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[Appropriate use of red blood cell transfusion in the emergency department before and after a specific protocol].

Authors
  • Langlais, M-L1
  • Dargère, M1
  • Le Niger, C2
  • Goetghebeur, D1
  • 1 Urgences médicales adultes Cavale Blanche, CHRU de Brest, boulevard Tanguy-Prigent, 29200 Brest, France. , (France)
  • 2 Unité d'hémovigilance, hôpital Morvan, CHRU de Brest, 5, avenue Foch, 29609 Brest, France. Electronic address: [email protected] , (France)
Type
Published Article
Journal
Transfusion clinique et biologique : journal de la Societe francaise de transfusion sanguine
Publication Date
Feb 01, 2019
Volume
26
Issue
1
Pages
38–47
Identifiers
DOI: 10.1016/j.tracli.2018.03.003
PMID: 29673931
Source
Medline
Keywords
Language
French
License
Unknown

Abstract

The purpose of this study was to assess appropriateness of red blood cell (RBC) transfusion in the emergency department before and after a specific protocol. A retrospective monocenter study was realized during two six-month periods at the emergency unit. A protocol based on the French national guidelines (HAS) in 2014 was set up between the two periods. All the adult patients, except in a context of massive transfusion, were included in the study. The principal criteria analysed was the rate of appropriate transfusion. Ninety-five patients were included during the first period (group 1) and 98 during the second one (group 2). The rate of appropriateness was the same in the two groups (81% for the group 1 and 81.6% for the group 2). The inappropriate indications were more frequent with older patients (74.6 ± 15.2 years in the group 1 and 79.5 ± 8.5 in the group 2, P=0.01) and patients suffering from a stable coronary artery disease (18.5% in the group 1 and 38.9% in the group 2, P=0.008). The rate of appropriate red blood cells transfusion, already high at the beginning of the study, could not be significantly improved with the institution of a specific protocol. It is necessary to continue medical training. Copyright © 2018 Elsevier Masson SAS. All rights reserved.

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