Assessment of the indication for transfusion of red blood cells according to evidence-based practice and a brief overview of education in transfusion medicine

Detalhes bibliográficos
Autor(a) principal: Brunetto, Marcel Luiz
Data de Publicação: 2022
Outros Autores: Garcia, Rosamaria Rodrigues, Molinari, Humberto, Araujo, Amanda Costa
Tipo de documento: Artigo
Idioma: por
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/35964
Resumo: Objectives:  assess whether the indications for transfusion of red blood cells in a large hospital in São Paulo follow evidence-based recommendations. Method: Quantitative and descriptive retrospective study based on obtaining information through requisition forms for Hemotherapeutic procedures. Results:  229 requisition forms were evaluated from September to October 2021. The mean age of the sample was 56.9 years ± 16.4, composed mostly of men 54.6%. Intensive care units were the places with the highest number of requests (52.4%). Symptomatic anemia was the main indication for transfusion (70.7%), followed by active bleeding (24.5%). Among the comorbidities, neoplasms (27.9%) were the most prevalent. The mean hemoglobin values were 6.84g/dL ±1.13 and the mean hematocrit values were 21.0% ± 3.42. The absolute value of hemoglobin was greater than 7.0g/dL in 40.6% of the 229 files and 10.5% of the total, with values equal to or greater than 8.0g/dL. Conclusion: the indication for red blood cell transfusions doesn’t follow the recommendations of evidence-based practice in the studied sample, being necessary to provide training to students and professionals, with the aim of improving the quality of prescribing criteria.
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spelling Assessment of the indication for transfusion of red blood cells according to evidence-based practice and a brief overview of education in transfusion medicineEvaluación de la indicación de transfusión de concentrados de glóbulos rojos según la práctica basada en la evidencia y una breve descripción de la educación en medicina transfusionalAvaliação da indicação de transfusão de concentrados de hemácias conforme prática baseada em evidências e um breve panorama sobre educação em medicina transfusionalEducação SuperiorCapacitação ProfissionalMedicina TransfusionalEducação MédicaPrática clínica baseada em evidências. Educación SuperiorEntrenamiento ProfessionalMedicina TransfusionalEducación MédicaPráctica clínica basada en la evidencia.Higher EducationProfessional TrainingTransfusion MedicineMedical EducationEvidence-based practice.Objectives:  assess whether the indications for transfusion of red blood cells in a large hospital in São Paulo follow evidence-based recommendations. Method: Quantitative and descriptive retrospective study based on obtaining information through requisition forms for Hemotherapeutic procedures. Results:  229 requisition forms were evaluated from September to October 2021. The mean age of the sample was 56.9 years ± 16.4, composed mostly of men 54.6%. Intensive care units were the places with the highest number of requests (52.4%). Symptomatic anemia was the main indication for transfusion (70.7%), followed by active bleeding (24.5%). Among the comorbidities, neoplasms (27.9%) were the most prevalent. The mean hemoglobin values were 6.84g/dL ±1.13 and the mean hematocrit values were 21.0% ± 3.42. The absolute value of hemoglobin was greater than 7.0g/dL in 40.6% of the 229 files and 10.5% of the total, with values equal to or greater than 8.0g/dL. Conclusion: the indication for red blood cell transfusions doesn’t follow the recommendations of evidence-based practice in the studied sample, being necessary to provide training to students and professionals, with the aim of improving the quality of prescribing criteria.Objetivos: evaluar si las indicaciones para la transfusión de concentrados de glóbulos rojos en un gran hospital de São Paulo siguen las recomendaciones basadas en la evidencia. Método: Estudio retrospectivo cuantitativo y descriptivo basado en la obtención de información a través de formularios de solicitud de procedimientos de Hemoterapia. Resultados: Se evaluaron 229 formularios de requisición de septiembre a octubre de 202. La edad promedio de la muestra fue de 56,9 años ± 16,4, compuesta en su mayoría por hombres 54,6%. Las unidades de cuidados intensivos fueron los lugares con mayor número de solicitudes (52,4%). La anemia sintomática fue la principal indicación de transfusión (70,7%), seguida del sangrado activo (24,5%). Entre las comorbilidades, las neoplasias (27,9%) fueron las más prevalentes. Los valores medios de hemoglobina fueron 6,84g/dL ± 1,13 y los valores medios de hematocrito fueron 21,0% ± 3,42. El valor absoluto de hemoglobina fue superior a 7,0g/dL en el 40,6% de las 229 fichas y el 10,5% del total con valores iguales o superiores a 8,0g/dL. Conclusión: la indicación de transfusión de concentrado de hematíes no sigue las recomendaciones de las prácticas basadas en la evidencia en la muestra estudiada, es necesario ofrecer capacitación a estudiantes y profesionales, con el objetivo de mejorar la calidad de los criterios de prescripción.Objetivos: avaliar se as indicações de transfusão de concentrados de hemácias em um hospital de grande porte de São Paulo, seguem as recomendações baseadas em evidências. Método: Estudo retrospectivo quantitativo e descritivo baseado em obtenção de informações através das fichas de requisições de procedimentos hemoterápicos. Resultados: foram avaliadas 229 fichas de requisição, no período de setembro a outubro de 2021. A média de idade da amostra foi de 56,9 anos ± 16,4, composta em sua maioria por homens (54,6%). As unidades de terapia intensiva foram os locais com maior número de requisições (52,4%). Anemia sintomática foi a maior indicação de transfusão (70,7%), seguida por sangramento ativo (24,5%). Dentre as comorbidades, as neoplasias (27,9%) foram as mais prevalentes. A média dos valores de hemoglobina foram de 6,84g/dL ± 1,13 e a média dos valores de hematócrito foram de 21,0% ± 3,42. O valor absoluto de hemoglobina foi maior que 7,0g/dL em 40,6% das 229 fichas e 10,5% do total com valores iguais ou superiores a 8,0g/dL. Conclusão: a indicação de transfusão de concentrado de hemácias não segue as recomendações das práticas baseadas em evidências na amostra estudada, sendo necessária a oferta de capacitação para estudantes e profissionais, visando à melhoria da qualidade dos critérios de prescrição.Research, Society and Development2022-10-26info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/3596410.33448/rsd-v11i14.35964Research, Society and Development; Vol. 11 No. 14; e263111435964Research, Society and Development; Vol. 11 Núm. 14; e263111435964Research, Society and Development; v. 11 n. 14; e2631114359642525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/35964/30321Copyright (c) 2022 Marcel Luiz Brunetto; Rosamaria Rodrigues Garcia; Humberto Molinari; Amanda Costa Araujohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessBrunetto, Marcel LuizGarcia, Rosamaria Rodrigues Molinari, HumbertoAraujo, Amanda Costa2022-11-08T13:36:27Zoai:ojs.pkp.sfu.ca:article/35964Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:50:40.974643Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Assessment of the indication for transfusion of red blood cells according to evidence-based practice and a brief overview of education in transfusion medicine
Evaluación de la indicación de transfusión de concentrados de glóbulos rojos según la práctica basada en la evidencia y una breve descripción de la educación en medicina transfusional
Avaliação da indicação de transfusão de concentrados de hemácias conforme prática baseada em evidências e um breve panorama sobre educação em medicina transfusional
title Assessment of the indication for transfusion of red blood cells according to evidence-based practice and a brief overview of education in transfusion medicine
spellingShingle Assessment of the indication for transfusion of red blood cells according to evidence-based practice and a brief overview of education in transfusion medicine
Brunetto, Marcel Luiz
Educação Superior
Capacitação Profissional
Medicina Transfusional
Educação Médica
Prática clínica baseada em evidências.
Educación Superior
Entrenamiento Professional
Medicina Transfusional
Educación Médica
Práctica clínica basada en la evidencia.
Higher Education
Professional Training
Transfusion Medicine
Medical Education
Evidence-based practice.
title_short Assessment of the indication for transfusion of red blood cells according to evidence-based practice and a brief overview of education in transfusion medicine
title_full Assessment of the indication for transfusion of red blood cells according to evidence-based practice and a brief overview of education in transfusion medicine
title_fullStr Assessment of the indication for transfusion of red blood cells according to evidence-based practice and a brief overview of education in transfusion medicine
title_full_unstemmed Assessment of the indication for transfusion of red blood cells according to evidence-based practice and a brief overview of education in transfusion medicine
title_sort Assessment of the indication for transfusion of red blood cells according to evidence-based practice and a brief overview of education in transfusion medicine
author Brunetto, Marcel Luiz
author_facet Brunetto, Marcel Luiz
Garcia, Rosamaria Rodrigues
Molinari, Humberto
Araujo, Amanda Costa
author_role author
author2 Garcia, Rosamaria Rodrigues
Molinari, Humberto
Araujo, Amanda Costa
author2_role author
author
author
dc.contributor.author.fl_str_mv Brunetto, Marcel Luiz
Garcia, Rosamaria Rodrigues
Molinari, Humberto
Araujo, Amanda Costa
dc.subject.por.fl_str_mv Educação Superior
Capacitação Profissional
Medicina Transfusional
Educação Médica
Prática clínica baseada em evidências.
Educación Superior
Entrenamiento Professional
Medicina Transfusional
Educación Médica
Práctica clínica basada en la evidencia.
Higher Education
Professional Training
Transfusion Medicine
Medical Education
Evidence-based practice.
topic Educação Superior
Capacitação Profissional
Medicina Transfusional
Educação Médica
Prática clínica baseada em evidências.
Educación Superior
Entrenamiento Professional
Medicina Transfusional
Educación Médica
Práctica clínica basada en la evidencia.
Higher Education
Professional Training
Transfusion Medicine
Medical Education
Evidence-based practice.
description Objectives:  assess whether the indications for transfusion of red blood cells in a large hospital in São Paulo follow evidence-based recommendations. Method: Quantitative and descriptive retrospective study based on obtaining information through requisition forms for Hemotherapeutic procedures. Results:  229 requisition forms were evaluated from September to October 2021. The mean age of the sample was 56.9 years ± 16.4, composed mostly of men 54.6%. Intensive care units were the places with the highest number of requests (52.4%). Symptomatic anemia was the main indication for transfusion (70.7%), followed by active bleeding (24.5%). Among the comorbidities, neoplasms (27.9%) were the most prevalent. The mean hemoglobin values were 6.84g/dL ±1.13 and the mean hematocrit values were 21.0% ± 3.42. The absolute value of hemoglobin was greater than 7.0g/dL in 40.6% of the 229 files and 10.5% of the total, with values equal to or greater than 8.0g/dL. Conclusion: the indication for red blood cell transfusions doesn’t follow the recommendations of evidence-based practice in the studied sample, being necessary to provide training to students and professionals, with the aim of improving the quality of prescribing criteria.
publishDate 2022
dc.date.none.fl_str_mv 2022-10-26
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/35964
10.33448/rsd-v11i14.35964
url https://rsdjournal.org/index.php/rsd/article/view/35964
identifier_str_mv 10.33448/rsd-v11i14.35964
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/35964/30321
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 11 No. 14; e263111435964
Research, Society and Development; Vol. 11 Núm. 14; e263111435964
Research, Society and Development; v. 11 n. 14; e263111435964
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
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