2007, Number 1
System of monitoring and policies of consumption and reasoned use of blood are indispensable in the UCI
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ABSTRACTIntroduction: System of monitoring and policies of consumption and reasoned use of blood are indispensable in the UCI.
Objective: To determine incidence and IRDSH in a ICU of a HGR in Querétaro.
Material and methods: Retrospective observational study of cohorte.
Main results: 229 patients entered, 54 received 590 units: 157 Packed Red Cell, 308 Fresh Frozen Plasma, 104 packed platelets, 4 units of platelets from apheresis and 16 cryoprecipitates ones. Incidence of transfusions: 23.58; the IRDSH: 161.64 mL/bed/day. The most frequent diagnoses: Sepsis (27.78%) and HELLP (12.96%). Time of average requirement of blood: 6.26 days. When stratifying the patients with obstetrical complications, these used more Platelet than the rest of the patients (p‹ 0.05) who required more Packed Red Cell and Fresh Frozen Plasma (p ‹ 0.05).
Conclusions: One of each five patients in critical state required transfusion, the IRDSH is 2.69 times greater to the rest of the hospital, the revision of policies of donation promotion and use reasoned of blood, must include the analysis stratified by groups of high demand.
Hebert PC, Corwin HL, Silbad WJ. Transfusion strategies in the ICU: when and who to transfuse, alternatives, and artificial hemoglobins. Interactive Session. Program and abstracs of CHEST 2000: 66th Annual Scientific Assembly of the American College of Chest Physicians and Clinical World Congress on Diseases of the Chest; October 22-26,2000; San Francisco, California.
Arnold DM, Crowther MA, Cook RJ, Sigouin C, Heddle NM; Molnar L, Cook DJ. Utilization of platelet transfusions in the intensive care unit: indications, transfusion triggers, and platelet count responses. Transfusion. 2006;46(8):1286-91.
Corwin HL, Gettinger A, Pearl RG et al. The CRIT Study: Anemia and blood transfusion in the critically Ill - Current clinical practice in the United States. Crit Care Med 2004;32(1):39-52.
Shorr AF, MD, Duh MS, Kelly KM et al. Red blood cell transfusion and ventilator-associated pneumonia: A potential link? Crit Care Med 2004;32(3):666-674.
Izaguirre AR, Micheli A. Entorno a la historia de las transfusiones sanguíneas. Rev Inv Clin 2002;54(6):552-558.