Evaluation of the use of blood in surgeries as a tool to change patterns for requesting blood product reserves
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Clinics |
Texto Completo: | https://www.revistas.usp.br/clinics/article/view/157976 |
Resumo: | OBJECTIVES: Thirty to sixty percent of prepared blood products are not transfused. Blood reserves for surgeries lead to many unused blood products, which increases hospital costs. The aim of this study is to identify the request and use profiles of blood products for elective surgeries in different surgical specialties, the influence of surgery time and demographic, clinical, and laboratory variables on the number of red blood cells (RBCs) used and to calculate the rate of transfused patients (RTP) and cross-matched and transfused (C/T) RBCs. METHODS: Observational and prospective studies. Sociodemographic, clinical and quantitative data on the request and use of blood products were collected. The influence of the data on the use of RBCs was examined by binary logistic regression. Chi-square, one-way ANOVA and Kruskal-Wallis tests were utilized to compare the data among the specialties. RESULTS: In total, 822 procedures were included. Most of the requested blood products were not used, even 24 hours postoperatively. Of the 2,483 RBC units, 314 were transfused, leaving 87.6% unused; however, cardiac, digestive tract, vascular, gynecologic, urologic and thoracic surgery procedures transfused 50%, 25%, 16.5%, 11%, 9.5% and 8.1% of requested RBCs, respectively. The factors that influenced the transfusions were age, time of surgery and cardiac surgeries. The RTP was 410% in 22 surgical types and o1% in 24 surgical types, and 88% of samples presented a C/T ratio 42.5. CONCLUSION: The RTP and C/T ratios can guide RBC requests in the preoperative period. Knowing the standard of use of blood products and developing protocols enables the optimization of reserves, reduction of costs and improvement of care. |
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Clinics |
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Evaluation of the use of blood in surgeries as a tool to change patterns for requesting blood product reservesBlood TransfusionRed Blood Cell TransfusionElective Surgical ProceduresBlood BanksBlood GroupingCross-MatchingOBJECTIVES: Thirty to sixty percent of prepared blood products are not transfused. Blood reserves for surgeries lead to many unused blood products, which increases hospital costs. The aim of this study is to identify the request and use profiles of blood products for elective surgeries in different surgical specialties, the influence of surgery time and demographic, clinical, and laboratory variables on the number of red blood cells (RBCs) used and to calculate the rate of transfused patients (RTP) and cross-matched and transfused (C/T) RBCs. METHODS: Observational and prospective studies. Sociodemographic, clinical and quantitative data on the request and use of blood products were collected. The influence of the data on the use of RBCs was examined by binary logistic regression. Chi-square, one-way ANOVA and Kruskal-Wallis tests were utilized to compare the data among the specialties. RESULTS: In total, 822 procedures were included. Most of the requested blood products were not used, even 24 hours postoperatively. Of the 2,483 RBC units, 314 were transfused, leaving 87.6% unused; however, cardiac, digestive tract, vascular, gynecologic, urologic and thoracic surgery procedures transfused 50%, 25%, 16.5%, 11%, 9.5% and 8.1% of requested RBCs, respectively. The factors that influenced the transfusions were age, time of surgery and cardiac surgeries. The RTP was 410% in 22 surgical types and o1% in 24 surgical types, and 88% of samples presented a C/T ratio 42.5. CONCLUSION: The RTP and C/T ratios can guide RBC requests in the preoperative period. Knowing the standard of use of blood products and developing protocols enables the optimization of reserves, reduction of costs and improvement of care.Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2019-05-14info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/xmlhttps://www.revistas.usp.br/clinics/article/view/15797610.6061/clinics/2019/e652Clinics; Vol. 74 (2019); e652Clinics; v. 74 (2019); e652Clinics; Vol. 74 (2019); e6521980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/157976/153243https://www.revistas.usp.br/clinics/article/view/157976/153287Copyright (c) 2019 Clinicsinfo:eu-repo/semantics/openAccessMarcondes, Sibia SorayaCarrareto, Antônio RobertoZago-Gomes, Maria da PenhaOrletti, Maria do Perpétuo Socorro VendraminiNovaes, Anisia Carla Zucoloto Loureiro2019-05-24T13:16:00Zoai:revistas.usp.br:article/157976Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2019-05-24T13:16Clinics - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Evaluation of the use of blood in surgeries as a tool to change patterns for requesting blood product reserves |
title |
Evaluation of the use of blood in surgeries as a tool to change patterns for requesting blood product reserves |
spellingShingle |
Evaluation of the use of blood in surgeries as a tool to change patterns for requesting blood product reserves Marcondes, Sibia Soraya Blood Transfusion Red Blood Cell Transfusion Elective Surgical Procedures Blood Banks Blood Grouping Cross-Matching |
title_short |
Evaluation of the use of blood in surgeries as a tool to change patterns for requesting blood product reserves |
title_full |
Evaluation of the use of blood in surgeries as a tool to change patterns for requesting blood product reserves |
title_fullStr |
Evaluation of the use of blood in surgeries as a tool to change patterns for requesting blood product reserves |
title_full_unstemmed |
Evaluation of the use of blood in surgeries as a tool to change patterns for requesting blood product reserves |
title_sort |
Evaluation of the use of blood in surgeries as a tool to change patterns for requesting blood product reserves |
author |
Marcondes, Sibia Soraya |
author_facet |
Marcondes, Sibia Soraya Carrareto, Antônio Roberto Zago-Gomes, Maria da Penha Orletti, Maria do Perpétuo Socorro Vendramini Novaes, Anisia Carla Zucoloto Loureiro |
author_role |
author |
author2 |
Carrareto, Antônio Roberto Zago-Gomes, Maria da Penha Orletti, Maria do Perpétuo Socorro Vendramini Novaes, Anisia Carla Zucoloto Loureiro |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Marcondes, Sibia Soraya Carrareto, Antônio Roberto Zago-Gomes, Maria da Penha Orletti, Maria do Perpétuo Socorro Vendramini Novaes, Anisia Carla Zucoloto Loureiro |
dc.subject.por.fl_str_mv |
Blood Transfusion Red Blood Cell Transfusion Elective Surgical Procedures Blood Banks Blood Grouping Cross-Matching |
topic |
Blood Transfusion Red Blood Cell Transfusion Elective Surgical Procedures Blood Banks Blood Grouping Cross-Matching |
description |
OBJECTIVES: Thirty to sixty percent of prepared blood products are not transfused. Blood reserves for surgeries lead to many unused blood products, which increases hospital costs. The aim of this study is to identify the request and use profiles of blood products for elective surgeries in different surgical specialties, the influence of surgery time and demographic, clinical, and laboratory variables on the number of red blood cells (RBCs) used and to calculate the rate of transfused patients (RTP) and cross-matched and transfused (C/T) RBCs. METHODS: Observational and prospective studies. Sociodemographic, clinical and quantitative data on the request and use of blood products were collected. The influence of the data on the use of RBCs was examined by binary logistic regression. Chi-square, one-way ANOVA and Kruskal-Wallis tests were utilized to compare the data among the specialties. RESULTS: In total, 822 procedures were included. Most of the requested blood products were not used, even 24 hours postoperatively. Of the 2,483 RBC units, 314 were transfused, leaving 87.6% unused; however, cardiac, digestive tract, vascular, gynecologic, urologic and thoracic surgery procedures transfused 50%, 25%, 16.5%, 11%, 9.5% and 8.1% of requested RBCs, respectively. The factors that influenced the transfusions were age, time of surgery and cardiac surgeries. The RTP was 410% in 22 surgical types and o1% in 24 surgical types, and 88% of samples presented a C/T ratio 42.5. CONCLUSION: The RTP and C/T ratios can guide RBC requests in the preoperative period. Knowing the standard of use of blood products and developing protocols enables the optimization of reserves, reduction of costs and improvement of care. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-05-14 |
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://www.revistas.usp.br/clinics/article/view/157976 10.6061/clinics/2019/e652 |
url |
https://www.revistas.usp.br/clinics/article/view/157976 |
identifier_str_mv |
10.6061/clinics/2019/e652 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/157976/153243 https://www.revistas.usp.br/clinics/article/view/157976/153287 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2019 Clinics info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2019 Clinics |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/xml |
dc.publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
dc.source.none.fl_str_mv |
Clinics; Vol. 74 (2019); e652 Clinics; v. 74 (2019); e652 Clinics; Vol. 74 (2019); e652 1980-5322 1807-5932 reponame:Clinics instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Clinics |
collection |
Clinics |
repository.name.fl_str_mv |
Clinics - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||clinics@hc.fm.usp.br |
_version_ |
1800222764133515264 |