Assessment of the prescription of red blood cell concentrates in the pediatric age group

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dc.citation.issue2
dc.citation.volume64
dc.contributor.authorPina Faria, Joao Carlos
dc.contributor.authorVictorino, Camila Augusta
dc.contributor.authorSuano de Souza, Fabiola Isabel [UNIFESP]
dc.contributor.authorSaccardo Sarni, Roseli Oselka
dc.coverageSao Paulo
dc.date.accessioned2020-07-08T13:09:43Z
dc.date.available2020-07-08T13:09:43Z
dc.date.issued2018
dc.description.abstractObjective: To verify the adequacy of red blood cell (RBC) prescription to pediatric patients in different sectors of a pediatric hospital. Method: A retrospective study was conducted including 837/990 RBC transfusion requisition forms for children and adolescents (0 to 13 years old) filed in between January 2007 and April 2015 by the pediatricians of the emergency room (ER), infirmary ward and intensive care unit (pICU). Transfusion requisition forms belonging to patients with chronic anemia or acute hemorrhage, as well as incompletes requisition forms, were excluded. Results: Trigger, prescribed volume and subtype of RBC concentrates were adequate in 532 (65.3%), 460 (58.8%) and 805 (96.2%) of the transfusions, respectively. When the clinical picture was considered, prescription adequacy was higher compared to the use of the hemoglobin level alone (70.9% vs. 41%). The pICU had the highest correct trigger percentage (343 [71.6%]en
dc.description.abstractp< 0.001) while the ER showed more often adequate prescribed volumes (119 [66.1%]en
dc.description.abstractp= 0.020). The most common inadequacy regarding volume was that of prescriptions above the recommendation > 15 mL/kg found in 309 cases (36.9%). Thirty-two (32) RBC subtypes were requested and none were consistent with current recommendations. Conclusion: The results obtained in our study showed that RBC transfusion occurred more appropriately when the clinical picture was taken into account at request. There was a tendency to prescribe higher volumes and RBC subtypes without the justification of current protocols. Hemotherapic teachings at undergraduate level and medical residency must be improved.en
dc.description.affiliationFac Med ABC FMABC, Santo Andre, SP, Brazil
dc.description.affiliationHosp Sao Bernardo, Sao Bernardo Do Campo, SP, Brazil
dc.description.affiliationFMABC, Dept Pediat, Sao Paulo, SP, Brazil
dc.description.affiliationUniv Fed Sao Paulo EPM Unifesp, Escola Paulista Med, Dept Pediat, Sao Paulo, SP, Brazil
dc.description.affiliationFMABC, Dept Pediat, Santo Andre, SP, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo EPM Unifesp, Escola Paulista Med, Dept Pediat, Sao Paulo, SP, Brazil
dc.description.sourceWeb of Science
dc.format.extent181-186
dc.identifierhttp://dx.doi.org/10.1590/1806-9282.64.02.181
dc.identifier.citationRevista Da Associacao Medica Brasileira. Sao Paulo, v. 64, n. 2, p. 181-186, 2018.
dc.identifier.doi10.1590/1806-9282.64.02.181
dc.identifier.fileS0104-42302018000200181.pdf
dc.identifier.issn0104-4230
dc.identifier.scieloS0104-42302018000200181
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/54154
dc.identifier.wosWOS:000429487700017
dc.language.isoeng
dc.publisherAssoc Medica Brasileira
dc.relation.ispartofRevista Da Associacao Medica Brasileira
dc.rightsAcesso aberto
dc.subjectTransfusion Medicineen
dc.subjectErythrocyte Transfusionen
dc.subjectChilden
dc.subjectPrescriptionsen
dc.titleAssessment of the prescription of red blood cell concentrates in the pediatric age groupen
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