Korean J Blood Transfus.
2018 Aug;29(2):130-139. 10.17945/kjbt.2018.29.2.130.
An Experience of Various Pretransfusion Test Protocols in a Tertiary Referral Hospital
- Affiliations
-
- 1Department of Laboratory Medicine and Genetics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. duck.cho@skku.edu
- 2Department of Health Sciences and Technology, Samsung Advanced Institute for Health Sciences and Technology, Sungkyunkwan University, Seoul, Korea.
- 3Department of Laboratory Medicine, Chonnam National University Medical School, Gwangju, Korea.
- KMID: 2435671
- DOI: http://doi.org/10.17945/kjbt.2018.29.2.130
Abstract
- BACKGROUND
Pretransfusion tests are essential for safe transfusions, but occasionally, part or all can be omitted when a transfusion is needed urgently in an emergency. The purpose of this study was to share the authors' experience of various pretransfusion test protocols in a tertiary referral hospital in Korea.
METHODS
From July 2016 to June 2017, all transfusion cases at Samsung Medical Center were analyzed retrospectively. For each pretransfusion test protocol, the parameters regarding issue, return and disposal rate of blood products, occurrence of hemolytic transfusion adverse effect, and prescription frequency of each respective department and ordering site were analyzed.
RESULTS
A total of 90,539 units of red blood cells, 24,814 units of fresh frozen plasmas, 24,758 units of single donor platelets, and 23,303 units of platelet concentrates were issued during the study period. Among them, 3.6%, 1.8%, 0.3%, and 0.4% of red blood cells, fresh frozen plasmas, single donor platelets, and platelet concentrates were issued according to the emergency transfusion protocols. When various pretransfusion test protocols were applied to issue blood products, there was no case in which an adverse hemolytic transfusion reaction was suspected. When compared with usual pretransfusion test protocol, all emergency transfusion protocols showed significantly higher return and wastage rates in red blood cells and fresh frozen plasmas. Platelets also had a higher return and wastage rate, but the difference was not significant.
CONCLUSION
These results suggests that there is no different risk of adverse hemolytic transfusion reaction regardless the pre-transfusion protocols, but management about of the increased rate of return and wastage of blood products in emergency transfusions should be considered.
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Are Characteristics of Korean Constipation Patients Who Visited a Tertiary Referral Center Different from Those of Western Patients?
- Elimination of ALX148 Interference in Pretransfusion Testing by RBC Alloadsorption: Two Case Reports
- Elimination of ALX148 Interference in Pretransfusion Testing by RBC Alloadsorption: Two Case Reports
- Factors Contributing Patients' 'Self Requested Referral' in University Hospital Family Medicine Clinic
- Epidemiological characteristics of carbapenemresistant Enterobacteriaceae and carbapenem-resistant Acinetobacter baumannii in a tertiary referral hospital in Korea
