Characteristics of hospitalized children who received deplasmatized blood transfusions during 2019. Hospital Pediátrico-Centro Hospitalario Pereira Rossell.
DOI:
https://doi.org/10.35954/SM2024.43.1.4.e301Keywords:
anemia, iron-deficiency, transfusion medicine, transfusion reaction, blood transfusionAbstract
Introduction: Transfusion therapy is a therapeutic procedure that has contributed to reducing mortality and improving the quality of life of patients with various pathologies. The use of guides in transfusion practice contributes to their rational use.
Objective: To describe the characteristics of children from 1 month to 14 years 11 months who were hospitalized in the Centro Hospitalario Pereira Rossell during 2019 who received a red blood cell transfusion.
Methodology: Retrospective descriptive study. Children aged 1 month to 14 years and 11 months assisted in the emergency, moderate, intermediate and intensive care of the Centro Hospitalario Pereira Rossell were included in the study. Variables: age, sex, area of care, reason for admission, indication for transfusion, Hb figures before and after transfusion, classification of anaemia, dose. The study protocol was approved by the Institutional Ethics Committee.
Results: 160 transfusions corresponding to 97 patients were included, 56% were male. Mean age 3 years, 52% <1 year. The most frequent reason for admission was infectious respiratory disease 37%. 79% were transfused in the intermediate and intensive care unit. Mean Hb pre-transfusion 7.45 g/dL and post-transfusion of 10.1 g/dL. Moderate, normocytic-normochromic, pure anaemia predominated. The mean dose of deplasmatized blood transfused was 12 cc/kg.
Conclusions: In this series, male patients less than one year of age predominated, admitted mainly for infectious respiratory disease. Most of the transfused patients were in intensive care.
Future studies, of prospective design, that include patients from all healthcare settings and from other healthcare providers, will contribute to continuing the study of transfused patients and to the development of local recommendations or protocols.
Received for review: November 2023.
Accepted for publication: February 2023.
Correspondence: Centro Hospitalario Pereira Rossell. Bulevard Artigas 1590. C.P. 11,600. Montevideo, Uruguay.
Contact e-mail: anitacasuriaga7@gmail.com
This article was approved by the Editorial Committee.
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Lemos García F, Boggia B, Decaro J. Medicina Transfusional Pediátrica. En: Lemos García F. Medicina Transfusional Pediátrica. Cap. 1. [1a. ed.] Montevideo: Javier Cuadrado, 2020. p. 13-18.
Torres D, Silvera F, Borbonet D. Arch. Pediatr. Urug. [Internet]. 2018 Ago [citado 2023 Nov 20]; 89(4):264-270. Disponible en: http://www.scielo.edu.uy/scielo.php?script=sci_arttext&pid=S168812492018000500264&lng=es
Martínez J, Telechea H, Boggia B, Menchaca A. Transfusión de glóbulos rojos en niños con enfermedad respiratoria aguda. Necesidad de protocolización. Arch de Ped Urug 2017; 88(4):199-204. Disponible en: https://www.sup.org.uy/archivos-depediatria/adp88-4/web/pdf/adp88-4_martineztransfusion.pdf [Consulta 11/09/2020].
Contreras DM, Martínez MC. Medicina Transfusional en el Siglo XXI. Rev Med Clin Condes 2015; 26(6):726-743. DOI:10.1016/j.rmclc.2015.11.002. Disponible en: https://www.elsevier.es/es-revistarevista-medica-clinica-las-condes-202-pdf-S0716864015001492 [Consulta 11/09/2020].
Martínez Pérez J, Bojorge Fonseca O. El ejercicio de la medicina transfusional basada en evidencias. Tesis de grado 2015, 79 p.
Universidad Nacional Autónoma de Nicaragua, Managua. Instituto Politécnico de la Salud. Disponible en: https://core.ac.uk/download/pdf/53103341.pdf [Consulta 11/09/2020].
Del Pozo A. Medicina transfusional: concepto actual. Med Infant 1993; 1(2):82-85. Disponible en: https://www.medicinainfantil.org.ar/images/stories/volumen/1994/i_2_082.pdf [Consulta 11/09/2020].
Organización Mundial de la Salud. Promoción del uso racional de medicamentos: componentes centrales. Ginebra: OMS, 2002. 6 p.
Disponible en: http://apps.who.int/iris/bitstream/handle/10665/67532/WHO_EDM_2002.3_spa.pdf;jsessionid=080B6B367BB5FB0C7DE528A3513AEB47?sequence=1 [Consulta 11/09/2020].
Vossoughi S, Perez G, Whitaker BI, Fung MK, Stotler B. Analysis of pediatric adverse reactions to transfusions. Transfusion 2018; 58(1):60-69. DOI: https://doi.org/10.1111/trf.14359
Simpson J, Kinsey S. Paediatric transfusion. Vox Sang 2001 Jul; 81(1):1-5. https://doi.org/10.1046/j.1423-0410.2001.00077.x
Clasificación Internacional de Enfermedades. 10a. revisión. 4a. ed. española. Modificación clínica. eCIE10ES edición electrónica de la CIE-10-ES Diagnósticos. 2022. Disponible en: https://eciemaps.mscbs.gob.es/ecieMaps/browser/index_10_mc.html [Consulta 11/09/2020].
Sociedad Española de Pediatría Extrahospitalaria y Atención Primaria. Pediatría Integral 2016; XX(5):287-308.
Disponible en: https://www.pediatriaintegral.es/wpcontent/uploads/2016/07/Pediatria-Integral-XX-05_WEB.pdf#page=7 [Consulta 11/09/2020].
Baeza Goñi A, Schonhaut L. Hospitalización del lactante. Rev Chil Pediatr [Internet]. 2012 Jun [citado 2020 Set 13]; 83(3):290-294. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0370-41062012000300011&lng=es https://doi.org/10.4067/S0370-41062012000300011
De Oliveira PR, Da Costa JR, de Freitas Mathias TA. Hospitalizaciones en menores de cinco años por causas evitables. Rev Latino-Am. Enfermagem 2012; 20(1):1-9. Disponible en: https://www.scielo.br/j/rlae/a/wZRdGPx4MJR6Jx69X5pHmrJ/?format=pdf&lang=es [Consulta 11/09/2020].
Rodríguez J, Dackiewicz N, Toer D. La gestión hospitalaria centrada en el paciente. Arch Argent Pediatr 2014; 112(1):55-58. http://dx.doi.org/10.5546/aap.2014.55
(Lacroix J, Hébert PC, Hutchison JS, Hume HA, Tucci M, Ducruet T, et al. Transfusion strategies for patients in pediatric intensive care units. N Engl J Med 2007; 356(16):1609-19. https://doi.org/10.1056/NEJMoa066240
Akyildiz B, Ulgen Tekerek N, Pamukcu O, Dursun A, Karakukcu M, Narin N, et al. Comprehensive analysis of liberal and restrictive transfusion strategies in pediatric intensive care unit. J Trop Pediatr 2018; 64(2):118-25. https://doi.org/10.1093/tropej/fmx037
Sloniewsky D. Anemia and transfusion in critically ill pediatric patients: a review of etiology, management, and outcomes. Critical Care Clinics 2013; 29(2):301-317. https://doi.org/10.1016/j.ccc.2012.11.005
Athar MK, Puri N, Gerber DR. Anemia and blood transfusions in critically ill patients. J Blood Transfus 2012; 2012:629204. https://doi.org/10.1155/2012/629204
Nathan DG, Orkin SH. Nathan and Oski‟s hematology of infancy and childhood. 5th edition. Philadelphia: WB Saunders Company, 1998. p. 1914.
Salazar M. Guías para la transfusión de sangre y sus componentes. Rev Panam Salud Pública 2003; 13(2-3):183-190. Disponible en: https://www.scielosp.org/pdf/rpsp/2003.v13n2-3/183-190/es [Consulta 11/09/2023].
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