Open AccessEFFECTS OF IDENTIFYING TRANSFUSIONAL INCIDENTS BY ACTIVE SEARCHING AT A TERTIARY HOSPITAL
Author(s) -
Henrique de Paula Bedaque,
Rodolfo Daniel de Almeida Soares,
Carolina Lemos de Brito,
Gabriela Lia de Aquino Revoredo
Publication year - 2020
Publication title -
journal of surgical and clinical research
Language(s) - English
Resource type - Journals
ISSN - 2179-7889
DOI - 10.20398/jscr.v11i1.20699
Subject(s) - medicine , blood transfusion , hemotherapy , hemolysis , blood type (non human) , emergency medicine , abo blood group system
Objective: The present study aims to analyze implementation consequences on active search for incidents related to blood transfusion at Onofre Lopes University Hospital (HUOL) and establish a blood transfusion profile in this facility. Methods: Blood transfusion and TIs registered on Hemotherapy Core at HUOL were counted through SPSS 20, comparing IT/1000 blood transfusion averages between 2012 and 2014. T Test of Student was used to compare data and chi-square (X²) and relative risk calculation to associate the use of blood components and risk to develop TI.
Results: An increase of TI numbers at HUOL was shown by active searching and its equivalence to reference French and Brazilian services, liked to ANVISA sentinel network. Thus, there was a change in the average rate from 1.86 TI/1000 blood transfusions in 2012 to 5.36 TI/1000 blood transfusions in 2013 and 5.86 TI/1000 in 2014 (p = 0.001). It was also observed that the red blood cell concentrate is the fraction with the highest risk of occurrence of TIs (p = 0.003) and the greatest chance of causing any type of TI in relation to the other blood products, RR = 1.848 (95% CI; 1.042 - 3.266). It was also seen that the infusion of platelet concentrate is related to the allergic reaction (p <0.01), and greater risk compared to other blood components, RR = 2.746 (95% CI; 1.477 - 5.107).
Conclusion: This study demonstrates active Hemovigilance importance on Tis subnotifications decrease.