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

Detalhes bibliográficos
Autor(a) principal: Pina Faria, Joao Carlos
Data de Publicação: 2018
Outros Autores: Victorino, Camila Augusta, Suano de Souza, Fabiola Isabel [UNIFESP], Saccardo Sarni, Roseli Oselka
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNIFESP
Texto Completo: http://dx.doi.org/10.1590/1806-9282.64.02.181
https://repositorio.unifesp.br/handle/11600/54154
Resumo: 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%]
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spelling Assessment of the prescription of red blood cell concentrates in the pediatric age groupTransfusion MedicineErythrocyte TransfusionChildPrescriptionsObjective: 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%]p< 0.001) while the ER showed more often adequate prescribed volumes (119 [66.1%]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.Fac Med ABC FMABC, Santo Andre, SP, BrazilHosp Sao Bernardo, Sao Bernardo Do Campo, SP, BrazilFMABC, Dept Pediat, Sao Paulo, SP, BrazilUniv Fed Sao Paulo EPM Unifesp, Escola Paulista Med, Dept Pediat, Sao Paulo, SP, BrazilFMABC, Dept Pediat, Santo Andre, SP, BrazilUniv Fed Sao Paulo EPM Unifesp, Escola Paulista Med, Dept Pediat, Sao Paulo, SP, BrazilWeb of ScienceAssoc Medica Brasileira2020-07-08T13:09:43Z2020-07-08T13:09:43Z2018info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion181-186application/pdfhttp://dx.doi.org/10.1590/1806-9282.64.02.181Revista Da Associacao Medica Brasileira. Sao Paulo, v. 64, n. 2, p. 181-186, 2018.10.1590/1806-9282.64.02.181S0104-42302018000200181.pdf0104-4230S0104-42302018000200181https://repositorio.unifesp.br/handle/11600/54154WOS:000429487700017engRevista Da Associacao Medica BrasileiraSao Pauloinfo:eu-repo/semantics/openAccessPina Faria, Joao CarlosVictorino, Camila AugustaSuano de Souza, Fabiola Isabel [UNIFESP]Saccardo Sarni, Roseli Oselkareponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-11T05:28:02Zoai:repositorio.unifesp.br/:11600/54154Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-08-11T05:28:02Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv Assessment of the prescription of red blood cell concentrates in the pediatric age group
title Assessment of the prescription of red blood cell concentrates in the pediatric age group
spellingShingle Assessment of the prescription of red blood cell concentrates in the pediatric age group
Pina Faria, Joao Carlos
Transfusion Medicine
Erythrocyte Transfusion
Child
Prescriptions
title_short Assessment of the prescription of red blood cell concentrates in the pediatric age group
title_full Assessment of the prescription of red blood cell concentrates in the pediatric age group
title_fullStr Assessment of the prescription of red blood cell concentrates in the pediatric age group
title_full_unstemmed Assessment of the prescription of red blood cell concentrates in the pediatric age group
title_sort Assessment of the prescription of red blood cell concentrates in the pediatric age group
author Pina Faria, Joao Carlos
author_facet Pina Faria, Joao Carlos
Victorino, Camila Augusta
Suano de Souza, Fabiola Isabel [UNIFESP]
Saccardo Sarni, Roseli Oselka
author_role author
author2 Victorino, Camila Augusta
Suano de Souza, Fabiola Isabel [UNIFESP]
Saccardo Sarni, Roseli Oselka
author2_role author
author
author
dc.contributor.author.fl_str_mv Pina Faria, Joao Carlos
Victorino, Camila Augusta
Suano de Souza, Fabiola Isabel [UNIFESP]
Saccardo Sarni, Roseli Oselka
dc.subject.por.fl_str_mv Transfusion Medicine
Erythrocyte Transfusion
Child
Prescriptions
topic Transfusion Medicine
Erythrocyte Transfusion
Child
Prescriptions
description 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%]
publishDate 2018
dc.date.none.fl_str_mv 2018
2020-07-08T13:09:43Z
2020-07-08T13:09:43Z
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1590/1806-9282.64.02.181
Revista Da Associacao Medica Brasileira. Sao Paulo, v. 64, n. 2, p. 181-186, 2018.
10.1590/1806-9282.64.02.181
S0104-42302018000200181.pdf
0104-4230
S0104-42302018000200181
https://repositorio.unifesp.br/handle/11600/54154
WOS:000429487700017
url http://dx.doi.org/10.1590/1806-9282.64.02.181
https://repositorio.unifesp.br/handle/11600/54154
identifier_str_mv Revista Da Associacao Medica Brasileira. Sao Paulo, v. 64, n. 2, p. 181-186, 2018.
10.1590/1806-9282.64.02.181
S0104-42302018000200181.pdf
0104-4230
S0104-42302018000200181
WOS:000429487700017
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Revista Da Associacao Medica Brasileira
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 181-186
application/pdf
dc.coverage.none.fl_str_mv Sao Paulo
dc.publisher.none.fl_str_mv Assoc Medica Brasileira
publisher.none.fl_str_mv Assoc Medica Brasileira
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv biblioteca.csp@unifesp.br
_version_ 1814268294765477888

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