A Clinical Audit of blood component transfusion practices in Paediatric intensive care unit of a Tertiary Care Hospital, Rawalpindi

Background: To audit the practices involved in blood component transfusion in the management of patients in paediatric intensive care unit of our hospital and to determine the appropriateness of transfusion after comparing them with clinical practice guidelines recommended by Royal Children Hospita...

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Main Authors: Anam Zafar, Nadia Sarosh, Tariq Saeed, Saba Bashir
Format: Article
Language:English
Published: Rawalpindi Medical University 2022-03-01
Series:Journal of Rawalpindi Medical College
Subjects:
Online Access:https://www.journalrmc.com/index.php/JRMC/article/view/1800
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author Anam Zafar
Nadia Sarosh
Tariq Saeed
Saba Bashir
author_facet Anam Zafar
Nadia Sarosh
Tariq Saeed
Saba Bashir
author_sort Anam Zafar
collection DOAJ
description Background: To audit the practices involved in blood component transfusion in the management of patients in paediatric intensive care unit of our hospital and to determine the appropriateness of transfusion after comparing them with clinical practice guidelines recommended by Royal Children Hospital (RCH). Methods: All patients admitted in pediatric intensive care which were managed with blood component transfusions were retrospectively audited for 8 weeks. Management details including indications of transfusion and its appropriateness were recorded. Clinical practice guidelines recommended by Royal Children Hospital (RCH) were used as standards. Results: One hundred and ninety-two transfusions were done during the study period out of which 58 percent were done to males and 41 percent to females. Majority of transfusions were done in infants (44%) and O Positive blood group was found rampant among blood groups of all recipients (33.3%). Red cell concentrates were predominantly (55.7%) and appropriately (72%) transfusion among all blood components. Platelet concentrates were most inappropriately transfused (57%) followed by fresh frozen plasma (54%) and red cell concentrates (27%). There was significant percentage of inappropriate transfusion of all blood components (p=0.00). Conclusion: All blood components were significantly found inappropriately transfused, commonest component being platelet concentrates.
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spelling doaj.art-2acaf3bf2c0046caa4a90ab0e325fd1c2022-12-22T04:34:44ZengRawalpindi Medical UniversityJournal of Rawalpindi Medical College1683-35621683-35702022-03-0126110.37939/jrmc.v26i1.1800A Clinical Audit of blood component transfusion practices in Paediatric intensive care unit of a Tertiary Care Hospital, RawalpindiAnam Zafar0Nadia Sarosh1Tariq Saeed2Saba Bashir3Holy Family HospitalCMH Institute of Medical Sciences, MultanHoly Family Hospital, RawalpindiHoly Family Hospital, Rawalpindi Background: To audit the practices involved in blood component transfusion in the management of patients in paediatric intensive care unit of our hospital and to determine the appropriateness of transfusion after comparing them with clinical practice guidelines recommended by Royal Children Hospital (RCH). Methods: All patients admitted in pediatric intensive care which were managed with blood component transfusions were retrospectively audited for 8 weeks. Management details including indications of transfusion and its appropriateness were recorded. Clinical practice guidelines recommended by Royal Children Hospital (RCH) were used as standards. Results: One hundred and ninety-two transfusions were done during the study period out of which 58 percent were done to males and 41 percent to females. Majority of transfusions were done in infants (44%) and O Positive blood group was found rampant among blood groups of all recipients (33.3%). Red cell concentrates were predominantly (55.7%) and appropriately (72%) transfusion among all blood components. Platelet concentrates were most inappropriately transfused (57%) followed by fresh frozen plasma (54%) and red cell concentrates (27%). There was significant percentage of inappropriate transfusion of all blood components (p=0.00). Conclusion: All blood components were significantly found inappropriately transfused, commonest component being platelet concentrates. https://www.journalrmc.com/index.php/JRMC/article/view/1800pediatricsblood transfusionintensive care unitappropriate
spellingShingle Anam Zafar
Nadia Sarosh
Tariq Saeed
Saba Bashir
A Clinical Audit of blood component transfusion practices in Paediatric intensive care unit of a Tertiary Care Hospital, Rawalpindi
Journal of Rawalpindi Medical College
pediatrics
blood transfusion
intensive care unit
appropriate
title A Clinical Audit of blood component transfusion practices in Paediatric intensive care unit of a Tertiary Care Hospital, Rawalpindi
title_full A Clinical Audit of blood component transfusion practices in Paediatric intensive care unit of a Tertiary Care Hospital, Rawalpindi
title_fullStr A Clinical Audit of blood component transfusion practices in Paediatric intensive care unit of a Tertiary Care Hospital, Rawalpindi
title_full_unstemmed A Clinical Audit of blood component transfusion practices in Paediatric intensive care unit of a Tertiary Care Hospital, Rawalpindi
title_short A Clinical Audit of blood component transfusion practices in Paediatric intensive care unit of a Tertiary Care Hospital, Rawalpindi
title_sort clinical audit of blood component transfusion practices in paediatric intensive care unit of a tertiary care hospital rawalpindi
topic pediatrics
blood transfusion
intensive care unit
appropriate
url https://www.journalrmc.com/index.php/JRMC/article/view/1800
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