دورية أكاديمية
A clinical audit of red blood cell transfusion practices at a district hospital in South Africa.
| العنوان: | A clinical audit of red blood cell transfusion practices at a district hospital in South Africa. |
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| المؤلفون: | Madito NS; Department of Family Medicine, Faculty of Health Sciences, University of the Free State, Bloemfontein. nono.madito@gmail.com., Van Rooyen C, Hagemeister DT |
| المصدر: | South African family practice : official journal of the South African Academy of Family Practice/Primary Care [S Afr Fam Pract (2004)] 2024 Aug 08; Vol. 66 (1), pp. e1-e8. Date of Electronic Publication: 2024 Aug 08. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: AOSIS Publishing Country of Publication: South Africa NLM ID: 9701104 Publication Model: Electronic Cited Medium: Internet ISSN: 2078-6204 (Electronic) Linking ISSN: 20786190 NLM ISO Abbreviation: S Afr Fam Pract (2004) Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2020- : [Durbanville, Cape Town] : AOSIS Publishing Original Publication: Cramerview : The Academy, [1994- |
| مواضيع طبية MeSH: | Erythrocyte Transfusion*/statistics & numerical data , Hospitals, District* , Guideline Adherence* , Clinical Audit*, Humans ; South Africa ; Retrospective Studies ; Middle Aged ; Female ; Male ; Adult ; Aged ; Practice Guidelines as Topic ; Medical Audit |
| مستخلص: | Background: Red blood cell (RBC) transfusion is one of the most critical and expensive lifesaving treatment modalities. A clinical audit is a valuable instrument to determine whether transfusion practices align with the guidelines and identify knowledge deficiencies. The study aimed to evaluate the RBC transfusion practices and patient outcomes at the National District Hospital in Bloemfontein, South Africa, and to determine adherence to transfusion guidelines. Methods: A retrospective descriptive study was conducted. All blood transfusion registers in the hospital were used to identify transfusion episodes during the study period. Files were retrieved from the admissions office and information captured on a paper-based datasheet. The appropriateness of the transfusion and adherence to the South African transfusion guidelines were evaluated using specific criteria. Results: Of the 118 transfusion episodes during the study period, 78 files were retrieved and 76 included in the study. The patients' median age was 47 years (interquartile range [IQR]: 32-66 years), with human immunodeficiency viruses (HIV) (n = 34; 44.7%) being the most common comorbid condition. Pre-transfusion haemoglobin was documented for all patients with a median of 4.6 g/dL (IQR: 3.95 g/dL - 5.5 g/dL). The audit revealed that in 68.4% (n = 52) of the cases, the guidelines were applied appropriately. Conclusion: The study described the blood transfusion practices and identified shortcomings when compared with the standard clinical guidelines.Contribution: The study highlights the importance of applying rationale, caution and consideration of the specific patient profile when performing transfusions. |
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| فهرسة مساهمة: | Keywords: anaemia; audit; guidelines; haemoglobin; red blood cells; transfusion |
| تواريخ الأحداث: | Date Created: 20240902 Date Completed: 20240902 Latest Revision: 20240905 |
| رمز التحديث: | 20240905 |
| مُعرف محوري في PubMed: | PMC11369545 |
| DOI: | 10.4102/safp.v66i1.5958 |
| PMID: | 39221724 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2078-6204 |
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| DOI: | 10.4102/safp.v66i1.5958 |