Evaluation of cellular changes in blood stored for transfusion at Bungoma County Referral Hospital, Kenya

INTRODUCTION: During the storage of transfusion blood, it may undergo a series of cellular changes that in speculation could be the reason behind the risk of using prolonged stored blood. It´s important therefore to monitor the cellular changes that may reduce its survival and function. The objectiv...

Full description

Bibliographic Details
Main Authors: Phidelis Maruti Marabi, Stanslaus Kiilu Musyoki, Angela Amayo
Format: Article
Language:English
Published: The Pan African Medical Journal 2021-03-01
Series:The Pan African Medical Journal
Subjects:
Online Access: https://www.panafrican-med-journal.com/content/article/38/280/pdf/280.pdf
_version_ 1819125204594458624
author Phidelis Maruti Marabi
Stanslaus Kiilu Musyoki
Angela Amayo
author_facet Phidelis Maruti Marabi
Stanslaus Kiilu Musyoki
Angela Amayo
author_sort Phidelis Maruti Marabi
collection DOAJ
description INTRODUCTION: During the storage of transfusion blood, it may undergo a series of cellular changes that in speculation could be the reason behind the risk of using prolonged stored blood. It´s important therefore to monitor the cellular changes that may reduce its survival and function. The objective was to assess the cellular changes in whole blood stored for transfusion at Bungoma county referral hospital. METHODS: A single center, prospective and observational study design involving 20 randomly selected donor blood units in citrate phosphate dextrose adenine (CPDA-1) anticoagulant was employed, cellular changes were evaluated for 35 days. The changes were tested using the Celtac F Haematology analyzer. Statistical Analysis of variance was employed in the descriptive statistics. All the investigation was executed using statistical package for social sciences (SPSS V.23). Results were regarded as significant at P=0.05. Results were presented in tables and charts. RESULTS: At the end of the 35 days blood storage at blood bank conditions , WBC, RBC, platelets counts and MCHC decreased significantly (P=0.0001, =0.0182, 0.0001,=0.0035). The MCV, HCT and MCH increased significantly (P=0.0003, =0.0115) while HGB had insignificant variance (P =0.4185). CONCLUSION: Platelets, WBC, RBC counts, and indices are significantly altered in stored blood especially when stored over two weeks based on most of the cellular components analyzed in this study. The study, therefore, recommends the utilization of fresh blood to avoid the adverse outcome of cellular changes of reserved blood.
first_indexed 2024-12-22T07:36:25Z
format Article
id doaj.art-d8fa9955c8784c6c910267b3a6497c47
institution Directory Open Access Journal
issn 1937-8688
1937-8688
language English
last_indexed 2024-12-22T07:36:25Z
publishDate 2021-03-01
publisher The Pan African Medical Journal
record_format Article
series The Pan African Medical Journal
spelling doaj.art-d8fa9955c8784c6c910267b3a6497c472022-12-21T18:33:53ZengThe Pan African Medical JournalThe Pan African Medical Journal1937-86881937-86882021-03-013828010.11604/pamj.2021.38.280.2232722327Evaluation of cellular changes in blood stored for transfusion at Bungoma County Referral Hospital, KenyaPhidelis Maruti Marabi0Stanslaus Kiilu Musyoki1Angela Amayo2 Bungoma County Referral Hospital, Bungoma, Kenya School of Health Sciences, Kisii University, Kisii, Kenya Department of Human Pathology, University of Nairobi, Nairobi, Kenya INTRODUCTION: During the storage of transfusion blood, it may undergo a series of cellular changes that in speculation could be the reason behind the risk of using prolonged stored blood. It´s important therefore to monitor the cellular changes that may reduce its survival and function. The objective was to assess the cellular changes in whole blood stored for transfusion at Bungoma county referral hospital. METHODS: A single center, prospective and observational study design involving 20 randomly selected donor blood units in citrate phosphate dextrose adenine (CPDA-1) anticoagulant was employed, cellular changes were evaluated for 35 days. The changes were tested using the Celtac F Haematology analyzer. Statistical Analysis of variance was employed in the descriptive statistics. All the investigation was executed using statistical package for social sciences (SPSS V.23). Results were regarded as significant at P=0.05. Results were presented in tables and charts. RESULTS: At the end of the 35 days blood storage at blood bank conditions , WBC, RBC, platelets counts and MCHC decreased significantly (P=0.0001, =0.0182, 0.0001,=0.0035). The MCV, HCT and MCH increased significantly (P=0.0003, =0.0115) while HGB had insignificant variance (P =0.4185). CONCLUSION: Platelets, WBC, RBC counts, and indices are significantly altered in stored blood especially when stored over two weeks based on most of the cellular components analyzed in this study. The study, therefore, recommends the utilization of fresh blood to avoid the adverse outcome of cellular changes of reserved blood. https://www.panafrican-med-journal.com/content/article/38/280/pdf/280.pdf blood transfusioncellular changesstoragekenya
spellingShingle Phidelis Maruti Marabi
Stanslaus Kiilu Musyoki
Angela Amayo
Evaluation of cellular changes in blood stored for transfusion at Bungoma County Referral Hospital, Kenya
The Pan African Medical Journal
blood transfusion
cellular changes
storage
kenya
title Evaluation of cellular changes in blood stored for transfusion at Bungoma County Referral Hospital, Kenya
title_full Evaluation of cellular changes in blood stored for transfusion at Bungoma County Referral Hospital, Kenya
title_fullStr Evaluation of cellular changes in blood stored for transfusion at Bungoma County Referral Hospital, Kenya
title_full_unstemmed Evaluation of cellular changes in blood stored for transfusion at Bungoma County Referral Hospital, Kenya
title_short Evaluation of cellular changes in blood stored for transfusion at Bungoma County Referral Hospital, Kenya
title_sort evaluation of cellular changes in blood stored for transfusion at bungoma county referral hospital kenya
topic blood transfusion
cellular changes
storage
kenya
url https://www.panafrican-med-journal.com/content/article/38/280/pdf/280.pdf
work_keys_str_mv AT phidelismarutimarabi evaluationofcellularchangesinbloodstoredfortransfusionatbungomacountyreferralhospitalkenya
AT stanslauskiilumusyoki evaluationofcellularchangesinbloodstoredfortransfusionatbungomacountyreferralhospitalkenya
AT angelaamayo evaluationofcellularchangesinbloodstoredfortransfusionatbungomacountyreferralhospitalkenya