Abstract
Background: Red blood cell (RBC) transfusions performedover 5 years in a neonatal ward were retrospectivelyanalyzed. Despite the fact that ‘fresh’ RBC smallvolumetransfusions given to preterm infants are called‘traditional’ or even ‘historic’, this method of treatment isstill used in all neonatal wards in Poland. Patients andMethods: A total of 846 RBC units were transfused to216 patients, including 26 term and 190 pretermneonates. The transfusion rate and donor exposure ratewere calculated. The same parameters were calculatedfor hypothetical use of blood satellite packs for transfusionsin the analyzed patients and compared with theoriginal data. Results: Application of a limited donor programcould diminish the donor exposure rate more thantwofold, from 3.5 to 1.63, in the very-low-birth-weight infantsgroup and reduce the maximum number of donorsfrom 11 to 3, at the same transfusion rate of 5.35. Conclusion:Introduction of strict RBC transfusion guidelinesand a limited-donor blood program would improvetransfusion therapy.
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