The use of transfusion quality indicators as a tool for hemovigilance system implementation at a tertiary care center in Saudi Arabia

Hindawi, Salwa; Badawi, Maha; Raj, Edwin T.; Gholam, Kholoud; Al-Weail, Seraj O.; Azher, Fatima

doi:10.15537/smj.2016.5.15084

Cited by 11 publications

(10 citation statements)

References 12 publications

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“…It indicates improvement of practitioner attitude and strict follow up of blood transfusion protocols. 21 It was noticed that patients with 1 st degree perineal tears have higher incidence of PPA. It's advisable to review current protocols in managing such cases.…”

Section: P-45mentioning

confidence: 99%

Incidence of Postpartum Anemia Among Postpartum Patients in East Jeddah Hospital

Mattar

Alsahafi

Shami

et al. 2019

Int J Life Sci Pharm Res

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Postpartum anemia (PPA) is an important health problem affecting women at Saudi Arabia, which increase the risk of maternal mortality and morbidity. There are many risk factors which can affect the incidence of postpartum anemia. In our study we shed the light on the incidence and the risk factors associated with this among patients who delivers in EJH. This study is retrospective cohort study for patients delivered at EJH from first of January 2018 to 30 of June 2018. The total number of cases is 1252, who had complete data and others were excluded. However, during the analysis, we just analyzed 250 cases. In our study, we selected definition of PPA is having Hb < 10 g/dl on day 1 after delivery. Our study showed that incidence of PPA is round 60% which is high in comparison with international figure (22-45 %). These findings shed the light on the urgent need to keep PPA monitor to adjust current strategies to control risk factors associated with PPA. There was a significant correlation between postpartum anemia and blood transfusion. Preterm gestational age, cesarean delivery, antenatal anemia were significant independent risk factors for postpartum anemia. It was found that postpartum anemia (PPA) was higher among those delivered through cesarean delivery and low among those delivered through vaginal route. So, we recommended to increase the patient awareness about risks associated with cesarean delivery and to have sufficient control on cesarean delivery by request. Antenatal anemia was significant risk factor for PPA. It might be due to poor nutritional quality of mothers and poor intake of iron therapy. PPA was less associated with postpartum complications as all of these complications due to vaginal deliveries and all cases who needed blood transfusion were diagnosed with postpartum anemia.

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Section: P-45mentioning

confidence: 99%

Incidence of Postpartum Anemia Among Postpartum Patients in East Jeddah Hospital

Mattar

Alsahafi

Shami

et al. 2019

Int J Life Sci Pharm Res

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“…One-half of the donors were Saudi nationals (99; 49.5%) These demographics were representative of the Volume 60, February 2020 TRANSFUSION S11 general blood donor pool at KAUH. 16 The low number of female donors is a recognized phenomenon across the country. 17…”

Section: Blood Donorsmentioning

confidence: 99%

Evaluation of a point‐of‐care method for screening blood donors for sickle cell status

Badawi

Garoot²,

Tahlawi

et al. 2020

Transfusion

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BACKGROUND Turbidity tests are commonly used for screening blood units for the presence of sickle cell trait (SCT) before transfusion to specific patient populations, based on recommendations of the AABB. In this pilot study, we evaluate a new method for screening blood donors and blood units for the presence of sickle hemoglobin. STUDY DESIGN AND METHODS This study was based at King Abdulaziz University Hospital in Jeddah, Saudi Arabia. Study participants were approached consecutively between July 24, 2016, and August 8, 2016. Blood donors, control individuals, and known patients with sickle cell disease (SCD) were tested using both a point‐of‐care testing technology (Sickle SCAN, Biomedomics, Inc.) and hemoglobin capillary electrophoresis (HEP). Corresponding blood units were also tested using Sickle SCAN. RESULTS A total of 200 donors, 13 blood units, and 57 patients and controls were included. Sensitivity and specificity of Sickle SCAN for detection of SCT and SCD was 100%, when compared to HEP as the gold standard. CONCLUSION Sickle SCAN is a rapid test that shows high sensitivity and specificity for identification of hemoglobin S among blood donors and when used for testing blood units.

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“…A experiência de implementação de sistema de hemovigilância de um hospital na Arábia Saudita também reportou menor prevalência de RTI em comparação aos achados desse estudo. Entre 2012 e 2013, mais de 39 mil unidades de hemocomponentes foram transfundidos e as RTI foram reportadas em 0,2% dos pacientes, sendo majoritariamente reações alérgicas (79,7%), seguido de reações febris (17,9%) 14 .…”

Section: Discussionunclassified

Fatores associados a reações transfusionais imediatas em um hemocentro universitário: estudo analítico retrospectivo

Vilar

Ferreira

Nakasato

et al. 2020

Medicina (Ribeirão Preto)

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Estudo analítico, transversal, retrospectivo. Objetivos: Verificar a relação entre reações transfusionais imediatas, características demográficas e clínicas dos pacientes e características das hemotransfusões em um hemocentro universitário. Metodologia: O estudo foi realizado com dados de transfusões realizadas em 2016 no hemocentro da Universidade Federal de São Paulo. Foram coletados dados demográficos dos pacientes, características das hemotransfusões e ocorrência de reações transfusionais imediatas. Possíveis associações foram avaliadas usando os Testes de Fisher, Mann-Whitney, Qui-quadrado e t de Student. Associações com valores de p<0,05 foram consideradas significativas. Resultados: Foram analisados dados de 320 fichas de pacientes, totalizando 938 transfusões. Dos produtos sanguíneos transfundidos, 90,3% eram concentrados de hemácias, administrados por auxiliares de enfermagem em 43,8% das situações. As reações transfusionais ocorreram em 4,3% das situações (n=40). O sinal de reações mais frequente foi a febre (47,5%), seguido de prurido (22,5%). As reações foram mais prevalentes em pacientes com maior idade média (p= 0,0037), que receberam duas transfusões sanguíneas em comparação a uma (p<0,0001), consequentemente mais bolsas de transfusões (p=0,0002), maior volume total transfundido (p<0,0001) e maior tempo de administração (p=0,0017). Pacientes com anemia aplásica, leucemia mieloide aguda e neoplasias de órgãos sólidos tiveram reações transfusionais imediatas mais frequentemente do que pacientes com outros diagnósticos (p≤0,05). Conclusões: A ocorrência de reações transfusionais imediatas teve relação com a idade, diagnóstico médico, número de hemotransfusões, número de bolsas transfundidas, volume total transfundido e tempo de transfusão. O conhecimento desses fatores pode subsidiar treinamentos específicos voltados para a vigilância quanto às reações transfusionais imediatas.

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The use of transfusion quality indicators as a tool for hemovigilance system implementation at a tertiary care center in Saudi Arabia

Cited by 11 publications

References 12 publications

Incidence of Postpartum Anemia Among Postpartum Patients in East Jeddah Hospital

Incidence of Postpartum Anemia Among Postpartum Patients in East Jeddah Hospital

Evaluation of a point‐of‐care method for screening blood donors for sickle cell status

Fatores associados a reações transfusionais imediatas em um hemocentro universitário: estudo analítico retrospectivo

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