福岡県内主要病院の新鮮凍結血しょうとアルブミン製剤の使用状況について 平成１０年度厚生科学医薬安全総合研究事業報告

Abstract

We undertook an investigation of blood components and albumin used in sixty-eight major hospitals at Fukuoka prefecture during the first six months of 1998. An evaluation of the share of FFP and Alb in the total blood products consumption was performed. Throughout Fukuoka prefecture, 378, 502 units of blood components and Alb were used during this period. The share of FFP and Alb was 50%, FFP was 16% and Alb was 34% as respective part of the whole. The ratio of FFP and Alb usage to red blood cell products including autologous blood (P/R) was 2.53. The ratio of Alb to FFP (A/F) was 2.06. Furthermore, the comparative percentages of FFP and Alb usage of the surgical departments and the internal medicine departments of the participating hospitals were 58% and 42% respectively. The P/R and A/F of the surgical departments were 2.48 and 1.55. The share of FFP and Alb usage in digestive tract and liver surgery was 50% with P/R 3.35 and A/F 1.22 and the percentage associated with cardiovascular surgery was 25% with P/R 2.12 and A/F 1.33 in the surgical departments. The P/R and A/F of the internal medicine departments were 2.61 and 3.22. The share of FFP and Alb usage in digestive and liver diseases was 60% with P/R 4.93 and A/F 2.63 in the internal medicine departments. Accordingly, it can be said that in Fukuoka prefecture the promotion of the reasonable usage of Alb is a most important consideration, especially in digestive and liver disease and cardiovascular surgical procedures.