KMID : 0387720190300030230
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Korean Journal of Blood Transfusion 2019 Volume.30 No. 3 p.230 ~ p.235
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Distribution of Hemoglobin Concentration before Transfusion for Evaluation of Appropriateness of Red Blood Cell Transfusion
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Jeong In-Hwa
Kim Kyeong-Hee An Gyu-Dae Jeong Gi-Cheol
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Abstract
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Red blood cell transfusions have been associated with the risk of transfusion transmitted infections, and inappropriate transfusions may have an adverse effect on the patient¡¯s clinical course. The laboratory information system was used to examine the distribution of the hemoglobin level before transfusion and to use it as a basis for evaluating the appropriateness. A program was developed for assessing the hemoglobin level that was checked within five days before a red blood cell transfusion. The hemoglobin level was analyzed according to each clinical department and the site where the transfusion had been done from Jun to Dec 2018. A total of 10,520 units of red blood cells were transfused, and leuko-reduced units accounted for 2,225 units (21.2%). The hemoglobin measurements were taken in all units within five days. The median hemoglobin level before the transfusion was 7.9 g/dL. A significant difference in the hemoglobin level (P<0.0001) was observed among clinical departments and transfusion sites. The median hemoglobin level in cardiology was significantly higher than the other medical sub-departments. The hemoglobin level was significantly higher in the operating room (10.3 g/dL) than in the hemodialysis room (7.15 g/dL). The difference in the distribution of the hemoglobin level before a transfusion may be used as data for communication with the clinical department.
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KEYWORD
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Red blood cell, Transfusion, Hemoglobin
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