A simple program to improve the appropriateness of red blood cell transfusions in non-bleeding hospital patients: a before-and-after study.

IF 3 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL Archives of Medical Science Pub Date : 2024-01-16 eCollection Date: 2024-01-01 DOI:10.5114/aoms/177281
Jan Herzyk, Dawid Wilczek, Renata Kopczyńska, Piotr F Czempik
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Abstract

Introduction: Transfusion of red blood cells (RBCs) is not devoid of risks; nor is anemia. The aim of the study was to assess the usefulness of a program designed to improve the appropriateness of RBC transfusions in hospital patients.Methods: We retrospectively analyzed time periods before and after program implementation.

Results: Before program implementation 415 out of 23492 (1.8%) patients received at least 1 RBC, whereas after implementation 162 out of 25062 (0.6%) did so. The percentage of appropriate RBC transfusions increased from 23.6 to 37.1%.

Conclusions: A simple program may lead to a 3-fold decrease in transfusion rate and a significant increase in the percentage of appropriate RBC transfusions.

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改善非出血住院病人输注红细胞适当性的简单方案:前后对比研究。
导言:输注红细胞(RBC)并非没有风险,贫血也是如此。本研究旨在评估一项旨在提高医院患者输注红细胞适当性的计划的实用性:我们对计划实施前后的时间段进行了回顾性分析:结果:计划实施前,23492 名患者中有 415 名(1.8%)至少接受了 1 次红细胞,而计划实施后,25062 名患者中有 162 名(0.6%)接受了红细胞。适当输注红细胞的比例从 23.6% 提高到 37.1%:结论:一项简单的计划可将输血率降低 3 倍,并显著提高适当输注红细胞的比例。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Archives of Medical Science
Archives of Medical Science 医学-医学:内科
CiteScore
4.90
自引率
7.90%
发文量
139
审稿时长
1.7 months
期刊介绍: Archives of Medical Science (AMS) publishes high quality original articles and reviews of recognized scientists that deal with all scientific medicine. AMS opens the possibilities for young, capable scientists. The journal would like to give them a chance to have a publication following matter-of-fact, professional review by outstanding, famous medical scientists. Thanks to that they will have an opportunity to present their study results and/or receive useful advice about the mistakes they have made so far. The second equally important aim is a presentation of review manuscripts of recognized scientists about the educational capacity, in order that young scientists, often at the beginning of their scientific carrier, could constantly deepen their medical knowledge and be up-to-date with current guidelines and trends in world-wide medicine. The fact that our educational articles are written by world-famous scientists determines their innovation and the highest quality.
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