engleski

Adverse effects of transfusion in cardic surgery patients

Evaluation of hospital-level reporting system for transfusion-related events including non- serious and serious transfusion reactions in cardiac surgery patients. A uniform reporting form was implemented in Magdalena Hospital in January 1998. Each transfusion reaction was assessed for severity as well as for the type and probability with which they could be ascribed to the transfusion. We retrospectively analysed a hospital database of patients over a period of 10 years (January 1998-November 2007). Among them we set apart those who experienced adverse effect on transfusion. A total of 5481 patients underwent heart surgery ; 3867 (70%) patients received a blood component transfusion, including 28881 RBC units, 18253 PLT units and 9602 FFP units. A total of 52 reports involving 52 patients were received. Of these, 47 were judged transfusion related and resulting in 1.2% incidence of transfusion reaction in cardiac surgery patients. In the category non judged transfusion related reports, 2 reports were possible TRALI, 2 reports involved possible infectious complications and one was HIT. Reactions associated with transfusion were as follows: 18 allergic, 17 febrile nonhemolytic, 5 delayed hemolytic, 2 TRALI (2 definitely case), 3 non-specific reactions, 1 acute hemolytic reaction, and 1 TACO. It is likely that some mild reactions are underreported. This 10-year review reached no different frequency of transfusion reactions in cardiac surgery patients compared to other.

transfusion ; adverse effects ; cardiac surgery

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