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三级保健中心输血反应的回顾性分析:机构血液监测研究。

A Retrospective Analysis of Transfusion Reactions at a Tertiary Care Center: An Institutional Hemovigilance Study.

出版信息

J Contin Educ Nurs. 2021 Dec;52(12):581-588. doi: 10.3928/00220124-20211108-10. Epub 2021 Dec 1.

Abstract

BACKGROUND

The goal of our study was to determine the frequency and type of transfusion reactions (TRs) as well as other hemovigilance activities reported at a tertiary care hospital in Turkey over a period of 3 years.

METHOD

In this retrospective study, the notification sheets of TRs reported to the institution's local hemovigilance system between December 2017 and December 2020 were analyzed.

RESULTS

A total of 89,187 units of blood components were administered to patients during this period. A total of 197 TRs were reported to the hemovigilance system. The overall frequency of TRs was 0.22%. The most common TRs were allergic reactions (49.2%) and febrile nonhemolytic transfusion reactions (37.6%), respectively. Most of the adverse events were reported by clinical nurses.

CONCLUSION

Our study showed that the frequency of TRs was low, and most were manageable reactions. We found that reporting of all TRs and continuous nursing education can help to strengthen the hemovigilance system. .

摘要

背景

我们的研究目的是确定在土耳其的一家三级护理医院在三年内报告的输血反应(TR)的频率和类型以及其他血液警戒活动。

方法

在这项回顾性研究中,分析了 2017 年 12 月至 2020 年 12 月向机构本地血液警戒系统报告的 TR 通知表。

结果

在此期间,共向患者输注了 89187 单位的血液成分。共向血液警戒系统报告了 197 例 TR。TR 的总发生率为 0.22%。最常见的 TR 分别为过敏反应(49.2%)和发热非溶血性输血反应(37.6%)。大多数不良事件由临床护士报告。

结论

我们的研究表明,TR 的发生率较低,大多数是可管理的反应。我们发现报告所有 TR 并持续进行护理教育可以帮助加强血液警戒系统。

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