |
Factors associated with the severity of transfusion reactions that occurred in a teaching hospital, in the city of São Paulo, between 2007-2019 |
author |
Grandi, João Luiz |
author_facet |
Grandi, João Luiz Catherina Nema Areco, Kelsy Chiba, Akemi Melca Barros de Oliveira, Maria Aparecida Barbosa, Dulce |
author_role |
author |
author2 |
Catherina Nema Areco, Kelsy Chiba, Akemi Melca Barros de Oliveira, Maria Aparecida Barbosa, Dulce |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Grandi, João Luiz Catherina Nema Areco, Kelsy Chiba, Akemi Melca Barros de Oliveira, Maria Aparecida Barbosa, Dulce |
dc.subject.por.fl_str_mv |
Risk Management; Transfusion Reaction; Patient Safety; Blood Safety; Health Surveillance gestión de riesgos; reacción a la transfusión; seguridad del paciente; seguridad de la sangre;, vigilancia sanitaria Gestão de Riscos; Reação Transfusional; Segurança do Paciente; Segurança do Sangue; Vigilância Sanitária |
topic |
Risk Management; Transfusion Reaction; Patient Safety; Blood Safety; Health Surveillance gestión de riesgos; reacción a la transfusión; seguridad del paciente; seguridad de la sangre;, vigilancia sanitaria Gestão de Riscos; Reação Transfusional; Segurança do Paciente; Segurança do Sangue; Vigilância Sanitária |
description |
Introduction: Transfusion reactions can have serious consequences for recipients of blood components. Objective: To analyze the proportion of adverse reactions regarding the degree of severity observed in transfusions and to identify factors associated with the severity of immediate transfusion incidents. Method: This is a retrospective longitudinal study of epidemiological evaluation regarding the immediate transfusion reactions that occurred between 2007 and 2019 in a teaching hospital. Results: Of the 332,222 blood transfusions administered in the period, 1,448 notifications of immediate transfusion reactions were reported. The average annual incidence of transfusion reaction was 4.4 per thousand. Moderate and severe reactions represent 13.5% of all events. Hemoglobin and hematocrit did not present regular distribution (p ≤ 0.001). Conclusion: The data analysis made it possible to evaluate the transfusion practice at the institution, which proved to be adequate and reflected the constant efforts to feed the Brazilian System of Hemovigilance. The severity of the reactions has been associated with inpatient units, which are more severe in the critical and semi-critical care units. However, the study showed that mild reactions should not be neglected. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-02-26 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion "Peer-reviewed article" "Artículo revisado por pares" "Artigo avaliado pelos pares" |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1448 10.22239/2317-269X.01448 |
url |
https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1448 |
identifier_str_mv |
10.22239/2317-269X.01448 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1448/1294 https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1448/1361 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by-nc-nd/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by-nc-nd/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Instituto Nacional de Controle de Qualidade em Saúde |
publisher.none.fl_str_mv |
Instituto Nacional de Controle de Qualidade em Saúde |
dc.source.none.fl_str_mv |
Health Surveillance under Debate: Society, Science & Technology ; Vol. 9 No. 1 (2021): February; 129-135 Vigilancia en Salud en Debate: Sociedad, Ciencia y Tecnología; Vol. 9 Núm. 1 (2021): Febrero; 129-135 Vigil Sanit Debate, Rio de Janeiro; v. 9 n. 1 (2021): Fevereiro; 129-135 2317-269X reponame:Vigilância Sanitária em Debate instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Vigilância Sanitária em Debate |
collection |
Vigilância Sanitária em Debate |
repository.name.fl_str_mv |
Vigilância Sanitária em Debate - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
incqs.visaemdebate@fiocruz.br || gisele.neves@fiocruz.br |
_version_ |
1797042045848649728 |