Uncrossmatched Blood Transfusion for Resuscitation Patients at the Emergency Department

Open Access Macedonian Journal of Medical Sciences

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Title Uncrossmatched Blood Transfusion for Resuscitation Patients at the Emergency Department
Creator Apiratwarakul, Korakot
Chanthawatthanarak, Sivit
Klawkla, Piyathida
Ienghong, Kamonwon
Bhudhisawasdi, Vajarabhongsa
Suzuki, Takaaki
Subject Blood transfusion
Blood group incompatibility
Emergency departments
Death rate
Mortality rate
Description BACKGROUND: Patients with uncontrolled blood loss often require immediate blood transfusion after the bleeding is stopped. If it is an emergency situation, blood that has not been tested for compatibility (uncrossmatched red blood cell [URBC] products) can be used. However, no studies have been conducted to evaluate the effectiveness of this protocol.

AIM: The aim of the study is to evaluate the effectiveness of URBC transfusion in Srinagarind Hospital’s emergency department (ED).

METHODS: This was a cross-sectional study that reviewed the medical records of ninty Thai patients over 18 years of age who received at least one unit of blood through URBC transfusion in the Srinagarind Hospital ED from September 2016 to August 2018.

RESULTS: The average age of the patients was 47.23 ± 18.2 years, and 73.3% were male. A total of 149 units of URBC were provided, with 54.44% of recipients being trauma patients and 27.78% being gastrointestinal bleeding patients. The 24-h and in-hospital mortality rates were 58.89 and 72.22%, respectively. There were no cases of acute blood transfusion complications or inappropriate URBC transfusion.

CONCLUSIONS: The transfusion of URBC necessary in patients with uncontrolled bleeding. No complications were found due to acute blood transfusion.
Publisher Scientific Foundation SPIROSKI, Skopje, Republic of Macedonia
Date 2021-07-15
Type info:eu-repo/semantics/article
Format application/pdf
Identifier https://oamjms.eu/index.php/mjms/article/view/6543
Source Open Access Macedonian Journal of Medical Sciences; Vol. 9 No. E (2021): E - Public Health; 496-499
Language eng
Relation https://oamjms.eu/index.php/mjms/article/view/6543/5799
Rights Copyright (c) 2021 Korakot Apiratwarakul, Sivit Chanthawatthanarak, Piyathida Klawkla, Kamonwon Ienghong, Vajarabhongsa Bhudhisawasdi, Takaaki Suzuki (Author)

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