Verma Anupam, Pandey Prashant, Khetan Dheeraj, Chaudhary Rajendra
Department of Transfusion Medicine, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Raebareli Road, Lucknow, India.
Transfus Apher Sci. 2008 Aug;39(1):29-35. doi: 10.1016/j.transci.2008.05.013. Epub 2008 Jul 10.
Specialty wise utilization pattern of platelet concentrates (PLT) over a period of 2 months was evaluated prospectively for appropriateness. Overall 4.87 random donor platelets (RDP) (total 1672) units were issued per request. A total of 1101 RDP (66%) were transfused prophylactically against 221 requests (64.4%) while, 571 RDP were transfused for therapeutic (requests=122, 35.6%) reasons. Twenty-three percent of prophylactic requests and 15% of the therapeutic requisitions were not justified. Most common reason for unjustified prophylactic transfusion was unavailability of pre-transfusion platelet count. Concurrent screening of request forms to ensure optimized PLT usage may further decrease platelet misuse at our center.
前瞻性评估了两个月内血小板浓缩物（PLT）按专业划分的使用模式是否合理。每次申请平均发放4.87个随机供体血小板（RDP）单位（共1672个单位）。总共1101个RDP（66%）用于预防性输注，对应221次申请（64.4%），而571个RDP用于治疗性输注（申请次数 = 122次，35.6%）。23%的预防性申请和15%的治疗性申请不合理。预防性输血不合理的最常见原因是输血前血小板计数无法获得。同时筛查申请表以确保优化PLT使用，可能会进一步减少我们中心的血小板滥用情况。
