Hemovigilância: a experiência da notificação de reações transfusionais em Hospital Universitário

Abstract

Objective:To describe the occurrence of immediate transfusion reactions received by the Risk Management Department of Hospital São Paulo. Method: Cross-sectional and retrospective study which analyzed the notification sheets of transfusion reactions that occurred between May 2002 and December 2016 and were included in the Hemovigilance National System. Results: One thousand five hundred and forty-eight transfusion reaction notification sheets were analyzed, all of which concerned immediate reactions associated with packed red blood cells (72.5%). The most frequently reported reaction was febrile non-hemolytic transfusion reaction, and among severe and moderate cases, allergic reaction was the most common. The most frequently reported signs and symptoms were hyperthermia, sudoresis, chills, and skin lesions. No differences were observed regarding gender and age, and 90.7% of reactions occurred in patients with Rh+ factor. Conclusion: This study allowed for a better assessment and understanding of transfusion reactions, which will help to improve the quality of blood circulation and provide greater safety of patients undergoing transfusion therapy.

Hemovigilance and patient safety: analysis of immediate transfusion reactions in elderly

“…In this study, the most common signs and symptoms, directly related to the use of packed red blood cells, had two types: on one hand, respiratory alterations (such as dyspnea, shortness of breath coupled with tachypnea, and respiratory failure), and, on the other, fever. These types of symptom took place both in isolation and associated to other manifestations, corroborating the findings of other Brazilian studies (33,42) .…”

“…Although there have been efforts and evolutions in the hemovigilance system, the undernotification of these events is a reality that leads to risks to the health of the patient and prejudices the actions of the health teams (31) . However, suspected transfusion reaction events must be notified and evaluated by hemotherapy professionals to avoid acute and harmful reactions (32)(33) .…”

A Study on Adverse Transfusion Reactions in a Secondary Care Hospital of Rural India

“…These results coincided with the study conducted by Surekha K et al, The most frequent clinical manifestation in our research was hyperthermia (73.8%). These results were similar to the study done by Joao Luiz Grandi et al, [9,19].…”

A enfermagem no contexto da hemoterapia: a segurança ao paciente

“…As reações transfusionais são agravos que podem ocorrer durante ou após a transfusão de sangue, tendo sinais e sintomas percebidos logo no início da transfusão ou até 24 horas após o procedimento (20) . Estas reações exigem ação imediata, tomada de decisão e estabelecimento de prioridades, a fim de que danos e desconforto sejam minimizados (24) .…”