Adecuación de las transfusiones en un servicio de medicina interna

Carla de la Guerra-Acebal , Mayte Rámiz-Martínez , Goizalde Solano-Iturri , Nicanor García-Jiménez , Ricardo Franco-Vicario , Felipe Miguel-de la Villa
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Abstract

Objetive

Anemia is one of the main reasons of admission to the Internal Medicine Service of Basurto's Hospital and it needs transfusion in quite a lot of cases. We show a work about characteristics and adequacy of transfusions.

Patients and method

We included patients admitted and transfunded during 3 months, we did a descriptive analysis and clasificated transfusion in adequate, inadequate and undetermined.

Results

We included 35 transfusions, the average age was 76.9, without differences between sexes; 50% had cardiopathy and 40% had anticoagulant or antiplatelet therapy; anemia was chronic in 71.4% and all transfusions were from donors; only 8.5% of relatives were blood donors. 97.1% of transfusions were adequate.

Conclusions

Indications of transfusion usually follow current guides. Doctors and patients' relatives were able to be aware of the incalculable value and the lack of donations. This work allows doctors to use transfusions adequately, avoiding inadequate indications.

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在内科服务中输血的充分性
目的贫血是Basurto医院内科住院的主要原因之一,在相当多的病例中需要输血。我们展示了一项关于输血特征和充分性的工作。患者和方法我们纳入入院和转诊3个月内的患者,我们做了描述性分析,并将输血分为充足、不充分和不确定。结果纳入35例患者,平均年龄76.9岁,无性别差异;50%患有心脏病,40%接受过抗凝或抗血小板治疗;慢性贫血占71.4%,所有输血均来自献血者;只有8.5%的亲属献血。97.1%输血量充足。结论输血指征一般遵循现行指南。医生和病人的家属能够意识到不可估量的价值和捐赠的缺乏。这项工作使医生能够充分使用输血,避免不适当的适应症。
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Gaceta Medica de Bilbao
Gaceta Medica de Bilbao Medicine-Medicine (all)
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