Indelen Cenk, Kizmaz Yesim Uygun, Erkilinc Atakan, Altinay Adile Ece, Shander Aryeh, Kirali Mehmet Kaan
Department of Cardiovascular Surgery, Kosuyolu High Specialization Training and Research Hospital, Istanbul, Turkey. Email:
Department of Anesthesiology and Reanimation, Kosuyolu High Specialization Training and Research Hospital, Istanbul, Turkey.
Cardiovasc J Afr. 2023;34(3):164-168. doi: 10.5830/CVJA-2022-044. Epub 2022 Sep 19.
This improvement report presents a hospital blood-management programme, a hospital-specific model that differs from patient blood managment and was aimed at improving operational standards of transfusion. We identified the challenges of the transfusion process and suggest practical strategies for improving them. The aim of this article was to investigate the effect of the programme on the transfusion of blood components.
In January 2019, the programme was started to improve the transfusion process. The data before and after the start of the programme were compared. Frequency distribution was obtained for each variable for statistical analysis and the chi-squared test with continuity correction was used to compare these variables for the years 2018 and 2019.
Transfusion of total blood components decreased by 23.2%, fresh whole blood by 46.7%, fresh frozen plasma by 38.4%, pooled platelets by 14.0% and red blood cells by 9.66%. Autologous transfusion increased 11.7-fold. The emergency department (76.0%) and intensive care unit transfusion rate (9.26%) decreased significantly.
This programme is an example for hospitals where patient blood management cannot be applied. The programme can be considered the first step for blood management and may be applied to blood management in institutions worldwide. The difficulty of blood supply and increased cost will increase the importance of hospital blood-management programmes in the coming years.
本改进报告介绍了一项医院血液管理计划，这是一种针对医院的模式，不同于患者血液管理，旨在提高输血操作标准。我们确定了输血过程中的挑战，并提出了改进这些挑战的实用策略。本文的目的是研究该计划对血液成分输血的影响。
2019年1月，启动该计划以改善输血过程。比较了该计划启动前后的数据。获取每个变量的频率分布进行统计分析，并使用连续性校正的卡方检验比较2018年和2019年的这些变量。
全血成分的输血减少了23.2%，新鲜全血减少了46.7%，新鲜冰冻血浆减少了38.4%，混合血小板减少了14.0%，红细胞减少了9.66%。自体输血增加了11.7倍。急诊科（76.0%）和重症监护病房的输血率（9.26%）显著下降。
该计划是无法应用患者血液管理的医院的一个范例。该计划可被视为血液管理的第一步，并可应用于全球各机构的血液管理。未来几年，血液供应困难和成本增加将使医院血液管理计划的重要性日益凸显。
