血液警戒与患者安全：老年患者即时输血反应分析
Hemovigilance and patient safety: analysis of immediate transfusion reactions in elderly.
作者信息
Sobral Paola Almeida Dos Santos, Göttems Leila Bernarda Donato, Santana Levy Aniceto
机构信息
Secretaria de Estado de Saúde do Distrito Federal. Brasília, Distrito Federal, Brazil.
Escola Superior de Ciências da Saúde. Brasília, Distrito Federal, Brazil.
出版信息
Rev Bras Enferm. 2020 Oct 19;73(suppl 3):e20190735. doi: 10.1590/0034-7167-2019-0735. eCollection 2020.
OBJECTIVE
To identify immediate transfusion reactions in elders hospitalized in a public hospital in the Federal District.
METHODS
This is an observational, retrospective, documental, and analytical research, with a quantitative analysis of 516 transfusions of packed red blood cells in elders hospitalized in the largest public hospital, who required blood components, from June to December 2017, through descriptive statistics.
RESULTS
The sample corresponded to 46.36% of the total number of transfusions in elders in the period. The mean age was 70 years old. There were adverse effects (reactions to the transfusion) in 12 (2.3%) transfusions. Respiratory alterations (33.3%) and fever (23.8%) were the most common events.
CONCLUSION
The incidence of reactions to the transfusion is below national and international rates, indicating probable undernotification, which could be associated to a lack of knowledge regarding its clinical manifestations and the lack of systematic monitoring of the transfusion.
目的
确定在联邦区一家公立医院住院的老年人中的即时输血反应。
方法
这是一项观察性、回顾性、文献性和分析性研究，通过描述性统计对2017年6月至12月期间在最大的公立医院住院的需要血液成分的老年人进行的516次红细胞悬液输血进行定量分析。
结果
该样本占该时期老年人输血总数的46.36%。平均年龄为70岁。12次（2.3%）输血出现了不良反应（输血反应）。呼吸改变（33.3%）和发热（23.8%）是最常见的事件。
结论
输血反应的发生率低于国家和国际水平，表明可能存在报告不足的情况，这可能与对临床表现缺乏认识以及缺乏对输血的系统监测有关。
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