Abstract
Aim: It is aimed in this study to determine blood and blood component’s transfusion indications, component using rate, early transfusion complications and the distribution of complications according to the blood component. Method: In this study, recipient’s name, surname, age, gender, blood component, the clinic where transfusion have done, transfusion indications, whether or not transfusion history and complication, the amount and type of blood component, product waiting period in the blood center, vital findings before and after transfusion. Result: Percentage of transfused products was as follows: whole blood (50%), erytrocyte suspension (26%), fresh frozen plasma (19.8%) and platelet suspension (4.2%). Utilization rate of blood and blood components by service type was as follows: 30.8% in internal medicine, 11.9% in general surgery, 16.8% in obstetrics and gynecology, 15.3% in department of child health and disease and 25.2% in other service. Acute complication was observed in 3% of patients. 1.8% of them was developed acute febrile nonhemolytic transfusion reaction. Urticaria was observed in 0.95% of cases. Hypocalsemia in 2 patients (0.1%), hypotension in 2 patients (0.1%) using ACE inhibitory, hypertension in one patients (0.05%) and hypercalsemia in one patient (0.05%) after transfusion were observed in patients. Conclusion: Full blood utilization rates are high but it’s close to Turkey average. Transfusion-related acute reaction rates were similar literature rates. It has suggested that information work should be increased to increase the use of component and to protect patients from unnecessary risk.
Highlights
The purpose of a blood transfusion is to replace lost blood, to increase the flow rate of cardiac, to increase blood elements, to replace the missing clotting factors and immune system elements
Blood or components transfusion must be made within the appropriate indication after careful evaluation of clinical status
Number of units of transfused whole blood, erythrocyte suspension and fresh frozen plasma (FFP) were 995 (50%), 552 (26%) and 392 (29.8%), respectively
Summary
The purpose of a blood transfusion is to replace lost blood, to increase the flow rate of cardiac, to increase blood elements, to replace the missing clotting factors and immune system elements. Blood and blood component transfusion is a serious event. Blood or components transfusion must be made within the appropriate indication after careful evaluation of clinical status. Complications related to blood transfusion may be considered under three main headings including hemolytic reactions, nonhemolitik reactions and infectious complications [3]. Allergic, febrile nonhemolitic transfusion reactions (FNHR), fluid loading, transfusionrelated lung damage, anaphylactic and metabolic reactions are main acute reactions and they can be seen within the first 24 hours after transfusion [4]. Transfusion-related complication may develop in different rates and violence depend on associated with different situations including blood or component availability, the genus, given the speed, the recipient’s disease state and the findings in the disease. Transfusion indications, utilization rates and rates of blood and component use and complications of transfusion data do not have sufficient extent in our country. There is no data associated with these events in our region
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