Beguin C, Lambermont M, Dupont E, Vandermeersch E, France F H, Waterloos H, Baele P
Cliniques Universitaires Saint Luc (UCL), Centre d'Informatique Médicale, Bruxelles.
Acta Anaesthesiol Belg. 1998;49(2):141-52.
In April 1995 the Ministry of Public Health invited all Belgian hospitals to participate to a survey on the use of blood transfusion. The questionnaire presented two parts, the first one devoted to products transfused and the second one to the transfusion organisation in the hospital. 71 hospitals answered: 7 university and 64 general hospitals. All hospitals reported the use of red cells, 31 of them still used whole blood. Surgical departments transfused the greatest absolute amount of units, but the highest intensity (units/bed/year) was observed in intensive care units. 52 hospitals mentioned the use of autologous predeposit. The highest consumption of platelets occurred in medicine but intensive care showed the highest intensity of platelet transfusion. In 41 hospitals platelets were obtained by cytapheresis. The number of plasma units transfused was highly correlated with the quantities of packed red cells and whole blood transfused. Ten hospitals didn't report the use of any blood conservation technique. Returning unused units to the blood bank was allowed in 80% of the hospitals, their return to the transfusion center was permitted in 65% of the hospitals. A transfusion committee existed in only 11 hospitals. Transfusion should be improved by a better education of all physicians and nurses involved with transfusion and by improving standardisation, by better documentation, better reporting and information of all health care workers involved.
1995年4月，比利时公共卫生部邀请所有比利时医院参与一项关于输血使用情况的调查。问卷分为两部分，第一部分涉及所输注的产品，第二部分涉及医院内的输血组织。71家医院做出了回应：7家大学医院和64家综合医院。所有医院都报告使用了红细胞，其中31家仍在使用全血。外科科室输注的单位数量绝对值最大，但重症监护病房的输注强度最高（单位/床位/年）。52家医院提到了自体预存输血的使用情况。血小板使用量最高的科室是内科，但重症监护病房的血小板输注强度最高。41家医院通过血细胞分离术获取血小板。输注的血浆单位数量与浓缩红细胞和全血的输注量高度相关。10家医院未报告使用任何血液保护技术。80%的医院允许将未使用的单位血液返还血库，65%的医院允许将其返还输血中心。只有11家医院设有输血委员会。应通过对所有参与输血工作的医生和护士进行更好的培训，以及通过改善标准化、完善文件记录、加强报告和向所有参与医疗保健工作的人员提供信息，来改进输血工作。
