| Summary: | Background : blood transfusion basically is transferred blood component from
donor to resipient, which can maintenance homeostatic condition but it can also be
potentially harm with several complications. Blood transfusion must be performed
based on exact indication.
Objective: to compare the transfusion reaction among patients that transfused
during emergency with elective surgery.
Methods : data were collected by cross sectional method and analyzed by
independent T-test, chi-square and logistic regression with 95% CI and p<0,05.
The study used medical record from January to Desember 2009 and observed data
from January-Mei 2009.
Result : it showed significancy of transfusion reaction either type of operation or
transferred blood component (P<0,01). Transfusion reactions are more frequent in
emergency surgery (54,9%) compared with elective surgery (30,5%). Based on
type of blood component the transfusion reaction is more frequent in WB (84,9%)
compared with PRC (25,1%) and FFP (25%). Type of operation and blood
component involve in risk factor, the main factor of both is type of blood
component (P<0,01). Blood component that transferred during surgery is based on
hemoglobin correction formula, although there are differences between transfused
blood and corrected formula result but no significance different (p>O,05,
p=O,863).
Conclusion: Transfusion reaction is more frequent in emergency surgery than
elective surgery, whole blood (WB) also more frequent than Packed Red Cell
(PRC). The transferred blood is based on hemoglobin correction formula.
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