A Clinical Audit of blood component transfusion practices in the Paediatric intensive care unit of a Tertiary Care Hospital, Rawalpindi | [Journal of Rawalpindi Medical College • 2022]

Author(s):

1. Anam Zafar: KRL Hospital, Islamabad, Pakistan

2. Nadia Sarosh: Department of Pathology, CMH Multan Institute of Medical Sciences, Multan, Pakistan

3. Tariq Saeed: Department of Paediatrics, Holy Family Hospital, Rawalpindi, Pakistan

4. Saba Bashir: Department of Paediatrics, Holy Family Hospital, Rawalpindi, Pakistan

Abstract:

Objective: To audit the practices involved in blood component transfusion in the management of patients in the paediatric intensive care unit of our hospital and to determine the appropriateness of transfusion after comparing them with clinical practice guidelines recommended by Royal Children's Hospital (RCH). Materials and Methods: All patients admitted to pediatric intensive care who were managed with blood component transfusions were retrospectively audited for 8 weeks. Management details including indications of transfusion and its appropriateness were recorded. Clinical practice guidelines recommended by Royal Children's Hospital (RCH) were used as standards. Results: One hundred and ninety-two transfusions were done during the study period out of which 58 percent were done to males and 41 percent to females. Most transfusions were done in infants (44%) and O Positive blood group was found rampant among blood groups of all recipients (33.3%). Red cell concentrates were predominantly (55.7%) and appropriately (72%) for transfusion among all blood components. Platelet concentrates were most inappropriately transfused (57%) followed by fresh frozen plasma (54%) and red cell concentrates (27%). There was a significant percentage of inappropriate transfusion of all blood components (p=0.00). Conclusion: All blood components were significantly found inappropriately transfused, the commonest component being platelet concentrates.

Page(s): 103-106

DOI: 10.37939/jrmc.v26i1.1800

Published: Journal: Journal of Rawalpindi Medical College, Volume: 26, Issue: 1, Year: 2022

Keywords:

Intensive Care Unit , blood transfusion , appropriate , Paediatrics

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